Patients’ perceptions of informed consent in acute myocardial infarction research: a Danish study

Gammelgaard, Anne; Rossel, Peter; Mortensen, Ole Steen

doi:10.1016/j.socscimed.2003.08.023

Cited by 50 publications

(66 citation statements)

References 23 publications

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“…Reasons for participation and nonparticipation found here are broadly similar to those that others have found; self interest (knowledge or to improve or stabilise health), altruistic reasons (Fry & Dwyer, 2001;Madsen et al, 2002), and for the health benefits of taking new drugs (Gammelgaard et al, 2004;Madsen et al, 2002;Wilcox & Schroer, 1994). The motivation to participate in order to be treated by experts (Gammelgaard et al, 2004) was not found, most likely because patients were already attending a specialist centre.…”

supporting

confidence: 80%

“…Corrigan, 2003;Gammelgaard, Rossel, & Mortensen, 2004;Lynoë, Sandlund, & Dahlqvist, 1991). The rise in popularity of randomised controlled trials (RCT), whereby a new treatment is tested against existing therapy or placebo, is widely accepted by scientists as the most powerful method of gaining evidence for the efficacy of treatment (Ross et al, 1999), yet it is not the only method by which evidence of efficacy of treatment and care is gathered.…”

Section: Many Investigations Of Patients' Responses To Clinicians' Rementioning

confidence: 99%

“…An opportunity to improve personal health through access to new treatments by experts has been noted in people with conditions including vascular disease (Wilcox & Schroer, 1994), acute cardiac conditions (Gammelgaard et al, 2004) and cancer (Madsen et al, 2002;Slevin et al, 1995). Reasons for subjects refusing participation or withdrawing consent after randomisation have been attributed to heavy work schedule, concern about potential risks and a change of mind (Moss et al, 2004), worry arising from uncertainty, additional demands such as procedures and appointments, and travel problems and costs (Ross et al, 1999).…”

Section: Many Investigations Of Patients' Responses To Clinicians' Rementioning

confidence: 99%

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Trials and tribulations: Understanding motivations for clinical research participation amongst adults with cystic fibrosis

Lowton

2005

Social Science & Medicine

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supporting

confidence: 80%

Section: Many Investigations Of Patients' Responses To Clinicians' Rementioning

confidence: 99%

Section: Many Investigations Of Patients' Responses To Clinicians' Rementioning

confidence: 99%

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Trials and tribulations: Understanding motivations for clinical research participation amongst adults with cystic fibrosis

Lowton

2005

Social Science & Medicine

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“…A possible confusion among patients arises especially because of the reports that patients do not have sufficient understanding of the intervention procedure and the po-tentially related risks and complications (19,20). This may be especially important when medical interventions are a part of clinical research (20).…”

Section: Discussionmentioning

confidence: 99%

“…This may be especially important when medical interventions are a part of clinical research (20). Since informed consent differs for medical procedures and for research, we investigated only informed consent for medical procedures.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Practices of Obtaining Informed Consent for Medical Procedures among Specialist Physicians: Questionnaire Study in 6 Croatian Hospitals

et al. 2009

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Aim To assess physicians' knowledge and practices for obtaining patients' informed consent to medical procedures.Methods An anonymous and voluntary survey of knowledge and practices for obtaining informed consent was conducted among 470 physicians (63% response rate) working in 6 hospitals: 93 specialists in anesthesiology, 166 in internal medicine, and 211 in surgery.Results Only 54% physicians were acquainted with the fact that the procedure for obtaining consent was regulated by the law. Internists and surgeons were better informed than anesthesiologists (P = 0.024). More than a half of respondents (66%) were familiar with the fact that a law on patient rights was passed in Croatia; there were no differences among different specialties (P = 0.638). Only 38% of the physicians were fully informed about the procedure of obtaining consent. Internists and surgeons provided detailed information to the patient in 33% of the cases and anesthesiologists in 16% of the cases (P < 0.050). Internists reported spending more time on informing the patient than anesthesiologists and surgeons (P < 0.001). There were no differences in knowledge and practices for obtaining informed consent between physicians working in university and those working in community hospitals (P ≥ 0.05 for all questions). ConclusionPhysicians in Croatia have no formal education on informed consent and implement the informed consent process in a rather formal manner, regardless of the type of hospital or medical specialty. Systemic approach at education and training at the national level is needed to improve the informed consent process. PUBLIC HEALTH doi: 10.3325/cmj.2009.50.567 PUBLIC HEALTH 568 Croat Med J. 2009 50: 567-74 www.cmj.hrInformed consent is a professional ethics issue emanating from the fiduciary responsibility of the physician to the patient. It is an integral component of the physician's fiduciary responsibility. In many countries informed consent for medical procedures is a standard procedure (1-9) for providing the patients with the information on diagnostic and treatment procedures, risks, complications, and alternative treatment options in non-emergency cases (5,9,10), thereby considerably improving the communication between physician and patient. A signed form is the evidence that their conversation led to a mutual understanding. However, the implementation of the informed consent process differs among countries because informing the patient and requiring the consent are still not regarded as a legal obligation of the physician (6).In the clinical setting, the term "informed consent" was developed in the USA in 1957. It was further developed in the Declaration of Helsinki in 1964, which established worldwide ethical principles for medical research involving human participants. In its current, 2008 version (11), the article 24 states: "In medical research involving competent human subjects, each potential subject must be adequately informed of the aims, methods, sources of funding, any possible conflicts of interest, insti...

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Fundamentals and Applications of Regenerative Medicine

Miedany

2022

Musculoskeletal Ultrasound-Guided Regenerative Medicine

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Patients’ perceptions of informed consent in acute myocardial infarction research: a Danish study

Cited by 50 publications

References 23 publications

Trials and tribulations: Understanding motivations for clinical research participation amongst adults with cystic fibrosis

Trials and tribulations: Understanding motivations for clinical research participation amongst adults with cystic fibrosis

Knowledge and Practices of Obtaining Informed Consent for Medical Procedures among Specialist Physicians: Questionnaire Study in 6 Croatian Hospitals

Fundamentals and Applications of Regenerative Medicine

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