Jukic Marko, Kozina Slavica, Kardum Goran, Hogg Rosemary, Kvolik Slavica
Department of Anaesthesiology and Intensive Care, Split University Hospital Centre, Split, Croatia.
Med Glas (Zenica). 2011 Feb;8(1):39-45.
To evaluate the differences in the knowledge and attitudes of physicians and patients regarding the informed consent process.
After institutional approval was obtained cohorts of 269 physicians and 265 patients completed a voluntary multiple-choice questionnaire on the informed consent process.
Most of the responses between physicians and patients were significantly different. A total of 77 physicians (30.7%) reported that they personally informed patients about their medical condition and forthcoming clinical procedures in detail and 138 (55%) informed patients as much as necessary. Only 29 patients (11%) reported being informed in detail, and 186 (70.2%) reported that they received only basic information (P < 0.001). Although 132 physicians (52.6%) reported that their patients received sufficient information to be able to decide on their treatment, only 31 patient (11.7%) reported the same (P < 0.001). Half of the doctors (126, 50.2%) reported that they informed their patients in detail on the possible consequences of treatment refusal whereas 23 patients (8.7%) were given such information.
There is a great discrepancy between physicians and patients concerning both understanding and knowledge of the informed consent process. The physicians have evaluated their practice of giving information and obtaining informed consent to be more detailed than their patients. The results of this study reflect the need for better communication between doctors and patients as well as physician and patient education programs on the process of informed consent.
评估医生和患者在知情同意过程中的知识和态度差异。
在获得机构批准后，269名医生和265名患者完成了一份关于知情同意过程的自愿性多项选择题问卷。
医生和患者的大多数回答存在显著差异。共有77名医生（30.7%）报告称他们亲自向患者详细告知了其病情和即将进行的临床程序，138名（55%）医生告知患者必要的信息。只有29名患者（11%）报告被告知详细信息，186名（70.2%）患者报告仅收到基本信息（P<0.001）。尽管132名医生（52.6%）报告称他们的患者获得了足以决定治疗方案的信息，但只有31名患者（11.7%）有相同的报告（P<0.001）。一半的医生（126名，50.2%）报告称他们向患者详细告知了拒绝治疗的可能后果，而23名患者（8.7%）被告知此类信息。
医生和患者在对知情同意过程的理解和认识方面存在很大差异。医生评估他们提供信息和获得知情同意的做法比患者认为的更详细。本研究结果反映了医生与患者之间需要更好的沟通，以及开展关于知情同意过程的医患教育项目。
