What do patients want? Surgical informed‐consent and patient‐centered care – An augmented model of information disclosure

Bioethics 34 (5):467-477 (2020)
  Copy   BIBTEX

Abstract

The ideal moral standard for surgical informed‐consent calls upon surgeons to carry out a disclosure dialogue with patients so they have as full as possible an understanding of the procedure before they sign the informed‐consent form. This study is the first to empirically explore patient preferences regarding disclosure dialogue. Twelve Israelis who underwent life‐saving surgeries participated in a narrative study. Three themes emerged from the analysis: objectification of patients, anxiety provoking processes and information, and lack of information that was essential for patients. Findings contribute to existing debates among surgeons regarding the scope and importance of some disclosure components. Analysis led to our formulation of an augmented subjective model of information disclosure that participants prefer, which extends beyond the immediate present of the surgery to the period after discharge, and until return to routine. Surgeons should be aware of patient preferences in disclosure, and gaps between perceptions of surgeons, and preferences and needs of patients.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 91,139

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Managed care and informed consent.Ruth R. Faden - 1997 - Kennedy Institute of Ethics Journal 7 (4):377-379.
Free Choice and Patient Best Interests.Emma C. Bullock - 2016 - Health Care Analysis 24 (4):374-392.
The Nocebo Effect of Informed Consent.Shlomo Cohen - 2012 - Bioethics 28 (3):147-154.
Informed consent as waiver: the doctrine rethought?Emma C. Bullock - 2010 - Ethical Perspectives 17 (4):529-555.
Informed consent: a primer for clinical practice.Deborah Bowman - 2012 - New York: Cambridge University Press. Edited by John Spicer & Rehana Iqbal.
Health care workers with hiv and a patient's right to know.Timothy F. Murphy - 1994 - Journal of Medicine and Philosophy 19 (6):553-569.

Analytics

Added to PP
2019-12-03

Downloads
11 (#1,045,260)

6 months
4 (#573,918)

Historical graph of downloads
How can I increase my downloads?