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《Guangxi Medical Journal》 2012-07
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Investigation and Evaluation of the Present Situation of Medical Informed Consent

XIE Xiao-long,TAN Jing-li,LIANG Zhong-xiao,LIANG Zeng-wen,GONG Zhi-feng,ZHANG Fa-can(Medical Administration Division,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)  
Objective To explore the present situation of medical informed consent on the operation,special examination and special treatment in the hospital,and evaluate its legitimacy and rationality,and put forward some suggestions for improvement.Methods A survey on the medical informed contents and format characteristics of medical informed consent on operation,special examination and special treatment was conducted on the basis of Article 55 of Tort Liability Law.Medical inform standards evaluation indices recommended by the American Medical Association were used in the survey.Two hundred and seventy medical informed consents(Feb.to May in 2012) from the People′s Hospital of Guangxi Zhuang Autonomous Region(abbreviated as Guangxi Hospital) and 331 medical informed consents from A Compilation of Medical Informed Consent of the People′s Hospital of Peking University(abbreviated as Peking University Hospital) were analyzed.Results No complete medical inform content and incomplete items could be found in the medical informed consents on operation,special examination,special treatment in both hospitals;18.52% of patients in Guangxi Hospital were informed the alternative medical scheme while 4.83% in Peking University Hospital,the awareness rates were low in both hospitals;Patients didn′t be informed the risks,benefits of alternative medical scheme and benefits of rejection of medical advice;There were some informed consents in which the diagnosis of disease and the properties and purpose of medical scheme didn′t be mentioned in both hospitals;Less than 30% of patients in two hospitals were informed the medical scheme benefits;12.22% of patients were informed the risks of rejection of medical advice in Guangxi Hospital while 48.94% in Peking University Hospital,there were 4.44% of patients didn′t be informed the risks of medical scheme in Guangxi Hospital.The qualified rates of 5 format characteristics of informed consent in Peking University Hospital were higher than those in Guangxi Hospital(all P0.05).Conclusion No complete medical inform content and incomplete items in the current informed consent on operation,special examination and special treatment exists generally in China.Further perfection and improvement is needed to meet the requirement of the current legal provisions and principles of medical ethics.
【Fund】: 广西医药卫生科研课题(桂卫Z2012256)
【CateGory Index】: R197.31
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【Citations】
Chinese Journal Full-text Database 3 Hits
1 Ye Chunhua,Wei Xiubi Deparment of Medical Record of Attached Hospital of Zunyi Medical College Zunyi City Guizhou Province 563003;An Analysis the Defects in 195 Informed Consent Form[J];Chinese Medical Record;2009-02
2 Yong Juan,Medical Record Department of the Union Hospital of Affiliated TongJi Medical College of Hua Zhong Science and Technology University,Wuhan 430022,Hubei Province,China;Analysis of Defects of 426 Informed Consent Forms[J];Chinese Medical Record;2011-02
3 CHEN Xiuli, CHEN Wei, YUAN Jiangfan Beijing Ji Shui Tan Hospital,No.31,Xinjiekou East Street,Xicheng District,Beijing,100035,PRC;Status and history of medical informed consent[J];Chinese Hospitals;2011-03
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 Li Quanlei,Yan Meiqiong,Lu Zhenqi,Lin Cen(School of Nursing,Fudan University,Shanghai 200032,China);Current situation of informed consent obtained for PICC placement based on content analysis method[J];Journal of Nursing Science;2012-16
2 PANG Qiao-ni(Xijin Hospital of Digestive Disease,the Fourth Military Medical University,Xi’an 710032,China);Application and Response of Audio-visual Material Evidence in Medical Dispute[J];Journal of Nursing;2012-20
3 PAN Chuan-de.Shaoxing College of Art and Science,Shaoxing,Zhejiang 312000,China;The knowledge analysis of medical expense of senile inpatient[J];Chinese Journal of Clinical Rational Drug Use;2012-25
4 ;Informed consent right and special interfere right referring to anesthesia informed consent[J];Acta Academiae Medicinae CPAF;2011-01
5 CHEN Min,XIE Junqiang The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou City,Guangdong Province 510630 PRC;ANALYSIS OF THE DEFECTS IN 1080 INFORMED CONSENT FORMS[J];Modern Hospital;2012-06
6 Deng Wei et al Department of Gerontology,Second Affiliated Hospital of Chongqing Medical University,Chongqing,400010;Effective Doctor-Patient Communication is the Key for Avoiding Informed Disconsent from Patient[J];Medicine and Society;2012-01
7 QI Rui-zhao,LI Peng,WANG Zhao-hai,et al.302 Military Hospital of China,Beijing 100039,China;Analysis of Reason for Losing Significance of Expansion of Medical Instruments Signature[J];Medicine & Philosophy(Clinical Decision Making Forum Edition);2011-08
8 LI Yan,WEI Wan-hong,JIANG Bao-jun,et al.Public Health College,Zhengzhou University,Zhengzhou 450001,China;The Significance and Methods to Inform Obligation in Clinical Practice Teaching Hospital[J];Medicine & Philosophy(Humanistic & Social Medicine Edition);2010-12
9 JIANG Xian-fei,ZHENG Shang-wei.West China Hospital,Sichuan University,Chengdu 610041,China;Current Situations and Strategies for Informed Consent in Medical Care[J];Medicine & Philosophy(Humanistic & Social Medicine Edition);2011-09
10 XU Shuang-yan1,SU Wei2,OU Zhi-mei,CHEN Li-juan,GUAN Zhi,CHEN Hui-rong,ZHAO Li-qiu(1.Chengdu No.7 People's Hospital,Sichuan Chengdu 610021,China;2.The Public Health College,Sichuan University,Sichuan Chengdu 610041,China);Analysis of Current Situation on Physician-Patient Relationship by Cognition of in informed consent in public hospitals of Chengdu[J];Journal of Modern Clinical Medicine;2010-03
China Proceedings of conference Full-text Database 1 Hits
1 Wei Fang Liuzhou Worker Hospital,Liuzhou 545005 China;Improving the quality of Informed Consent and Protecting thr rights of Medical Workers and Patients[A];[C];2012
【Secondary Citations】
Chinese Journal Full-text Database 4 Hits
1 Ye Chunhua,Wei Xiubi Deparment of Medical Record of Attached Hospital of Zunyi Medical College Zunyi City Guizhou Province 563003;An Analysis the Defects in 195 Informed Consent Form[J];Chinese Medical Record;2009-02
2 Chen Chuanben,Chen Shaoxiong,Quality Control Office of Fujian Provincial Tumor Hospital,Fuzhou 350014,China;Practice and Experience on Strengthening Quality Control of Medical Records[J];Chinese Medical Record;2010-05
3 Du Shuying,Gu Yuejing,Wang Quan hong,Lan Zhao,Li Zuobing,Doctor-patient Relationship Coordination Office of Xuanwu Hospital Affiliated Capital Medical University,Beijing 100053,China;Thinking of Final Quality Control of Medical Records Based on Case Analysis[J];Chinese Medical Record;2010-06
4 LIU Yu, WANG Beijing, DENG Liqiang, et al Medical Affair Department, Peking Union Medical College Hospital, No.1, Shuaifuyuan, Dongcheng District, Beijing, 100730, PRC;Medical informed consent rights conception and classification[J];Chinese Hospitals;2008-04
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