A well-understood surgical informed consent : a scoping review

  • Rieke Cahya Hospital Administration Studies Program, Faculty of Public Health Universitas Indonesia
  • Diah Melly Maryana Hospital Administration Studies Program, Faculty of Public Health Universitas Indonesia
  • Adik Wibowo Health Policy and Administration Department Faculty of Public Health, Universitas Indonesia

Abstract

The implementation of surgical consent has shifted from simply getting a signature to a focus on doctor-patient communication. Providing adequate information is very important for patients in making decisions so that patients do not feel forced to agree. Good understanding is required before a patient gives consent, but many patients have difficulty understanding and doctors fail to provide correct information. The aim of this scoping review is to investigate and evaluate patient comprehension of surgical informed consent provided by standard procedure or other methods and factors affecting patient comprehension. Three electronic database searches (ProQuest, ScienceDirect, and Scopus) were performed from 2017 until 2022. A total of 391 articles were identified and 25 articles were selected according to the PRISMA guidelines and the PCC framework. 9 of 11 articles stated that patient understanding level was low. Factors that influence it include education level, age and language limitations. 12 studies (85%) showed that patient understanding improved with the use of additional information media. Overall patient comprehension of surgical informed consent is low. This depending on the communication between the doctor and the patient. An interesting interventions can be used to improve patient understanding of surgical informed consent.

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Published
Jan 7, 2023
How to Cite
CAHYA, Rieke; MARYANA, Diah Melly; WIBOWO, Adik. A well-understood surgical informed consent : a scoping review. Syntax Literate ; Jurnal Ilmiah Indonesia, [S.l.], v. 7, n. 12, p. 18405-18427, jan. 2023. ISSN 2548-1398. Available at: <https://jurnal.syntaxliterate.co.id/index.php/syntax-literate/article/view/10905>. Date accessed: 29 jan. 2023. doi: http://dx.doi.org/10.36418/syntax-literate.v7i12.10905.