Reliability of clinical judgment of patients' competency to give informed consent: a case vignette study.
نویسندگان
چکیده
The competency of psychiatric patients to give informed consent is important in respecting patients' decisions as well as protecting patients from undue exploitation. A total of 176 members of the Japanese Society of Psychiatry and Neurology gave a clinical judgment in a questionnaire of competency in five case transcriptions. Their interrater reliability of competency judgment was slight (generalized kappa 0.31). Clinicians' global judgment of patients' competency was not reliable, but it may be improved by the use of a structured interview.
منابع مشابه
Image of psychiatric patients' competency to give informed consent to treatment in Japan. II. A case vignette study of competency judgements.
No medical treatment or procedure should be initiated without the consent of the patient involved. However, consent can be regarded as valid only when given by a mentally sound individual. The term mentally sound can be regarded as equivalent to competent. If a patient is incompetent to give informed consent to a treatment, his/her decision will be substituted with that of a legally authorized ...
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The Structured Interview for Competency and Incompetency Assessment Testing and Ranking Inventory (SICIATRI) is a structured interview guide to assess the competency for giving informed consent to treatment among psychiatric and medical patients. The competency levels of 48 psychiatric and medical inpatients were assessed by SICIATRI. A relatively high- inter-rater reliability of the SICIATRI i...
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Assessment of capacity to give informed consent in the general hospital setting usually rests on a clinical judgment made of a patient's understanding and appreciation of his or her illness, a process limited by its subjective nature, interexaminer variability, and relative deficiency of quantitative instruments available to provide collateral information. Inasmuch as identification of associat...
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Amendment of the Mental Health and Welfare Law in Japan will limit admission for medical care and protection only for those individuals who are incapable of giving consent to admission. This is a first in the history of the Japanese mental health legislation. By reviewing the law and psychiatric literature, it is argued that: (i) informed consent is a legal transaction that embodies the idea of...
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ورودعنوان ژورنال:
- Psychiatry and clinical neurosciences
دوره 54 2 شماره
صفحات -
تاریخ انتشار 2000