Wisborg T, Brattebø G, Solheim K, Oyen N
Anestesiavdelingen, Hammerfest sykehus.
Tidsskr Nor Laegeforen. 1993 Aug 30;113(20):2583-6.
A high autopsy rate is a requirement for confirming or correcting clinical diagnoses and for providing opportunities for medical education on pre- and postgraduate level. A telephone survey was conducted to obtain information about the opinion of the Norwegian public on this matter. A randomised sample of 1,050 persons over 15 years of age were asked whether they would consent to autopsy if a close family member died in a hospital. Of the 954 (91%) who agreed to answer, 86% (95% CI 84-89) would consent, while 14% (95% CI 11-16) were unsure or would object. Demographical background variables did not significantly influence the response. When asked if they would give prior consent to an autopsy on themselves, should they die in a hospital, 84% (95% CI 82-87) said they would agree, while 16% (95% CI 13-18) were unsure or would object. Age between 31-50 years, male sex and married civil status significantly increased the likelihood of a positive attitude towards autopsy. The survey revealed a generally favourable attitude in the population towards autopsy. This positive confidence has to be maintained through careful talks with relatives about autopsy, and arrangements for relatives to be informed of the result of an autopsy.
高尸检率是确认或纠正临床诊断以及为研究生和本科生提供医学教育机会的必要条件。我们开展了一项电话调查，以获取挪威公众对此事的看法。我们随机抽取了1050名15岁以上的人员，询问他们如果近亲在医院死亡，他们是否会同意尸检。在同意回答的954人（91%）中，86%（95%置信区间84 - 89）会同意，而14%（95%置信区间11 - 16）不确定或会反对。人口统计学背景变量对回答没有显著影响。当被问及如果他们自己在医院死亡，是否会事先同意进行尸检时，84%（95%置信区间82 - 87）表示会同意，而16%（95%置信区间13 - 18）不确定或会反对。年龄在31至50岁之间、男性以及已婚民事状态显著增加了对尸检持积极态度的可能性。调查显示，公众总体上对尸检持支持态度。必须通过与亲属就尸检进行认真交谈，并安排让亲属了解尸检结果，来维持这种积极的信任。
