妇科肿瘤学中的知情同意:JAGO/NOGGO 对日常临床实践的调查。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-11-01 DOI:10.1007/s00404-024-07776-9
M G Biersack, L L Volmer, C Geißler, J Fromme, S Fröhlich, K Pietzner, J Sehouli, M H Beck
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引用次数: 0

摘要

目的:知情同意是当代医学的精髓,反映了患者参与有关其健康决策的基本权利。尽管知情同意至关重要,但在现代高压医疗环境下,患者知情同意的实际操作数据却十分匮乏:我们于 2022 年 2 月 24 日至 2022 年 9 月 14 日开展了一项跨国多中心调查,利用专门编制的问卷调查了德国、奥地利和瑞士各地医院在知情同意方面的做法和挑战:结果:从妇科医生的 200 多份回复中,调查显示,在进行知情同意讨论方面,对结构化培训的需求非常迫切,超过 80% 的参与者表示有兴趣参加这方面的课程。值得注意的是,相当一部分医生(59.9%)表示,他们从未亲眼目睹过就手术程序进行讨论。在知情同意讨论的频率方面,不同类型的医院和专业团体之间存在显著差异,时间限制、语言障碍和用于患者教育的资源不足等因素导致了讨论的局限性。此外,医生在知情同意讨论后所承受的心理负担凸显了系统性变革的必要性,以减轻对患者安全、法律后果和患者满意度的担忧:本研究呼吁采取行动,强调需要加强对医疗专业人员的资源和支持,以坚持移情、全面的患者信息和共同决策原则:DRKS00028295, 25.07.2024.
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Informed consent in gynecological oncology: a JAGO/NOGGO survey on real-world practices in daily clinical routine.

Purpose: Informed consent is a quintessential element of contemporary medicine, reflecting the fundamental right of patients to participate in decision-making regarding their health. Despite its critical importance, there is a lack of data on real-world practices regarding patient informed consent in the context of modern, high-pressure medical environments.

Methods: We conducted a multinational multicentric survey from February 24, 2022, to September 14, 2022, investigating the practices and challenges surrounding informed consent in hospitals across Germany, Austria, and Switzerland with the use of a specifically developed questionnaire.

Results: Drawing on over 200 responses from gynecologists, the survey shows a critical need for structured training in conducting informed consent discussions with over 80% of participants expressing interest in courses addressing this aspect. Notably, a considerable portion of the physicians (59.9%) reported conducting discussions on procedures they had never personally witnessed. Significant disparities between types of hospitals and professional groups were observed in the frequency of informed consent discussions, with limitations arising from factors such as time constraints, language barriers, and insufficient resources for patient education. Moreover, the psychological burden experienced by physicians after informed-consent discussions underscores the need for systemic changes to alleviate concerns regarding patient safety, legal repercussions, and patient satisfaction.

Conclusion: This study serves as a call to action, emphasizing the need of enhancing resources and support for medical professionals to uphold the principles of empathic and comprehensive patient information and shared decision-making.

Trial registry: DRKS00028295, 25.07.2024.

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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
期刊最新文献
Birthing positions and mother`s satisfaction with childbirth: a cross-sectional study on the relevance of self determination. Correlation of factor XIII subunit A with factor XIII activity in a population of parturient women. Does the timing of postprandial glucose monitoring affect the obstetric and neonatal outcomes in patients with gestational diabetes? A prospective study comparing 1 and 2-h postprandial monitoring. Favorable outcome after fetal swallowing of a Somatex® intrauterine shunt. Informed consent in gynecological oncology: a JAGO/NOGGO survey on real-world practices in daily clinical routine.
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