Dahl Aaron, Sinha Madhumita, Rosenberg David I, Tran Melissa, Valdez André
From the *Department of Scholarly Projects, University of Arizona College of Medicine; †Department of Pediatrics, Arizona Children's Center; and ‡Department of Research, Maricopa Integrated Health System, Phoenix, AZ.
Pediatr Emerg Care. 2015 May;31(5):339-42. doi: 10.1097/PEC.0000000000000422.
Effective physician-patient communication is critical to the clinical decision-making process. We studied parental recall of information provided during an informed consent discussion process before performance of emergency medical procedures in a pediatric emergency department of an inner-city hospital with a large bilingual population.
Fifty-five parent/child dyads undergoing emergency medical procedures were surveyed prospectively in English/Spanish postprocedure for recall of informed consent information. Exact logistic regression was used to predict the ability to name a risk, benefit, and alternative to the procedure based on a parent's language, education, and acculturation.
Among English-speaking parents, there tended to be higher proportions that could name a risk, benefit, or alternative. Our regression models showed overall that the parents with more than a high school education tended to have nearly 5 times higher odds of being able to name a risk.
A gap in communication may exist between physicians and patients (or parents of patients) during the consent-taking process, and this gap may be impacted by socio-demographic factors such as language and education level.
有效的医患沟通对临床决策过程至关重要。我们研究了在一家有大量双语人群的市中心医院的儿科急诊科进行紧急医疗程序之前，家长对知情同意讨论过程中提供的信息的回忆情况。
对55对接受紧急医疗程序的亲子组合在术后用英语/西班牙语进行前瞻性调查，以了解他们对知情同意信息的回忆情况。使用精确逻辑回归来预测基于家长的语言、教育程度和文化适应情况说出手术风险、益处和替代方案的能力。
在说英语的家长中，能够说出风险、益处或替代方案的比例往往更高。我们的回归模型总体显示，受过高中以上教育的家长说出风险的几率往往高出近5倍。
在获取同意的过程中，医生与患者（或患者家长）之间可能存在沟通差距，而这种差距可能会受到语言和教育水平等社会人口因素的影响。
