STUDY ON INFORMED CONSENT PROCESS IN SHARED DECISION-MAKING AMONG PATIENTS SCHEDULED FOR VARIOUS KIND OF SURGERIES AT A MEDICAL SCHOOL OF NORTHERN INDIA
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i1.46407Keywords:
Patient rights, Informed consent, PatientsAbstract
Objective: The objective of this study was to study perceptions of specialists and patients with respect to the informed consent process in shared decision-making.
Methods: A cross-sectional study was done among doctors of various departments carrying various kinds of surgeries at a medical school of northern India. One hundred and twenty-five specialists and 250 patients finished an organized survey on the informed consent process.
Results: Out of total specialists, 81 (64.8%) were men and 44 (35.2%) were women; 98 (78.4%) were trained professionals/super subject matter experts and 27 (21.6%) were occupants. Practically, all patients (94.8%) detailed that they had picked the treatment strategy proposed by specialist. Not exactly 50% of doctors 52 (41.6%) announced being completely familiar with the educated assent process, critical disparity was enlisted between the responses from patients and doctors to every one of the inquiries contrasting their encounters in regards to the strategy of getting educated agree to treatment (p<0.001).
Conclusion: There exists a gap among doctors and patients concerning both comprehension and information on the informed consent process. The distinction in discernment and halfway information on the lawful ramifications of informed assent shows that consenting in its ongoing structure is not educated and ought to be rethought to accomplish patient independence, which is a definitive objective of informed consent.
Downloads
References
Informed Consent in Health and Social Care Research. RCN Guidance for Nurses. 4th ed. London: Royal College of Nursing Research Society; 2021.
Department of Health. Reference Guide to Consent for Examination or Treatment; 2001. Available from: https://www.dh.gov.uk/ assetroot/04/01/90/79/04019079.pdf [Last accessed on 2021 Oct 24].
Department of Health. Consent Forms. Available from: https://www. dh.gov.uk/assetroot/04/01/90/34/04019034.pdf [Last accessed on 2021 Oct 24].
Bates T. Ethics of consent to surgical treatment. Br J Surg 2001;88:1283- 4. doi: 10.1046/j.0007-1323.2001.01913.x, PMID 11578280
Jefford M, Moore R. Improvement of informed consent and the quality of consent documents. Lancet Oncol 2008;9:485-93. doi: 10.1016/ S1470-2045(08)70128-1, PMID 18452859
O’Leary KJ, Kulkarni N, Landler MP, Jeon J, Hahn KJ, Englert KM, et al. Hospitalized patients’ understanding of their plan of care. Mayo Clin Proc 2010;85:47-52. doi: 10.4065/mcp.2009.0232, PMID 20042561
Habiba M, Jackson C, Akkad A, Kenyon S, Dixon-Woods M. Women’s accounts of consenting to surgery: Is consent a quality problem? Qual Saf Health Care 2004;13:422-7. doi: 10.1136/qhc.13.6.422, PMID 15576703
Mayberry MK, Mayberry JF. Towards better informed consent in endoscopy: A study of information and consent processes in gastroscopy and flexible sigmoidoscopy. Eur J Gastroenterol Hepatol 2001;13:1467-76. doi: 10.1097/00042737-200112000-00010, PMID 11742195
Dixon-Woods M. Writing wrongs? An analysis of published discourses about the use of patient information leaflets. Soc Sci Med 2001;52:1417-32. doi: 10.1016/s0277-9536(00)00247-1, PMID 11286365
Bhurgri H, Qidwai W. Awareness of the process of informed consent among family practice patients in Karachi. J Pak Med Assoc 2004;54:398-401. PMID 15449928
Dieterich A. The modern patient-threat or promise? Physicians’ perspectives on patients’ changing attributes. Patient Educ Couns 2007;67:279-85. doi: 10.1016/j.pec.2007.03.017, PMID 17467948
Brezis M, Israel S, Weinstein-Birenshtock A, Pogoda P, Sharon A, Tauber R. Quality of informed consent for invasive procedures. Int J Qual Health Care 2008;20:352-7. doi: 10.1093/intqhc/mzn025, PMID 18625699
Corfield LF. To inform or not to inform: How should the surgeon proceed when the patient refuses to discuss surgical risk? J Vasc Surg 2006;44:219-21. doi: 10.1016/j.jvs.2006.04.050
Levinson W, Kao A, Kuby A, Thisted RA. Not all patients want to participate in decision making. A national study of public preferences. J Gen Intern Med 2005;20:531-5. doi: 10.1111/j.1525- 1497.2005.04101.x, PMID 15987329
Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK, et al. Trust and sources of health information: The impact of the internet and its implications for health care providers: Findings from the first health information national trends survey. Arch Intern Med 2005;165:2618-24. doi: 10.1001/archinte.165.22.2618, PMID 16344419
Published
How to Cite
Issue
Section
Copyright (c) 2022 Dr. Rohit Jhamnani, Dr. Romesh Dubey, Dr. Divya Verma, Dr. Sunil Kumar
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.