Perceptions of Singaporeans towards informed consent: a cross-sectional survey
Introduction: In a patient-centric health system, it is essential to know patients’ views about informed consent. The objective of this study was to understand the perceptions of the local population regarding informed consent. Methods: Spanning 6 weeks from January 2016 to March 2016, a cross-secti...
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Format: | Article |
Language: | English |
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Wolters Kluwer – Medknow Publications
2024-02-01
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Series: | Singapore Medical Journal |
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Online Access: | https://journals.lww.com/10.11622/smedj.2021163 |
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author | Mehek Gupta Sudharsan Madhavan Felicia Siok Ying Teo Jee Keem Low Vishal G. Shelat |
author_facet | Mehek Gupta Sudharsan Madhavan Felicia Siok Ying Teo Jee Keem Low Vishal G. Shelat |
author_sort | Mehek Gupta |
collection | DOAJ |
description | Introduction:
In a patient-centric health system, it is essential to know patients’ views about informed consent. The objective of this study was to understand the perceptions of the local population regarding informed consent.
Methods:
Spanning 6 weeks from January 2016 to March 2016, a cross-sectional survey of adults attending the General Surgery outpatient clinics at Tan Tock Seng Hospital was conducted. Sociodemographic data, lifestyle- and health-related information, perception and purpose of consent forms, and decision-making preferences were studied.
Results:
A total of 445 adults participated in the survey. Most participants were aged below 40 years (n = 265, 60.1%), female (n = 309, 70.1%) and degree holders (n = 196, 44.4%). Also, 56.9% of participants wanted to know every possible risk, while 28.3% wanted to know the common and serious risks. On multivariate analysis, age (61–74 years: odds ratio [OR] 11.1, 95% confidence interval [CI] 2.2–56.1, P = 0.004; age >75 years: OR 22.2, 95% CI 1.8–279.1, P = 0.017) was a predictor of not wanting to know any risks. Age also predicted risk of disclosure for death (age 61–74 years: OR 13.4, 95% CI 4.2–42.6, P < 0.001; age >75 years: OR 32.0, 95% CI 4.5–228.0, P = 0.001). Most participants (48.1%) preferred making shared decisions with doctors, and an important predictor was employment status (OR 4.8, 95% CI 1.9–12.2, P = 0.001).
Conclusion:
Sociodemographic factors and educational level influence decision-making, and therefore, the informed consent process should be tailored for each patient. |
format | Article |
id | doaj-art-18e221c74ef74373827de1efef2ec5ff |
institution | Kabale University |
issn | 0037-5675 2737-5935 |
language | English |
publishDate | 2024-02-01 |
publisher | Wolters Kluwer – Medknow Publications |
record_format | Article |
series | Singapore Medical Journal |
spelling | doaj-art-18e221c74ef74373827de1efef2ec5ff2025-02-09T10:19:31ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352024-02-01652919810.11622/smedj.2021163Perceptions of Singaporeans towards informed consent: a cross-sectional surveyMehek GuptaSudharsan MadhavanFelicia Siok Ying TeoJee Keem LowVishal G. ShelatIntroduction: In a patient-centric health system, it is essential to know patients’ views about informed consent. The objective of this study was to understand the perceptions of the local population regarding informed consent. Methods: Spanning 6 weeks from January 2016 to March 2016, a cross-sectional survey of adults attending the General Surgery outpatient clinics at Tan Tock Seng Hospital was conducted. Sociodemographic data, lifestyle- and health-related information, perception and purpose of consent forms, and decision-making preferences were studied. Results: A total of 445 adults participated in the survey. Most participants were aged below 40 years (n = 265, 60.1%), female (n = 309, 70.1%) and degree holders (n = 196, 44.4%). Also, 56.9% of participants wanted to know every possible risk, while 28.3% wanted to know the common and serious risks. On multivariate analysis, age (61–74 years: odds ratio [OR] 11.1, 95% confidence interval [CI] 2.2–56.1, P = 0.004; age >75 years: OR 22.2, 95% CI 1.8–279.1, P = 0.017) was a predictor of not wanting to know any risks. Age also predicted risk of disclosure for death (age 61–74 years: OR 13.4, 95% CI 4.2–42.6, P < 0.001; age >75 years: OR 32.0, 95% CI 4.5–228.0, P = 0.001). Most participants (48.1%) preferred making shared decisions with doctors, and an important predictor was employment status (OR 4.8, 95% CI 1.9–12.2, P = 0.001). Conclusion: Sociodemographic factors and educational level influence decision-making, and therefore, the informed consent process should be tailored for each patient.https://journals.lww.com/10.11622/smedj.2021163decision makinginformed consentsurvey |
spellingShingle | Mehek Gupta Sudharsan Madhavan Felicia Siok Ying Teo Jee Keem Low Vishal G. Shelat Perceptions of Singaporeans towards informed consent: a cross-sectional survey Singapore Medical Journal decision making informed consent survey |
title | Perceptions of Singaporeans towards informed consent: a cross-sectional survey |
title_full | Perceptions of Singaporeans towards informed consent: a cross-sectional survey |
title_fullStr | Perceptions of Singaporeans towards informed consent: a cross-sectional survey |
title_full_unstemmed | Perceptions of Singaporeans towards informed consent: a cross-sectional survey |
title_short | Perceptions of Singaporeans towards informed consent: a cross-sectional survey |
title_sort | perceptions of singaporeans towards informed consent a cross sectional survey |
topic | decision making informed consent survey |
url | https://journals.lww.com/10.11622/smedj.2021163 |
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