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Revista Medica Herediana

Print version ISSN 1018-130XOn-line version ISSN 1729-214X

Abstract

MALAGA RODRIGUEZ, Germán; TUPAYACHI ORTIZ, Gabriela; GUEVARA GUEVARA, Tania  and  HIDALGO SALINAS, Fernando. Consent Forms used in the different services of hospitals of III - IV level of Lima and Callao. Rev Med Hered [online]. 2007, vol.18, n.3, pp.136-142. ISSN 1018-130X.

Objective: To evaluate the quality of the consent forms for major surgery used in different services of hospitals of III - IV level of Lima and Callao. Material and methods: Descriptive, qualitative and transversal study. Once obtained consent forms for major surgery in III and IV level hospitals of Lima and Callao, quality was evaluated according to the requirements established from a research in medical literature. Results: From 28 consent forms of 20 hospitals of III-IV level of Lima and Callao analyzed, 14.2% fulfilled more than 75% of the requirements; 57.2%, between 75-50%; and 28.6%, less than 50%. The requirements about the procedure and its characteristics were absent in more than 75% of the forms. The consent forms from the hospitals of Ministerio de Salud fulfilled an average of 12 requirements (in a range of 4-21); the ones from Military Forces, 17 (range 14-18); and the ones from EsSALUD, 18 (range 16-22). Conclusions: Consent forms for major surgery used at the different services of hospitals of level III - IV of Lima and Callao are not harmonized and do not guarantee that the patient has been informed completely, nor respected his autonomy at adopting his decision. The consent forms from the hospitals of Ministerio de Salud were the most deficient and the ones with more quality variability. We propose a consent form model for future consent forms. (Rev Med Hered 2007;18:136-142).

Keywords : Consent form; evaluation studies; patient access to information; ethics; physician-patient relation; major surgery.

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