The Obstetrics and Gynecology Physician for Informed Consent Concern While Patient of Hysterectomy

• Main Authors: Lee Chia Hui, 李嘉慧
• Other Authors: 王恵玄
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/89158107172231342465

碩士 === 長庚大學 === 醫務管理學研究所 === 91 === The objectives of this research are to study the perceptions of gynecologists and current practice on the rights to information of hysterectomy patients. Analysis is focused on the provision method and content of diagnostic information, reasons of inability to provide diagnostic information, and ways to improve it. Furthermore, the relationship between the provision of information, hospital’s accreditation status, as well as physicians’ demographic data are being explored. The research findings aim to aid hospital administrators in planning future supportive policies, measures and management schemes. The researcher had designed a questionnaire which was mailed to Gynecology departments of 19 Hospitals accredited as regional hospital or above in Taipei City from April 28 to May 16, 2003. A total of 161 questionnaires were sent, and 72 responses were received. Hence, the response rate is 44.72%. It is found that, according to the responding physicians, “Diagnosis of disease” (83.83%) and “Pathology finding” (75.76%) are the most important information to potential hysterectomy patients. “Providing channels of related information on the illness”, “Payment by National Health Insurance and out-of-pocket expenses” are of lowest importance. In addition, “patient’s inability to understand” (23.83%) is deemed to be one of the major reasons affecting provision of related information. In conclusion, the researcher has proposed the following four recommendations: establishing inter-active education materials, creating “standard procedures on providing necessary information to hysterectomy patients”, infusing important information related to patient’s right into clinical care and health insurance system and preparing a checklist on information provision by treatment procedures with designated personnel.