The Relation Between Patient Education and Doctors’ Compliance on Informed Consent Implementation

The Relation Between Patient Education and Doctors’ Compliance on Informed Consent Implementation
Roshynta Linggar Andatu, Arlina Dewi
Turkish Journal of Physiotherapy and Rehabilitation; 20 March 2021; 32(3)
Open Access
Abstract
Introduction
Informed consent is a patient’s right and doctor’s obligation to explain the patient’s condition and disease to obtain medical approval. Doctors do not fully provide the information and explanation. Research conducted on informed consent patients showed 77.3% of respondents did not understand medical terms and explanations about the informed consent. The lack of knowledge from patients or families can lead to malpractice suits if there is a problem in administering medical treatment. Purpose
to determine patient education’s impact on doctors’ compliance in implementing informed consent.
Method
Quantitative research with pre-experimental research design (one group pre and post-test design). The research subjects were doctors who gave informed consent. The research object is patients or families who received informed consent. Researcher did the pre test by asking the patient or family about the content of informed consent whether they can answer or not and explained after all the questions had given that they had the right to know what they should know for the invasive procedure. Patient or family had the opportunity to ask the doctor some hours before invasive procedure. Then, researcher came back to evaluate the understanding of patient and family about the procedure by asking the same questions. The study was conducted for 3 (three) months, March – May 2020 on 30 patients or their families. The data analysis used Mann Whitney test to determine how significant the difference between two populations was taken from the same population. This research instrument used a structured interview checklist based on regulation of the Minister of Health of the Republic of Indonesia 290 / MENKES / PER / III / 2008 concerning Approval of Medical Actions and the Law on Medical Practice Article 45 of 2004.
Result
Pre-test showed that 83% of respondents know the doctor’s name in charge, 63% of the diagnosis, 43% of the procedure’s aim, and 3% of the prognosis. 50% of patients cited 2 points of informed consent, and 3.33% mentioned 4 points. In the post-test, 100% of respondents mentioned the doctor’s name, the diagnosis, the purpose of the procedure, and when the patient’s condition monitors, 73.33% of respondents mentioned 8 points of informed consent, 3.33% were able to mention 9 points. Mann Whitney test showed the following results (p = 0.000).
Conclusion
Education to patients or families improve doctors’ compliance in implementing informed consent.