Jamjoom Bakur A, Jamjoom Aimun A B, Sharab Momen, Jamjoom Abdulhakim B
Oman Med J. 2011 Jan;26(1):29-33. doi: 10.5001/omj.2011.08.
Changes in legal standing and new guidelines for consent have generated changes in medical culture that doctors must adhere to. This study aims to highlight the differences in the way the surgeons in the two cultures view the informed consent for surgery processes.
The attitudes towards informed consent of a group of surgeons working in Saudi Arabia (KSA) were compared with those of a similar group working in the United Kingdom (UK), a country with a longer medical history and a more established medico-legal system.
The study shows that KSA surgeons tend to view informed consent not only as an ethical and legal obligation but also as a benefit to patients. In addition, KSA surgeons are more likely to adopt a paternalistic attitude during informed consent. They believe that information about harmful risks may dissuade their patients from undergoing the operation and they admit that the amount of information they provide to their patients is significantly influenced by a number of patient and non-patient related factors.
It is concluded that surgeons in KSA should be more aware of the informed consent guidelines and they should adhere to them. In addition, there is room for the introduction of formal training on informed consent in both countries and for making written information more widely available particularly in KSA.
法律地位的变化以及新的同意准则已引发医学文化的变革,医生必须予以遵循。本研究旨在突出两种文化背景下的外科医生对手术知情同意过程的看法差异。
将一组在沙特阿拉伯(KSA)工作的外科医生对知情同意的态度,与另一组在英国(UK)工作的类似外科医生的态度进行比较。英国有着更悠久的医学历史和更完善的医疗法律体系。
研究表明,沙特阿拉伯的外科医生倾向于认为知情同意不仅是一种道德和法律义务,也是对患者有益的事。此外,沙特阿拉伯的外科医生在知情同意过程中更倾向采取家长式态度。他们认为关于有害风险的信息可能会劝阻患者接受手术,并且他们承认向患者提供的信息量受到许多与患者及非患者相关因素的显著影响。
得出的结论是,沙特阿拉伯的外科医生应更加了解知情同意准则并予以遵循。此外,两国都有引入关于知情同意的正规培训的空间,并且应更广泛地提供书面信息,尤其是在沙特阿拉伯。