数字在线患者在选择性手术前进行麻醉的知情同意-欧洲最近的实践
Claudia Neumann1, Nadine Straßberger-Nerschbach1, Achilles Delis1
1Department of Anesthesiology and Intensive Care Medicine, University Hospital, 53127 Bonn, Germany.
Healthcare (Basel, Switzerland)
|July 14, 2023
概括
对于麻醉的远程知情同意在欧洲并不常见,即使是在高收入国家. 实施因程序类型和经济因素而异,反映了法律和技术差异.
科学领域:
- 医疗信息学 医疗信息学
- 卫生系统研究 卫生系统研究
- 麻醉学 麻醉学
背景情况:
- 数字化在医疗保健中变得越来越重要,提高了患者对麻醉的教育.
- 该研究探讨了数字工具在医疗实践中日益增长的重要性.
- 远程同意方法正在成为数字健康创新的关键领域.
研究的目的:
- 评估目前在欧洲范围内对麻醉进行远程知情同意的实施情况.
- 分析经济因素对采用数字同意流程的影响.
- 评估不同欧洲国家的远程麻醉同意的法律地位.
主要方法:
- 欧洲麻醉学和重症监护学会 (ESAIC) 向47个欧洲国家的会员分发了一项在线调查.
- 该调查包括27个问题,重点关注麻醉的数字知情同意实践.
- 数据按人均国内生产总值 (GDPPC) 分层,以分析经济影响.
主要成果:
- 只有23.1%的参与者报告了在线同意,37.2%报告了电话同意的可用性.
- 远程同意在高GDPPC国家更频繁地报告.
- 远程同意的法律合规性因麻醉的复杂性而异,在高GDPPC的国家中,重复手术的比例更高.
结论:
- 麻醉的远程知情同意在欧洲少数情况下被使用,即使是在高收入国家.
- 收养是最常见的重复麻醉程序.
- 不一致的法律框架和不同的医疗基础设施导致实施有限.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
01:24General Anesthesia: Overview
245
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
245
01:30Psychosurgery
81
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
81