Hill Simon A, Mather Gregory I, James Adrian J B
Langdon Hospital, Dawlish, Devon.
Med Sci Law. 2006 Jan;46(1):66-8. doi: 10.1258/rsmmsl.46.1.66.
We aimed to survey the knowledge of psychiatrists on the assessment of decision-making capacity. Ninety-two psychiatrists of all grades and three other doctors attending a regional conference were marked on their verbal response to the question 'What are the key elements in the assessment of a patient's capacity?' On average, participants mentioned three out of the five elements in testing decision-making capacity. Scores were negatively correlated with age (Pearson's coefficient 0.275, sig 0.007). Section 12 status and grade had no impact on knowledge. Most psychiatrists of all grades have a reasonable knowledge of assessing decision-making capacity. Over a third of participants mentioned two or fewer of the five points, suggesting inadequate knowledge. Assessing decision-making capacity needs to be emphasised in training throughout psychiatrists' careers--not just at the start.
我们旨在调查精神科医生对决策能力评估的了解情况。在一次地区会议上，我们对92名各级精神科医生以及另外三名医生就“评估患者决策能力的关键要素有哪些？”这一问题的口头回答进行了打分。平均而言，参与者提到了测试决策能力的五个要素中的三个。得分与年龄呈负相关（皮尔逊系数0.275，显著性0.007）。第12条规定的状态和级别对知识掌握情况没有影响。各级精神科医生大多对决策能力评估有一定的了解。超过三分之一的参与者提到了五个要点中的两个或更少，这表明知识掌握不足。在精神科医生的整个职业生涯中，而不仅仅是在开始阶段，都需要在培训中强调决策能力评估。
