Vučemilo Luka, Ćurković Marko, Milošević Milan, Mustajbegović Jadranka, Borovečki Ana
Institute for Ear, Nose and Throat Disease and Head and Neck Surgery, University Hospital Merkur, Zajceva 19, Zagreb, Croatia.
Croat Med J. 2013 Apr;54(2):185-91. doi: 10.3325/cmj.2013.54.185.
To explore physician-patient communication practices during the process of obtaining informed consent in a hospital setting in Croatia.
Two hundred and fifty patients (response rate 78%) from five tertiary level hospitals in Zagreb, Croatia, anonymously filled in the questionnaire on informed consent and communication practices by Nemcekova et al in the period from April to December 2011.
Eighty five percent of patients received complete, understandable information, presented in a considerate manner. Patients in surgical departments received a higher level of information than those in internal medicine departments. Patients were informed about health risks of the proposed treatments (in 74% of cases) and procedures (76%), health consequences of refusing a medical intervention (69%), and other methods of treatment (46%). However, patients pointed out a number of problems in physician-patient communication.
Communication practices during informed consent-obtaining process in hospitals in Zagreb are based on a model of shared decision-making, but paternalistic physician-patient relationship is still present. Our results indicate that Croatia is undergoing a transition in the physician-patient relationship and communication.
探讨克罗地亚一家医院在获取知情同意过程中的医患沟通实践。
2011年4月至12月期间，来自克罗地亚萨格勒布五家三级医院的250名患者（回复率78%）匿名填写了由内姆采科娃等人设计的关于知情同意和沟通实践的问卷。
85%的患者收到了完整、易懂且表达体贴的信息。外科科室的患者比内科科室的患者获得了更高水平的信息。患者被告知拟议治疗的健康风险（74%的情况）、程序（76%）、拒绝医疗干预的健康后果（69%）以及其他治疗方法（46%）。然而，患者指出了医患沟通中的一些问题。
萨格勒布医院在获取知情同意过程中的沟通实践基于共同决策模式，但家长式医患关系仍然存在。我们的结果表明，克罗地亚正在经历医患关系和沟通方面的转变。
