Clinician perception regarding informed consent in neurological care
Clinician perception regarding informed consent in neurological care

Summary/Abstract: Medical personnel involved in the neurological healthcare have a certain perceptionregarding the concept of informed consent, which leads to multiple ethical and legaldiscussions. Avoiding the stigmatization of the neurological patients with associated mentaldisorders is currently a challenge in Romania and is largely dictated by the importance of thetwo notions: informed consent and being viewed as a vulnerable population.The purpose of the study is to evaluate aspects related to the level of perception andknowledge, towards the concept of informed consent and vulnerable population, as well as therights of patients with neuro-psychiatric disorders by the personnel involved in their therapy.Material and methods - The study is a prospective, quantitative, questionnaire type thatsurveyed 74 research staff members involved in the therapy of patients with neurologicaldisorders (neurological doctors, neurosurgeons) from the Clinical Emergency Hospital “Prof.Dr. N. Oblu ”, Iasi, respectively members of the clinics and medical offices of family medicinein Iasi county. The questionnaire was carried out between May 2015 and May 2016.Results - In cases of neurological emergency, a significant percentage of doctors consider thatproviding medical information ads no significant benefits and in a smaller proportion theabsence of information is justified in the circumstances of associated psychiatric symptoms,on which the responsibility of the decision is transferred to the family. Although the medicalteam considers it is important to go through all the stages of informed consent, this is notreflected in their daily medical practice. The proportion of medical personnel that considernecessary providing information to a neurological patient, is different depending on theirrespective medical specialty, and a large majority think that the information should betapered. Conclusions - The perception medical staff have regarding patients with neuropsychic disabilities is in of itself stigmatizing.

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