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Patients' perceptions of written consent: questionnaire study.

Andrea Akkad1, Clare Jackson, Sara Kenyon

  • 1Reproductive Science Section, Department of Cancer Studies and Molecular Medicine, University of Leicester, Leicester LE2 7LX.

BMJ (Clinical Research Ed.)
|August 2, 2006
PubMed
Summary

Patients often misunderstand the legal implications of surgical consent forms, viewing them as hospital protection rather than patient advocacy. This highlights a critical gap in informed consent processes for surgical procedures.

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Area of Science:

  • Medical Ethics
  • Patient Autonomy
  • Informed Consent Law

Background:

  • Written surgical consent is a cornerstone of patient rights and medical ethics.
  • Understanding patient perceptions of consent is crucial for ethical medical practice.

Purpose of the Study:

  • To investigate patient comprehension of the legal status and purpose of written surgical consent.
  • To assess patient views on the function and scope of surgical consent forms.

Main Methods:

  • A prospective questionnaire study was conducted.
  • 732 patients from obstetrics and gynaecology departments completed questionnaires post-surgery.
  • Data were analyzed using frequencies and single variable analyses.

Main Results:

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  • Patients demonstrated limited understanding of the legal implications of written consent.
  • A significant portion of patients (46%) believed consent forms primarily protected hospitals.
  • Many patients (68%) felt consent forms ceded control to doctors, with only 41% believing they conveyed their wishes.

Conclusions:

  • Patient awareness regarding the legal aspects and personal benefits of surgical consent is inadequate.
  • Current consent procedures may not effectively facilitate autonomous patient choice.
  • The ethical standing and credibility of existing consent processes are questionable.