以图像为指导的程序的知情同意:全国性的感知和当前实践调查
T Forsman1, S Silberstein2, E D Cyphers3
1Warren Alpert Medical School of Brown University, Providence, RI, USA.
Clinical radiology
|July 27, 2023
概括
干预放射科医生对讨论手术风险和益处充满信心,但对于放射学以外的替代方案则不那么自信. 正式的知情同意教育并不常见,决策辅助的使用因机构类型而异.
科学领域:
- 医疗成像医学成像
- 干预性放射学 干预性放射学
- 患者安全 患者安全
背景情况:
- 知情同意对于患者的自主权和医疗程序中的安全至关重要.
- 图像引导程序需要清楚地沟通复杂的风险,好处和替代方案.
研究的目的:
- 评估干预放射科医生当前的知情同意实践.
- 评估可用的指导方针和用于图像引导程序的决策辅助工具的使用情况.
主要方法:
- 在2022年4月至6月期间,对159名干预放射科医生进行了调查.
- 该调查评估了人口统计数据,同意程序,利益/风险/替代方案的讨论,以及决策援助的使用情况.
主要成果:
- 大多数放射科医生 (93.7%) 乐于讨论手术的好处和风险.
- 较少的人有信心讨论放射学以外的替代方案 (46.5%).
- 缺乏正式的同意教育 (66.7%),决策辅助的使用因机构类型而异 (p=0.02).
结论:
- 干预放射科医生对讨论与程序相关的信息充满信心,但对于更广泛的治疗替代方案来说,信心较低.
- 需要加强正式教育和关于知情同意实践的标准化指导.
- 在学术和非学术环境中,决策援助的实用性可能会有所不同,这需要进一步调查.
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