Korean J Med > Volume 78(5); 2010 > Article
The Korean Journal of Medicine 2010;78(5):610-615.
Comprehension and conduct of physicians when acquiring informed consent for chemotherapy
Se Won Kim, Bong Kyun Kang, Gun Min Park, Suk Jae Hahn, Eung-Joong Kim, Do Yeun Kim
인하대학교 의과대학 내과학교실
항암화학치료시 사전동의서 취득에 관한 의사의 인식도와 행위 조사
김세원, 강봉균, 박근민, 한석재, 김응중, 김도연
Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea
Abstract
Background/Aims: Given that the use of chemotherapy has increased, together with the incidence of cancer, the importance of patient autonomy in decision-making is being emphasized. This study aimed to promote understanding of informed consent by analyzing doctors’ perceptions of, and conduct during, the acquisition of written informed consent before chemotherapy. Methods: Forty-eight doctors directing or performing chemotherapy were surveyed in August 2009. In addition, the electronic medical records of patients who underwent chemotherapy between August 1, 2008, and August 31, 2009, were reviewed retrospectively. Results: All 48 respondents replied that acquiring informed consent was necessary before chemotherapy, but only 27 (56.3%) were aware of the format of the consent that had been obtained. Regarding the format of informed consent, 34 (70.8%) felt that it should be brief and 21 (43.8%) indicated that the time they spent in acquiring informed consent ranged from 10 to 14 minutes. Reviewing actual performance in acquiring informed consent, only 22 (15.6%) out of 141 patients who underwent chemotherapy had written informed consent documents in their electronic medical records. Conclusions: To properly acquire informed consent for chemotherapy, its meaning and importance must be understood by both physicians and patients. Moreover, patients need a standardized format of appropriate length for informed consent, with easily understood terms. (Korean J Med 78:610-615, 2010)
Key Words: Chemotherapy; Informed consent


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