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讲述真相与癌症诊断:卡塔尔医生的态度与实践。

Truth-telling and cancer diagnoses: physician attitudes and practices in Qatar.

机构信息

Division of Medical Ethics, Weill Cornell Medical College in Qatar, Doha, Qatar.

出版信息

Oncologist. 2012;17(11):1469-74. doi: 10.1634/theoncologist.2012-0128. Epub 2012 Aug 8.

Abstract

There is limited information regarding physicians' attitudes toward revealing cancer diagnoses to patients in the Arab world. Using a questionnaire informed by a seminal study carried out by Oken in 1961, our research sought to determine present-day disclosure practices in Qatar, identify physician sociodemographic variables associated with truth-telling, and outline trends related to future practice. A sample of 131 physicians was polled. Although nearly 90% of doctors said they would inform cancer patients of their diagnosis, ∼66% of respondents stated that they made exceptions to their policy, depending on patient characteristics. These data suggest that clinical practices are somewhat discordant on professed beliefs about the ethical propriety of disclosure.

摘要

关于阿拉伯世界的医生对向患者透露癌症诊断的态度,相关信息有限。我们的研究以奥肯(Oken)在 1961 年进行的一项开创性研究为基础,采用问卷调查的方式,旨在确定卡塔尔目前的披露做法,确定与说实话相关的医生社会人口统计学变量,并概述与未来实践相关的趋势。我们对 131 名医生进行了抽样调查。尽管近 90%的医生表示会告知癌症患者其诊断结果,但约 66%的受访者表示,他们会根据患者的特征对其政策进行例外处理。这些数据表明,在披露的伦理适当性方面,临床实践与所宣称的信念有些不一致。

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