INFORMED CONSENT IN PSYCHIATRIC MEDICAL CARE: A PROSPECTIVE QUANTITATIVE STUDY

Rev Med Chir Soc Med Nat Iasi. 2015 Oct-Dec;119(4):1025-30.

Abstract

Respecting fundamental ethics principles entails the process of obtaining an informed consent, which is a necessary requirement for offering good psychiatric medical care and conducting research studies on human subjects, who are regarded as the vulnerable population. Presently, in Romania, the informed consent regarding medical interventions is covered by the law of the patient's rights, Law 46/2003, chapter 3. The aim of this study is to evaluate the medical staff's perception of the need of the informed consent in the practice of psychiatric medical care.

Material and methods: This is a quantitative, inquiry based study, with prospective evaluation, based on the responses of 217 medical staff members involved in treating patients with psychiatric disorders. The study unfolded between July 2012 and July 2013, and the questionnaires were answered by medical staff members (psychiatrists, general practitioners, other clinical specialists, psychologists) from Iasi, Botosani, Vaslui, Suceava counties.

Results: The age group distribution of the medical staff involved in the medical care shows statistically significant differences between the groups questioned (χ2 = 227.14; df = 5; p = 0.001). Concerning the answers recorded at question no. 2, regarding informing the psychiatric patient, and comparing the studied groups of medical staff, a majority of affirmative answers was noted.

Conclusions: The medical staff members involved in the patient's treatment recognizes the necessity of a full informed consent when discussing about psychiatric medical care. In psychiatry, the variation of competence raises multiple ethics discussions.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Informed Consent / ethics
  • Informed Consent / psychology*
  • Informed Consent / statistics & numerical data
  • Male
  • Medical Staff / psychology*
  • Medical Staff / statistics & numerical data
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Middle Aged
  • Patient Rights*
  • Prospective Studies
  • Romania / epidemiology
  • Surveys and Questionnaires