MEDICINSKI GLASNIK - Aktuelno Ljekarska komora ZE - DO kantona

More documents

Recommendations

Info

42 Medicinski Glasnik, Volumen 8, Number 1, February 2011 Patients’ knowledge about medical condition and medical procedures Physician and patient perceptions regarding patients’ knowledge about their medical condition and forthcoming medical procedures are illustrated in Table 2. Table 2. Patients’ knowledge concerning their medical condition and forthcoming treatment procedures Multiple-choice question/ statement No. of respondents (%) Physicians (n=251) Patients (n= 265) 1. I inform patients about their medical condition and treatment procedures / I was informed about my condition in detail 77 (30.7) 29 (10.9) as much as necessary 138 (55.0) 186 (70.2)
patients and physicians to all the questions comparing their experiences regarding the procedure of obtaining informed consent to treatment (p< 0.001). Disagreement was the most prominent in the question on the amount of the information presented to the patients before they had to make their decision on the forthcoming procedures. In the instance that patients were not able to make their own decision regarding treatment, most of them would leave the decision to physicians. On the contrary, physicians reported that, in such cases, they would routinely ask for consent from the patient’s family. DISCUSSION Recently Dieterich have identified a number of issues including law, ethics, knowledge, information, structural health care problems and funding issues as major areas of importance within a particular physician-patient interaction (7). The results of our study have shown significant differences in the knowledge and perception of these points of interests defining patient-doctor interaction between two study groups. Physicians lacked awareness about their professional, legal, and ethical obligations to provide patients with information concerning their medical condition and forthcoming diagnostic and therapeutic procedures. Accordingly, most patients reported receiving only limited or incomplete information, or in some cases no information obtained at all, in both this and numerous other studies (8). There was a limited amount of information that could be shared during the physician-patient consultation and this may occur because physicians often feel pressed for time. The majority of physicians in our study believed that patients received sufficient information to be able to make an informed decision on the recommended treatment. Patients expected to receive more detailed information, even though they were adequately informed about the risks, complications, and alternative methods of treatment (8,9). Other studies have shown that, after either two weeks or six months, patients do not seem to remember some information on the risks or alternative treatment methods (9). In addition, patients often do not wish to be fully informed of the risks and possible complications of the forthcoming surgery (10). Although many patients felt that they were gi- Jukić et al Physicians overestimate patient’s knowledge ven an insufficient amount of information, they still appreciate the input from medical staff. In situations where patients were unable to chose a treatment method and participate in the informed consent process, they were willing to trust their doctors with medical decisions. The most patients in our study reported providing their consent independently and agreeing on the treatment method suggested by their physicians. Levinson and co-workers in their population-based survey have obtained similar results to those observed in this study (11). They confirmed that nearly all respondents (96%) preferred to be offered choices and their opinions considered, but half of the respondents (52%) preferred to leave final decisions to their physicians. Furthermore, 44% of patients have preferred to rely on physicians for medical knowledge, and did not want to participate in the decision making process (11). In the era of widespread internet access, a significant amount of health information is now available to the general public, but the inability of patients to understand which information is useful have made them more likely than ever to trust their doctors (12, 13). In a recent survey, Hesse et al confirmed that patients performing their own internet research are more likely to want to talk with their doctors about the treatment methods and that the internet does not replace the role of doctors in patient’s lives (12). Written information, video-recordings or web-based information might decrease decisional conflict and facilitate decision making, but are not substitutes for patient - physician communication (12-14). This is because during interpersonal discussion, decisions may vary depending on the nature of the procedure and the relevant comorbidities of the patient (15). A plain language should be used according to the cognitive abilities and education of the patient (1). Our study has shown that patients in South Croatia want their doctors be more involved in the informed consent process. On the contrary more doctors are prone to delegate such procedures to other members of medical stuff such as nurses or administrative personnel. Such a practice should be avoided as it is contrary to the code of medical ethics (4,16). Prior to obtaining consent, physicians should initiate a discussion about the diagnosis and treatment procedures, provide information concerning the potential risks and complications, 43
Page 1 and 2: MEDICINSKI GLASNIK Official publica
Page 3 and 4: Medicinski Glasnik Official Publica
Page 5 and 6: 66 Placenta previa percreta with bl
Page 7 and 8: REVIEW Fetalna ehokardiografija u X
Page 9 and 10: nedjelje trudnoće, a koji je u ve
Page 11 and 12: Slika 5. Prikaz tri velike krvne ž
Page 13 and 14: pomoći roditeljima da na vrijeme d
Page 15 and 16: ORIGINAL ARTICLE Better stability o
Page 17 and 18: Figure 1. Monthly average INR value
Page 19 and 20: ents having more than 50% therapeut
Page 21 and 22: ORIGINAL ARTICLE Elastic characteri
Page 23 and 24: dividual and an average of these me
Page 25 and 26: ORIGINAL ARTICLE Predictive value o
Page 27 and 28: the umbilical cord was measured and
Page 29 and 30: sed chromosomepathies 72 were triso
Page 31 and 32: UVOD Samoubistvo (suicidium) je sve
Page 33 and 34: Tabela 2. Načini izvršenja suicid
Page 35 and 36: nevne bioprognoze koju daju regiona
Page 37 and 38: ORIGINAL ARTICLE Colorectal cancer
Page 39 and 40: persons with a positive family hist
Page 41 and 42: RESULTS Persons aged 50-74 were cov
Page 43 and 44: laboratory facility and a centrally
Page 45 and 46: ORIGINAL ARTICLE Physicians overest
Page 47: autonomy, knowledge of regulations
Page 51 and 52: 14. Hungerford DS. Internet access
Page 53 and 54: UVOD Jedan od glavnih ciljeva endod
Page 55 and 56: N Streptococcus mitis Homogene pods
Page 57 and 58: ijski učinak staklenih ionomera uz
Page 59 and 60: NOTES Utjecaj trajanja dijabetesa i
Page 61 and 62: Studije iz Evrope i SAD-a ubjedljiv
Page 63 and 64: multiplom sklerozom, korišten je s
Page 65 and 66: se može objasniti često prisutnim
Page 67 and 68: statistically significant higher ca
Page 69 and 70: Assoc 2006; 137:1108-14. 8. Dworkin
Page 71 and 72: intervenciju (1). Hronični epidura
Page 73 and 74: cystotomy revealed involvement of t
Page 75 and 76: povećava rizik od nastanka karcino
Page 77 and 78: adenomyosis. Am J Surg Pathol 2003;
Page 79: therapy prolonged survival, and imp
Page 82 and 83: 76 ORIGINAL ARTICLE Association of
Page 84 and 85: 78 Medicinski Glasnik, Volumen 8, N
Page 90 and 91: 84 ORIGINAL ARTICLE Analysis of CYP
Page 96 and 97: 90 ORIGINAL ARTICLE Optimisation of
Page 98 and 99:
92 Medicinski Glasnik, Volumen 8, N
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
100 Medicinski Glasnik, Volumen 8,
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
108 18. Chansac BlM, Moretta A, Ver
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
116 ORIGINAL ARTICLE Use of amino-t
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
126 ORIGINAL ARTICLE Association of
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
134 ORIGINAL ARTICLE Coagulation fa
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
140 ORIGINAL ARTICLE Time-dependent
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
146 ORIGINAL ARTICLE Blood iron sto
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
158 ORIGINAL ARTICLE Evaluation and
Page 166 and 167:
Page 168 and 169:
Page 170 and 171:
Page 172 and 173:
Page 174:
show all

MEDICINSKI GLASNIK - Aktuelno Ljekarska komora ZE - DO kantona

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?