사전동의 대화의 이상적인 대화구조

초록

Informed consent (IC) should be a form of communication between a physician and patient in which information regarding all optionsof a medical procedure and the patient’s preference is shared. The aim of this study was to create a standard for communicationby IC for physicians. The IC standard was developed based on an analysis of a dialogue in our previous experience with a medicalcommunication program and a review of the literature. The dialogue pattern of the IC standard had the following six elements:opening; orientation; disclosure of information; conforming and complementing; shared decision making; and closing. Factors thatinfluenced effective IC-based communication included preparation, attitude, empathy, listening, a psychosocial factor, nonverbalcommunication, explanation, and understanding. The IC communication standard will be useful in improving the quality ofcommunication between a physician and patient in obtaining IC. It will also be used as a guideline for communication educatorsand medical students. Innovative strategies and rigorous studies are needed to improve IC counseling to establish effectivepatient-centered interviews.

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