Knowledge and Practices of Obtaining Informed Consent for Medical Procedures among Specialist Physicians: Questionnaire Study in 6 Croatian HospitalsReportar como inadecuado




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Croatian medical journal, Vol.50 No.6 December 2009. -

Aim To assess physicians’ knowledge and practices for obtaining

patients’ informed consent to medical procedures.

Methods An anonymous and voluntary survey of knowledge

and practices for obtaining informed consent was

conducted among 470 physicians 63% response rate

working in 6 hospitals: 93 specialists in anesthesiology, 166

in internal medicine, and 211 in surgery.

Results Only 54% physicians were acquainted with the

fact that the procedure for obtaining consent was regulated

by the law. Internists and surgeons were better informed

than anesthesiologists P = 0.024. More than a half

of respondents 66% were familiar with the fact that a law

on patient rights was passed in Croatia; there were no differences

among different specialties P = 0.638. Only 38%

of the physicians were fully informed about the procedure

of obtaining consent. Internists and surgeons provided detailed

information to the patient in 33% of the cases and

anesthesiologists in 16% of the cases P < 0.050. Internists

reported spending more time on informing the patient

than anesthesiologists and surgeons P < 0.001. There

were no differences in knowledge and practices for obtaining

informed consent between physicians working in university

and those working in community hospitals P ≥ 0.05

for all questions.

Conclusion Physicians in Croatia have no formal education

on informed consent and implement the informed

consent process in a rather formal manner, regardless of

the type of hospital or medical specialty. Systemic approach

at education and training at the national level is

needed to improve the informed consent process.

Informed Consent; Medical Specialties, Anesthesiology, Internal medicine; Specialties, Surgical; Croatia



Autor: Marko Jukić - ; Deepartment of Anesthesiology and Intensive Care, Split University Hospital Center, Split, Croatia Slavica Kvoli

Fuente: http://hrcak.srce.hr/



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