Shafir M S, Silversides C, Waters I, MacRury K, Frank J W, Becker L A
Department of Family and Community Medicine, Toronto Hospital.
Can Fam Physician. 1995 Aug;41:1367-72.
To examine patient rates of consent to observation and response to being asked for written consent.
Patients were asked to provide written consent for a supervising physician to observe a resident performing a physical examination, or for both direct observation and videotaping of the visit. After the visit, all patients were interviewed, and patients who had given written consent completed a questionnaire.
The family practice unit at a teaching hospital affiliated with the University of Toronto.
A representative sample of new and returning patients.
Patient consent to observation or videotaping.
Most patients (92.2%) agreed to be observed. Of those asked only for consent to observe, 97.3% agreed. Of those asked for consent to observe and videotape, 85.2% agreed. When specifically asked, 22% of patients who agreed to observation expressed concerns.
We must devise clear policies and procedures for obtaining patient consent that are both sensitive to patients' concerns and administratively effective.
研究患者对观察的同意率以及对被要求提供书面同意的反应。
要求患者为监督医师观察住院医师进行体格检查，或为直接观察和录像此次就诊提供书面同意。就诊结束后，对所有患者进行访谈，已提供书面同意的患者完成一份问卷。
多伦多大学附属教学医院的家庭医疗科。
新患者和复诊患者的代表性样本。
患者对观察或录像的同意情况。
大多数患者（92.2%）同意被观察。在仅被要求同意观察的患者中，97.3%表示同意。在被要求同意观察和录像的患者中，85.2%表示同意。当被特别询问时，同意观察的患者中有22%表达了担忧。
我们必须制定明确的政策和程序来获取患者同意，既要对患者的担忧保持敏感，又要在管理上有效。
