Informed consent: challenges and perspectives of patients and healthcare providers in Georgia

Résumé

Background. The informed consent process is crucial in ensuring patient autonomy and ethical medical practice. This study investigates the perspectives and experiences of both hospital personnel and the general population in Georgia regarding the informed consent process.

Material and methods. Two structured questionnaires were administered, one targeting medical practitioners/ healthcare staff and the other the general population. The surveys explored respondents' knowledge, experiences, and opinions on informed consent. Data were analyzed to identify key topics and areas for improvement in the informed consent process.

Results. Among the general population, 68.8% reported being provided the informed consent form before receiving medical services, but only 50.2% were informed about their right to accept or decline it. Nearly half (48.3%) experienced misunderstandings of information provided by doctors. For hospital personnel, while there was unanimous agreement on the necessity of obtaining informed consent before procedures, only 59.3% fully understood the necessary information to be included in consent form, and only 10.2% correctly identified who else can sign the consent form. Notably, only 6.8% comprehended the nuances of verbal consent.

Conclusion. The study highlights significant gaps and challenges in the informed consent process in Georgia, including communication barriers, time constraints, and varying levels of understanding among both patients and providers. Enhanced training, clear communication strategies, standardized practices, public awareness campaigns, and the integration of technology are recommended to improve the informed consent process.