1Department of Molecular Medicine, University of Padua, Padua, Italy.
Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", via Luciano Armanni 5, 80138 Naples, Italy..
Acta Biomed. 2020 Aug 10;92(1):e2021005. doi: 10.23750/abm.v92i1.10129.
On 22 December 2017, Law number 219 was approved in Italy entitled "Provisions for informed consent and advance treatment directives". We aim to examine the knowledge of these provisions of Italian medico legal fellows, and the ability of Italian university healthcare facilities to implement the principles of the new law.
A survey was conducted by means of a questionnaire sent to members of a scientific society. The society had 357 members and represents more than 75% of the Italian doctors in training and 32 university healthcare facilities in Italy. 27 facilities and 45% of the society's members participated in this enquiry.
The majority (68%) of those interviewed felt they had acquired an adequate knowledge of the Law but only 60% of them were able to indicate how for filing legally valid advance directives (60% vs. 40%) and only 37% knew how drafting a shared care plan. 89% of the pool felt that legal recognition of a patient's self-determination was useful for enhancing the care relationship. The 74% of the facilities analyzed have organized training activities regarding the contents of the law but only 26% have updated their procedures on the practical implementation of the law and their informed consent forms. 60% of the facilities perform medico legal consultation activities and in 15% of the facilities, there has been resistance to the application of the law.
Many of the facilities have performed training activities but lack effective implementation of the activities required. With increased knowledge and organization this could be overcome.
2017 年 12 月 22 日，意大利批准了第 219 号法律，题为“知情同意和预先治疗指令规定”。我们旨在检查意大利医学法律研究员对这些规定的了解程度，以及意大利大学医疗保健机构实施新法律原则的能力。
通过向科学协会成员发送问卷进行了调查。该协会有 357 名成员，代表了意大利 75%以上的受训医生和意大利的 32 家大学医疗保健机构。27 家医疗机构和协会的 45%成员参与了此次调查。
大多数（68%）受访者认为他们已经获得了足够的法律知识，但只有 60%的人能够指出如何提交具有法律约束力的预先指令（60%比 40%），只有 37%的人知道如何起草共同护理计划。89%的受访者认为，法律承认患者的自我决定有助于增强护理关系。分析的 74%的机构已经组织了有关法律内容的培训活动，但只有 26%的机构更新了其关于法律实际实施和知情同意书的程序。60%的机构开展医学法律咨询活动，在 15%的机构中，对法律的适用存在抵制。
许多机构已经开展了培训活动，但缺乏对所需活动的有效实施。随着知识和组织的增加，这是可以克服的。
