择期手术前麻醉的数字在线患者知情同意书——欧洲近期实践

Digital Online Patient Informed Consent for Anesthesia before Elective Surgery-Recent Practice in Europe.

作者信息

Neumann Claudia, Straßberger-Nerschbach Nadine, Delis Achilles, Kamp Johannes, Görtzen-Patin Alexandra, Cudian Dishalen, Fleischer Andreas, Wietasch Götz, Coburn Mark, Schindler Ehrenfried, Schleifer Grigorij, Wittmann Maria

机构信息

Department of Anesthesiology and Intensive Care Medicine, University Hospital, 53127 Bonn, Germany.

Department of Anesthesiology and Intensive Care Medicine, Hospital Vest, 45657 Recklinghausen, Germany.

出版信息

Healthcare (Basel). 2023 Jul 5;11(13):1942. doi: 10.3390/healthcare11131942.

DOI:10.3390/healthcare11131942

PMID:37444775

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10340391/

Abstract

BACKGROUND

Digitalization in the health system is a topic that is rapidly gaining popularity, and not only because of the current pandemic. As in many areas of daily life, digitalization is becoming increasingly important in the medical field amid the exponential rise in the use of computers and smartphones. This opens up new possibilities for optimizing patient education in the context of anesthesia. The main aim of this study was to assess the implementation of remote consent in Europe.

METHODS

An online survey entitled "Digital online Patient Informed Consent for Anesthesia before Elective Surgery. Recent practice in Europe," with a total of 27 questions, was sent by the European Society of Anesthesiology and Intensive Care (ESAIC) to their members in 47 European countries. To assess the effect of the economy on digitalization and legal status with regard to anesthesia consent, data were stratified based on gross domestic product per capita (GDPPC).

RESULTS

In total, 23.1% and 37.2% of the 930 participants indicated that it was possible to obtain consent online or via telephone, respectively. This observation was more often reported in countries with high GDPPC levels than in countries with low GDPPC levels. Furthermore, 27.3% of the responses for simple anesthesia, 18.7% of the responses for complex anesthesia, and 32.2% of the responses for repeated anesthesia indicated that remote consent was in accordance with the law, and this was especially prevalent in countries with high GDPPC. Concerning the timing of consent, patients were informed at least one day before in 67.1% of cases for simple procedures and in 85.2% of cases for complex procedures.

CONCLUSION

Even European countries with high GDPPC use remote informed consent only in a minority of cases, and most of the time for repeated anesthetic procedures. This might reflect the inconsistent legal situation and inhomogeneous medical technical structures across Europe.

摘要

背景

卫生系统数字化是一个迅速流行起来的话题，而且不仅是因为当前的疫情。与日常生活的许多领域一样，在计算机和智能手机使用呈指数级增长的背景下，数字化在医疗领域正变得越来越重要。这为在麻醉背景下优化患者教育开辟了新的可能性。本研究的主要目的是评估欧洲远程同意书的实施情况。

方法

欧洲麻醉与重症监护学会（ESAIC）向47个欧洲国家的成员发送了一份名为“择期手术前麻醉的数字在线患者知情同意书。欧洲近期实践”的在线调查问卷，共27个问题。为了评估经济对数字化以及麻醉同意书法律地位的影响，数据根据人均国内生产总值（GDPPC）进行了分层。

结果

在930名参与者中，分别有23.1%和37.2%表示可以通过在线或电话获得同意书。与GDPPC水平较低的国家相比，在GDPPC水平较高的国家中这一情况更为常见。此外，对于简单麻醉的回复中有27.3%、复杂麻醉的回复中有18.7%、重复麻醉的回复中有32.2%表示远程同意符合法律规定，这在GDPPC较高的国家尤为普遍。关于同意的时间，在67.1%的简单手术病例和85.2%的复杂手术病例中，患者至少在手术前一天得到了通知。