Informed consent for medical services and patients
Keywords:
informed consent, patient awareness, surgical treatment, Medical ethicsAbstract
Informed consent requires that a patient understands the purpose, benefits and potential risks of a medical or surgical intervention and then agrees to it. It is important not only ethically and legally but for the effectiveness of care. This study aims to determine problems arising from a patient’s informed consent. As part of a cross-sectional study, surgical patients were interviewed using a semi-structured questionnaire. Research has shown that patients should be better informed about different treatment options, the need for surgical intervention, the benefits and risks of alternative surgical treatment options. More attention must be given to raising awareness when communicating information to patients. Physicians must provide information to patients in order them to understand it. It is advisable to conduct trainings with medical personnel who are directly responsible for patient awareness.
References
ვერულავა, თ. ჯანდაცვის პოლიტიკა. თბილისი, 2023.
კონვენცია ადამიანის უფლებებისა და ბიომედიცინის შესახებ. საქართველოს საკანონმდებლო მაცნე. 2001
საქართველოს კანონი ჯანმრთელობის დაცვის შესახებ. საქართველოს საკანონმდებლო მაცნე. 1997.
საქართველოს კანონი „პაციენტის უფლებების შესახებ“, 2000 წლის 5 მაისი, მუხლი 4. საქართველოს საკანონმდებლო მაცნე. 2000.
Avci DK & Oner E. 2018. Examination of the knowledge, attitude and behaviours of pregnant women on screening tests made during pregnancy. East J Med; 23: 84–89.
Barnett, AT., Crandon, I., Lindo, JF. 2008. An assessment of the process of informed consent at the University Hospital of the West Indies. J Med Ethics; 34:344–347.
Chaisson, LH., Kass, NE., Chengeta, B. 2011. Repeated assessments of informed consent comprehension among HIV-infected participants of a three-year clinical trial in Botswana. PLoS One; 6: e22696.
Cotturri, G., Inglese, SA., Moro, G., et al. 2002. European charter of patients’ rights, basic document, Rome; 1–11.
Deger, M., Hot, I., Toprak, N. 1999. Cerrahi uygulamalarda hekimin tutumuna ait bir anket calismasi [A questionnaire study of attitudes of the physician in surgical applications]. In: Hatemi H, editor. Medikal etik [Medical ethics]. Istanbul: Tavasli Matbaasi. 113-130.
Demirel, B. 2005. Legal responsibilities of a physician. Gazi Med J; 16: 99–106.
Drevs, F. 2015. How patients choose hospitals: using the stereotypic content model to model trustworthiness, warmth and competence. Health Serv Manag Res 2013; 26: 95–101.
Farzandipour, M, Sheikhtaheri A and Sadeqi Jabali M. 2015. Perceived quality of informed refusal process: a crosssectional study from Iranian patients’ perspectives. Dev World Bioeth; 172–178.
Hoffman, GA., McLellan, J., Hoogendoorn, V, et al. 2018. Electroconvulsive therapy: the impact of a brief educational intervention on public knowledge and attitudes. Int Q Community Health Educ; 38: 129–136.
Indest, GF. 1997. Applying informed consent to the home health care industry. Home Health Care Manag Pract; 9: 17–30.
Kurt, E., Ucar, M., Atac, A. 2016. Quality of an informed consent prior to a surgical intervention? Experience of a teaching hospital. Pak J Med Sci; 32: 206–210.
Leclercq, WKG., Keulers, BJ., Scheltinga, MRM, et al. 2010. A review of surgical informed consent: past, present, and future. A quest to help patients make better decisions. World J Surg; 34: 1406–1415.
Manjavidze, I., Beriashvili, R., Zarnadze, I. 2009. Assessment of physicians awareness of patient’s rights in Georgia. Georgian Med News; 168: 89–91.
Mazur, DJ. 2003. Influence of the law on risk and informed consent. BMJ; 327: 731–734.
Ochieng, J., Ibingira, C., Buwembo, W, et al. 2014. Informed consent practices for surgical care at university teaching hospitals: a case in a low resource setting. BMC Med Ethics; 15: 40.
Royal College of Obstetricians and Gynaecologists. Obtaining valid consent. 1996. Clinical governance advice. London: Royal College of Obstetricians and Gynaecologists, 2015.
The Nuremberg code. 1947. BMJ; 313: 1448.
Teshome, M., Wolde, Z., Gedefaw, A, et al. 2018. Surgical informed consent in obstetric and gynecologic surgeries: experience from a comprehensive teaching hospital in Southern Ethiopia. BMC Med Ethics; 19: 38.
World Health Organization. 1994. A declaration on the promotion of patients’ rights in Europe. Amsterdam: European Consultation on the Rights of Patients.
Verulava, T. Dangadze. B. 2018. Health capital and economic growth: evidence from Georgia. Open Public Health J; 11: 401–406.
Verulava, T., Jorbenadze, R., Karimi, L, et al. 2018. Evaluation of patient satisfaction with cardiology services. Open Public Health J; 11: 201–208.
Verulava, T., Jorbenadze R., Surguladze, V. 2019. Patients’ informed consent to medical services in Georgia. Medico-Legal Journal; 87 (4): 188–192.