知情同意书实施现状及存在问题分析

Analysis on the existing problems and present implemental situation of the informed consent

对某市6家综合医院的650名医患双方进行问卷调查,有84.1%的患者和71.3%的患者家属曾经签署过知情同意书。对医患双方知情同意书的认知情况进行调查,通过8个问题的正确率统计,医方和患方的平均正确率分别为80.1%和65.0%,医患双方对知情同意书的理解还存在一些误区。结合临床实践中知情同意书存在的问题,提出严格书写规范,提高填写质量;结合医院实际修订,完善知情同意书的内容;提高医患双方认知水平,充分发挥其权益保障作用等建议。

To conduct a questionnaire survey to 650 both doctors and patients from six general hospital, 84.1% patients and 71.3 % family mem- bers had signed the informed consent. Then investigated on the cognition of doctors and patients who signed the informed consent, by eight issues of the correct rate statistics, the average correct rate of doctors was 80.1%, while the patients is 65%, and there were still some misunderstandings on their comprehension about informed consent. Combined with clinical practice informed consent problems, we put forward the strict norms of writing to im- prove filling quality, and at the same time complete the content of informed consent, improve the cognitive level of both sides, fully play its role in pro- tecting the rights and interests.