Background: Every human being of adult years and sound mind has a right to determine what shall be done with his/her own body. Patient autonomy and the practice of informed patient consent are now pivotal in medical practice. Aim: To assess patient’s knowledge of Patients’ Rights Charter and whether patients receive adequate information to enable them make an informed consent to a particular treatment. Methodology: Patients who were undergoing elective surgery from selected surgical departments of Komfo Anokye teaching hospital in Kumasi were randomly selected and assisted to answer structured questionnaire without the knowledge of their doctors. The study period was in June to December (2014). Descriptive analysis was done using SPSS (II) of the results. Results: 84.7% (144) had no idea about the Patients’ Rights Charter of the Ghana Health Service. 75% (128) did not know or had not heard of informed patient consent. Of those who knew of the charter, 85% (37) had ever stayed in a developed country. 60% (102) did not know of their diagnosis. 79% (134) said the doctor only asked them to either sign or thumb print the consent document without giving them treatment options or possible complications. Conclusion: Most of respondents undergoing various surgical procedures at the Komfo Anokye Teaching Hospital were not aware of the existence of the Patients’ Rights Charter of the Ghana Health Service. Again, practitioners did not provide sufficient information to patients for them to make an informed decision about their health.
References
[1]
Airedale NHS Trust v. Bland 1993, 2 WLR 316.
[2]
Leclercq, W.K.G., Keulers, B.J., Scheltinga, M.R.M., Spauwen, P.H.M. and van der Wilt, G.-J. (2010) A Review of Surgical Informed Consent: Past, Present, and Future. A Quest to Help Patients Make Better Decisions. World Journal of Surgery, 34, 1406-1415. http://dx.doi.org/10.1007/s00268-010-0542-0
[3]
Goldberg, B.A. (1978) The Duty of Hospitals and Hospital Medical Staffs to Regulate the Quality of Patient Care. Western Journal of Medicine, 129, 443-451.
[4]
Slater vs. Baker and Stapleton. Eng Rep (1767).
[5]
Schloendorf v. Society of New York Hospit. 1914105 NE 92.
[6]
Entwistle, V.A., Carter, S.M., Cribb, A. and McCaffery, K. (2010) Supporting Patient Autonomy: The Importance of Clinician-Patient Relationships. Journal of General Internal Medicine, 25, 741-745. http://dx.doi.org/10.1007/s11606-010-1292-2
[7]
Angelos, P., Lafreniere, R. and Murphy, T.F. (2003) Ethical Issues in Surgical Treatment and Research. Current Problems in Surgery, 40, 353-356.
[8]
Mhlongo, S.W. and Mdingi, G.V. (1997) Informed Consent Is Light Years away for Black African Patients. British Medical Journal, 315, 252.
[9]
Ogundiran, T.O. and Adebamowo, C.A. (2012) Surgeon-Patient Information Disclosure Practices in South-western Nigeria. Medical Principles and Practice, 21, 238-243. http://dx.doi.org/10.1159/000333817
[10]
Ogundiran, T.O. and Adebamowo, C.A. (2010) Surgeons’ Opinions and Practice of Informed Consent in Nigeria. Journal of Medical Ethics, 36, 741-745. http://dx.doi.org/10.1136/jme.2010.037440
[11]
Sylvester, C.C. (2013) Evaluating the Quality of Informed Consent and Comtemporay Clinical Practices by Medical Doctors in South Africa: An Empirical Study. BMC Medical Ethics, 14, 1-17.
[12]
Edwin, A. (2008) Don’t Lie but Don’t Tell the Whole Truth: The Therapeutic Privilege—Is It Ever Justified? Ghana Medical Journal 42, 156-161.
[13]
Meyers Estate et al. v Rogers. 78 D.L.R. (4th).
[14]
Reibl v, Hughes. 1980.
[15]
Schneider, C.E. (1998) The Practice of Autonomy: Doctors, and Medical Decisions. Oxford University Press, New York, 35-75, 92-99.
[16]
Osime, O.C., Okojie, O., Osadolor, F. and Mohammed, S. (2004) Current Practices and Medico-Legal Aspects of Pre-Operative Consent. East African Medical Journal, 81, 331-335. http://dx.doi.org/10.4314/eamj.v81i7.9186