Navegando por Palavras-chave "Informed consent"
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- ItemAcesso aberto (Open Access)Compreensão do termo de consentimento informado(Colégio Brasileiro de Cirurgiões, 2007-06-01) Biondo-simões, Maria De Lourdes Pessole [UNIFESP]; Martynetz, Juliano; Ueda, Fernanda Matie Kinoshita; Olandoski, Márcia; Universidade Federal de São Paulo (UNIFESP); PUCPR; Universidade Federal do Paraná Departamento de CirurgiaBACKGROUND: Informed consent is compulsory in professional practice and research studies involving human beings. It represents respect to autonomy. This study aims at identifying the degree of understanding displayed by individuals who participate in research studies or treatment. METHODS: An informed concent form was prepared and written in a clear and comprehensible language, with a Flesch Reading Ease Score of 95, and thus classified as very easy. Age, schooling, readership frequency, access to information and to the Internet, and family income were analyzed as factors bearing on comprehension of free and informed consent. RESULTS: Even though the form was prepared to result in a comprehension score of 9 and 10, the score observed was 7.5 ± 1.62 and was not related to age or gender. Schooling level was seen to affect comprehension (p=0.0013) as well as readership frequency (p=0.0001) and access to the Internet (p=0.0070). The income level analysis revealed that individuals who earn more than 10 times the minimum wage showed better comprehension (p=0.0041). CONCLUSION: It can be concluded that individuals participating in research studies should be chosen among those with better schooling, frequent readership, easy access to the Internet, and within a higher income bracket. In medical practice, each patient's condition should be observed, their comprehension limitations understood, and the informed consent form should be read on a one-to-one basis, and all the details and implications should be clearly explained.
- ItemAcesso aberto (Open Access)Conhecimento e atitude da população do Hospital São Paulo sobre doação de córneas(Conselho Brasileiro de Oftalmologia, 2002-12-01) Rodrigues, Adriana Maria [UNIFESP]; Sato, Elcio Hideo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Purpose: To analyze the knowledge and attitude of the general population in order to identify the main deficiencies and to suggest measures to increase the number of cornea donations by the general population. Methods: Study through questionnaire polls answered by 321 people at the São Paulo Hospital. Results: Among the general population, 79.4% said to be cornea donors. The reason for the other 20.6% not to be donors was fear of trade of organ and not to receive proper treatment by the medical staff for being a potential donor. There was a statistically significant difference of knowledge about transplantation between those who said to be donors and those who did not. Conclusion: The authors concluded that better information on corneal transplantation for the general population would be of great help in increasing the number of cornea donations.
- ItemAcesso aberto (Open Access)Litígio judicial entre paciente e cirurgião plástico em Minas Gerais(Universidade Federal de São Paulo (UNIFESP), 2017-04-07) Menezes, Jorge Antonio de [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Gomes, Heitor Francisco de Carvalho [UNIFESP]; http://lattes.cnpq.br/2266460253828291; http://lattes.cnpq.br/1619822351741819; http://lattes.cnpq.br/2877096920693550; Universidade Federal de São Paulo (UNIFESP)INTRODUCTION: The number of complaints against physicians has increased in Brazil, especially in plastic surgery. This may be attributed to deterioration in the physician-patient relationship and patient dissatisfaction with the surgical outcome. Few studies on the causes of these lawsuits are available. OBJECTIVE: To determine the main causes of complaints regarding plastic surgery and evaluate the influence of the expert report on trial results. METHODS: Assessment of claims against plastic surgeons with a court decision rendered between April 2000 and March 2015 by the Court of Justice of Minas Gerais of second instance. RESULTS: The main complaint (31%) was dissatisfaction with the general surgical outcome, followed by unsightly scar (25%), and asymmetries (11%). Of the cases where the expert conclusions favored the physician, 64% were considered unfounded in the first and second instances; 23% were upheld in both instances; and 13% had the decision changed from well-founded to unfounded in the second instance. Of the cases where the expert conclusions favored the patient, 91% were upheld in both instances, and 9% had the decision changed from unfounded to well-founded in the second instance. Overall, 46% of cases were upheld and 43% were considered unfounded in both instances. Only 11% of cases had the decision changed from the first to the second instance. CONCLUSIONS: Most of patient complaints were related to events inherent to the surgical procedure, predicted as eventual complications. The expert conclusions were instrumental for the court decision in favor of or against the plastic surgeon. In most cases, the first instance decision was upheld at the second instance.
- ItemAcesso aberto (Open Access)O processo de consentimento na pesquisa clínica: da elaboração à obtenção(Conselho Brasileiro de Oftalmologia, 2005-10-01) Silva, Luci Meire Pereira da [UNIFESP]; Oliveira, Filipe de [UNIFESP]; Muccioli, Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The consent form is a document recommended for international declarations, resolutions and specific laws currently used in research on health. The practice or the accomplishment of the informed consent in the exercise of the medicine and the research in human beings is pertains to the last decades and characterizes the perfectioning of biomedical ethics, constitutes a legal and ethical requirement in clinical research involving human beings. The main challenge of the consent process is to guarantee the adequate understanding of the individual, however the social, cultural and intellectual aspects as well as the relationship between physician and patient, sometimes, can affect this process. The purpose of this paper is to present important criteria in the consent process that need to be highlighted in accordance with specific tenets and resolutions, such as Resolution 196/96 of the National Council of Health.