Document Type : Original Article
Department of Medical Records and Health Information Technology, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Health Management and Economics, School of Health, Center for Research on Social Factors Affecting Health, Mashhad University of Medical Sciences, Mashhad, Iran
Obtaining informed consent from patients, which is the basis of medical ethics and the most basic rights of patients, requires compliance with the conditions. The aim of this study was to compare the quality of informed consent of patients admitted to angiography in selected hospitals of Mashhad in 2020 from the perspective of patients and physicians.
This study has a descriptive-cross-sectional design. First, by examining the texts, the quality indicators of obtaining informed consent were extracted and a questionnaire for patients and physicians was compiled. Questionnaire was developed and validated to assess the views of patients and physicians in this field. Then, 10 doctors who had the most angiography in the selected hospitals of Imam Reza (AS) and Ghaem (AS), were randomly selected the questionnaire for doctors and 30 patients for each physician, and completed the questionnaire of the patients.
Physicians 'questionnaire with 11 questions and 4 dimensions and patients' questionnaire with 22 questions and 6 dimensions were developed. The answers in each question were scored as a Likert scale from very low (1) to very high (5) and the average score of each dimension was determined. In evaluating the quality of informed consent, the highest score from the perspective of patients and physicians was related to the dimension of "physician- patient interaction". The mean score was 2/94 in the evaluation of patients and 3/8 in the self-assessment of physicians. A significant relationship was found between the level of education of patients and the dimensions of understanding and volunteering (p ≤0/05). Informed consents were obtained before the day of admission to the treating physician and after providing the necessary explanations by the physician, effective communication training workshop for residents and physicians and explaining the legal, religious, therapeutic aspects, etc. Delfi was emphasized.
In all respects, the score of the patient's evaluation was less than the desired level also lower than the score of the physicians' self-assessment. It is suggested that the proposed solutions be used in the way of obtaining satisfaction.