Kumar Shuba, Mohanraj Rani, Rose Anuradha, Paul M J, Thomas George
Samarth, Tamil Nadu, India.
Indian J Med Ethics. 2012 Jul-Sep;9(3):180-6. doi: 10.20529/IJME.2012.061.
A qualitative study using in-depth interviews was carried out among patients and doctors working in a private hospital in Tamil Nadu, to understand perceptions of informed consent. Audio-recorded interviews were transcribed verbatim and a framework analytical approach was used in analysis. Emergent themes ranged from perceptions on informed consent, and discussing health concerns and decision making, to information provided by and expectations from doctors, and suggestions for improvement. Most patients were unfamiliar with the kind of information provided in the informed consent process; a few felt that the information was inadequate. Decision making about surgery was left mostly to the doctor. Poor literacy in patients was seen as a barrier to effective communication by doctors. Developing local language versions of consent forms supported by audiovisual aids is needed for patients to take a proactive role in their treatment process, and for doctors to be receptive to patients' needs and capacities.
在泰米尔纳德邦的一家私立医院，对患者和医生进行了一项采用深度访谈的定性研究，以了解对知情同意的看法。访谈录音逐字转录，并采用框架分析法进行分析。浮现出的主题包括对知情同意的看法、讨论健康问题和决策、医生提供的信息及患者的期望，以及改进建议。大多数患者对知情同意过程中提供的信息类型不熟悉；少数人认为信息不足。手术决策大多由医生做出。患者识字率低被视为医生有效沟通的障碍。需要开发当地语言版本的同意书并辅以视听辅助工具，以便患者在治疗过程中发挥积极作用，同时医生也能接受患者的需求和能力。
