Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India
Introduction: Informed consent is now accepted as the cornerstone of medical practice, with reasonable patient standards typically considered to be appropriate in the developed countries; however it is still challenged in many developing countries. The objective of this descriptive study was...
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Singapore Medical Association
2007
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| Online Access: | http://irep.iium.edu.my/4200/ http://irep.iium.edu.my/4200/ http://irep.iium.edu.my/4200/1/4806a12.pdf |
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iium-42002014-07-10T04:37:50Z http://irep.iium.edu.my/4200/ Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi How, Soon Hin Rasool , A G Rehana , K R Medicine (General) Introduction: Informed consent is now accepted as the cornerstone of medical practice, with reasonable patient standards typically considered to be appropriate in the developed countries; however it is still challenged in many developing countries. The objective of this descriptive study was to evaluate the perceptions and practices among attending medical professionals in matters relating to informed consent in selected hospitals. Methods: A questionnaire-based cross sec tional survey among doctors in the two tertiary care hospitals, one in Malaysia and the other in Kashmir, was performed. Results: Awareness on informed consent was universal with “reasonable physician standard” as the most popular choice. As compared to doctors in Malaysia, doctors from Kashmir showed a tendency to reservedly disclose medical information (p-value equals 0.051) and withhold it, if it was deemed potentially harmful (p-value is less than 0.001) or requested so by relatives (p-value is less than 0.023). They also withheld some information from female patients (p-value is less than 0.001). When consent was refused despite needing lifesaving intervention, the majority of both respondents (73 percent versus 80 percent) considered intervention without consent to be justifi ed. Respondents from Malaysia felt that parents could refuse treatment on their children’s behalf on the basis of their beliefs (p-value is less than 0.001). Conclusion: Despite a very high awareness of informed consent, the model chosen refl ected age-old medical paternalism. Doctors’ opinions are accorded a larger role in clinical decision-making in Kashmir. The results emphasise the need for doctors to change their attitude and acknowledge the patient’s autonomy, which is the basis of modern medical ethics, and yet still be aware of the cultural and religious views of the local population. Keywords: clinical decision-making, informed consent, medical ethics, patient autonomy Singapore Med J 2007; 48(6):559–565 INTRODUCTION Singapore Medical Association 2007 Article PeerReviewed application/pdf en http://irep.iium.edu.my/4200/1/4806a12.pdf Rathor, Mohammad Yousuf and Abdul Rani, Mohammed Fauzi and How, Soon Hin and Rasool , A G and Rehana , K (2007) Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India. Singapore Medical Journal, 48 (6). pp. 559-565. ISSN 0037-5675 http://smj.sma.org.sg/smjcurrent.html |
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Digital Repository |
| institution_category |
Local University |
| institution |
International Islamic University Malaysia |
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IIUM Repository |
| collection |
Online Access |
| language |
English |
| topic |
R Medicine (General) |
| spellingShingle |
R Medicine (General) Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi How, Soon Hin Rasool , A G Rehana , K Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India |
| description |
Introduction: Informed consent is now
accepted as the cornerstone of medical
practice, with reasonable patient standards
typically considered to be appropriate in
the developed countries; however it is still
challenged in many developing countries.
The objective of this descriptive study was
to evaluate the perceptions and practices
among attending medical professionals in
matters relating to informed consent in
selected hospitals.
Methods: A questionnaire-based cross
sec tional survey among doctors in the two
tertiary care hospitals, one in Malaysia and
the other in Kashmir, was performed.
Results: Awareness on informed consent
was universal with “reasonable physician
standard” as the most popular choice. As
compared to doctors in Malaysia, doctors
from Kashmir showed a tendency to
reservedly disclose medical information
(p-value equals 0.051) and withhold it, if it
was deemed potentially harmful (p-value is
less than 0.001) or requested so by relatives
(p-value is less than 0.023). They also
withheld some information from female
patients (p-value is less than 0.001). When
consent was refused despite needing lifesaving
intervention, the majority of both
respondents (73 percent versus 80 percent)
considered intervention without consent to
be justifi ed. Respondents from Malaysia felt
that parents could refuse treatment on their
children’s behalf on the basis of their beliefs
(p-value is less than 0.001).
Conclusion: Despite a very high awareness
of informed consent, the model chosen
refl ected age-old medical paternalism.
Doctors’ opinions are accorded a larger
role in clinical decision-making in Kashmir.
The results emphasise the need for doctors
to change their attitude and acknowledge
the patient’s autonomy, which is the basis
of modern medical ethics, and yet still be
aware of the cultural and religious views of
the local population.
Keywords: clinical decision-making, informed
consent, medical ethics, patient autonomy
Singapore Med J 2007; 48(6):559–565
INTRODUCTION |
| format |
Article |
| author |
Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi How, Soon Hin Rasool , A G Rehana , K |
| author_facet |
Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi How, Soon Hin Rasool , A G Rehana , K |
| author_sort |
Rathor, Mohammad Yousuf |
| title |
Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India |
| title_short |
Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India |
| title_full |
Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India |
| title_fullStr |
Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India |
| title_full_unstemmed |
Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India |
| title_sort |
awareness, knowledge and attitude towards informed consent among doctors in two different cultures in asia: a cross-sectional comparative study in malaysia and kashmir, india |
| publisher |
Singapore Medical Association |
| publishDate |
2007 |
| url |
http://irep.iium.edu.my/4200/ http://irep.iium.edu.my/4200/ http://irep.iium.edu.my/4200/1/4806a12.pdf |
| first_indexed |
2023-09-18T20:12:19Z |
| last_indexed |
2023-09-18T20:12:19Z |
| _version_ |
1777407559702937600 |