Learning Objective 1: stand on different point of view of autonomy under the understanding of different cultures.
Learning Objective 2: allow a more flexible approach to individual patient needs and different clinical contexts.
Methods: An anonymous questionnaire was mailed to individual recipients who underwent surgery and were discharged within 4 mouths from a hospital in South Taiwan (n = 1732). Emergency surgery patients were excluded. The questionnaire included demographic data and 7 items related to the informed consent process of a surgery, which was developed by the researchers based on the standardized informed consent form by Ministry of Health in
Results: In total, 143 recipients replied (response rate 8.3%). Among them, 119 completed the questionnaire and were included in data analysis. The mean age was 56.03 (SD=14.98, range 20–85) years. There were 53.8% women and 46.2% men. Patient involvement (Mean=3.54, SD=.73) in the whole informed consent process was significantly higher than perceived family involvement (Mean=3.06 SD=.98) (t=4.494, p<.000). Patients expected family involvement (Mean=3.33, SD=.92) was significantly higher than perceived family involvement (Mean=3.06 SD=.98) (t=-4.784, p<.000). The subjects reported more threat by surgery, expect that they and their family are informed, and less understanding of the surgical information indicated their desire for a higher expectation in family involvement during their informed consent process.
This study serves as a reference to medical professionals in understanding the patient expectation during the informed consent process and allows a more flexible approach to individual patient needs and different clinical contexts.