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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Main Authors: Mehek Gupta, Sudharsan Madhavan, Felicia Siok Ying Teo, Jee Keem Low, Vishal G. Shelat
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2024-02-01
Series:Singapore Medical Journal
Subjects:
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.
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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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