What do health care professionals, students, and laypeople in Greece believe about informed consent for research on medical practices? Unleashing Pandora's box.

Porto biomedical journal Pub Date : 2023-12-13 eCollection Date: 2023-11-01 DOI:10.1097/j.pbj.0000000000000236
Vaitsa Giannouli
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Abstract

Background: Attitudes toward informed consent for research on medical practices has been little investigated in Greece in the general population as well as in health care students and professionals, and at the same time, undergraduate and postgraduate curricula with focus on informed consent issues are entirely missing.

Methods: To explore attitudes toward informed consent for research on medical practices among students, doctors, and laypeople in Greece across several demographic variables. A total of 380 participants (180 first-year healthcare university students from various faculties including medicine, pharmacy, biology, nursing, physiotherapy, midwifery, health care engineers, 100 medical doctors of various specialties working in hospitals and private practice, and 100 laypeople) completed a survey questionnaire along with a detailed demographics questionnaire.

Results: The results revealed that between the three groups, there were statistically significant differences in the responses for all aspects of attitudes toward informed consent. Overall, Greek participants reported more negative attitudes when compared with findings from the United States. In addition, most of the participants reported lack of educational experience regarding informed consent.

Conclusion: The findings showed that the efforts and relevant initiatives by the Greek State, private institutions, and the Greek Medical Societies should refocus and emphasize on educational programs concerning the dissemination of relevant scientific information on informed consent processes, either as a provider or as a consumer. Future research should further investigate in more depth the complex influence of additional social and/or psychological factors for the reported differences.

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希腊的医护人员、学生和普通人如何看待医疗实践研究的知情同意?打开潘多拉的盒子。
背景:在希腊,无论是普通民众还是医学生和专业人员,对医疗实践研究知情同意的态度都鲜有调查,同时,本科生和研究生课程中也完全缺乏对知情同意问题的关注:方法:探讨希腊学生、医生和非专业人员在不同人口统计学变量下对医疗实践研究知情同意的态度。共有 380 名参与者(180 名来自医学、药学、生物、护理、物理治疗、助产、保健工程师等不同院系的保健专业大学一年级学生,100 名在医院和私人诊所工作的不同专业的医生,以及 100 名普通人)完成了调查问卷和详细的人口统计学问卷:结果表明,三个群体对知情同意的态度在各方面都存在显著差异。总体而言,与美国的调查结果相比,希腊参与者的态度更为消极。此外,大多数参与者表示缺乏有关知情同意的教育经验:研究结果表明,希腊政府、私人机构和希腊医学会应重新关注和重视教育项目,传播关于知情同意程序的相关科学信息,无论是作为医疗服务提供者还是消费者。未来的研究应进一步深入探讨其他社会和/或心理因素对所报告差异的复杂影响。
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