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Moshe Shiller1, Vladimir Gens2, Ganem Kassem1
1Galilee Medical Center, Faculty of Medicine Bar-Ilan University.
Harefuah
|May 29, 2017
Summary
Informed consent is crucial for patient autonomy, but patient decisions are influenced by cultural, religious, and socioeconomic factors, not just logic. Physicians must tailor explanations to individual patient values.
Area of Science:
- Medical Ethics
- Patient Autonomy
- Health Communication
Background:
- Physician-patient relationships are complex, emphasizing informed consent to uphold patient autonomy.
- Informed consent requires physicians to detail conditions, treatment options, and their pros/cons.
- Cultural diversity influences patient attitudes towards healthcare systems.
Purpose of the Study:
- To investigate patient factors influencing decision-making in healthcare.
- To understand the interplay between patient values and the informed consent process.
Main Methods:
- Survey of 400 ambulatory patients.
- Data collection on demographics, socioeconomic status, religiosity, and patient preferences.
- Statistical analysis of group differences.
Main Results:
- Most patients had low-to-moderate religiosity, were high school graduates, and in lower income brackets.
- Key patient concerns included bedside manner, procedural explanations, and physician technical skill.
- Significant differences in patient perspectives were linked to education, residency duration, culture, income, and religiosity.
Conclusions:
- Physicians are legally obligated to provide information to ensure patient autonomy.
- Patient decisions are influenced by cultural, religious, and socioeconomic contexts beyond pure logic.
- An individualized approach, adapting explanations to patient values, is essential for effective informed consent.