Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore.
Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore.
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DOI：
10.1186/1472-6939-9-14
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发表时间：
2008-09-25
影响因子：
2.7
通讯作者：
Imam, Sardar Zakariya
中科院分区：
文献类型：
--
作者：
Humayun, Ayesha;Fatima, Noor;Imam, Sardar Zakariya
背景：在发展中国家的病人护理过程中，知情同意、保密和隐私的原则经常被忽视。我们评估的程度，医生在拉合尔坚持这些原则，在门诊consultations.MATERIAL & METHOD：本研究进行了医疗门诊部（OPDs）的两个三级保健医院（一个公共和一个私人医院）的拉合尔，选择使用多阶段抽样。从每家医院选择93例患者。通过训练有素的人员进行的客户流量分析，观察到医生遵守知情同意、隐私和保密原则的情况。整体患者的看法也进行了评估，这些做法，并与我们的datacollectors.Results作出的评估进行了比较：从只有9.7%的患者在公立医院和47.8%的私立医院获得一定程度的知情同意。81.4%的公立医院病人和88.4%的私立医院病人至少享有一定程度的隐私。在公立和私立医院中，只有10.8%和35.5%的病例的信息完全保密。与公立医院相比，私立医院的知情同意和保密情况更好（双样本t检验> 2，p值< 0.05）。有显着的差距，病人的角度来看，这些道德的做法和评估我们训练有素的data collectors.CONCLUSION：遵守医德是不够的，在医院的拉合尔。医生应接受医德方面的正规培训，需要制定有关医德的国家立法。应使病人了解他们在医学道德方面的权利。
BACKGROUND: The principles of informed consent, confidentiality and privacy are often neglected during patient care in developing countries. We assessed the degree to which doctors in Lahore adhere to these principles during outpatient consultations.MATERIAL & METHOD: The study was conducted at medical out-patient departments (OPDs) of two tertiary care hospitals (one public and one private hospital) of Lahore, selected using multi-stage sampling. 93 patients were selected from each hospital. Doctors' adherence to the principles of informed consent, privacy and confidentiality was observed through client flow analysis performed by trained personnel. Overall patient perception was also assessed regarding these practices and was compared with the assessment made by our data collectors.RESULTS: Some degree of informed consent was obtained from only 9.7% patients in the public hospital and 47.8% in the private hospital. 81.4% of patients in the public hospital and 88.4% in the private hospital were accorded at least some degree of privacy. Complete informational confidentiality was maintained only in 10.8% and 35.5% of cases in public & private hospitals respectively. Informed consent and confidentiality were better practiced in the private compared to the public hospital (two-sample t-test > 2, p value < 0.05). There was marked disparity between the patients' perspective of these ethical practices and the assessment of our trained data collectors.CONCLUSION: Observance of medical ethics is inadequate in hospitals of Lahore. Doctors should be imparted formal training in medical ethics and national legislation on medical ethics is needed. Patients should be made aware of their rights to medical ethics.