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Decision making capacity assessment in general practice in Ireland
Hope Davidson1, Roisin Leo2, Seoidín McKittrick3
1University Of Limerick, Limerick, Ireland hope.davidson@ul.ie.
Rural and Remote Health
|February 21, 2023
Summary
Irish GPs have a limited understanding of legal standards for decision-making capacity (DMC) assessments. Most GPs desire more training and clear guidelines to improve their confidence and practice in evaluating patient capacity.
Area of Science:
- Medical Law
- General Practice
- Healthcare Policy
Background:
- International reports indicate physicians possess insufficient knowledge regarding legal standards for decision-making capacity (DMC).
- No prior research has investigated this understanding within the Irish context.
- Assessing and respecting patient autonomy are critical in medical practice.
Purpose of the Study:
- To evaluate Irish general practitioners' (GPs) comprehension of legal principles governing capacity and consent.
- To examine current practices of DMC assessments among Irish GPs.
Main Methods:
- A cross-sectional cohort study was employed.
- Online questionnaires were distributed to GPs affiliated with a university research network.
- Data were statistically analyzed using SPSS.
Main Results:
- 64 GPs participated; 60.9% were female, 50% aged 35-44.
- Only 10.9% felt extremely confident in assessing DMC, with 59.4% feeling 'somewhat confident'.
- Most GPs (90.6%) involve families in assessments, yet 90.6% felt undergraduate training inadequately prepared them for DMC evaluations.
Conclusions:
- GPs acknowledge the importance of DMC assessments but report limited knowledge of relevant legal instruments.
- A significant majority of GPs expressed a need for additional training and clear guidelines, particularly those tailored to specific patient groups.
- Enhanced support and education are crucial to improve GPs' capacity assessment skills and legal understanding.
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