| Titre : | Attitudes towards informed consent, confidentiality, and substitute treatment decisions in southern African medical students : a case study from Zimbabwe. (1999) |
| Auteurs : | L. HIPSHMAN |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 49, n° 3, 1999) |
| Pagination : | 313-328 |
| Langues: | Anglais |
| Mots-clés : | Zimbabwe ; Afrique ; Evaluation ; Homme ; Etudiant ; Profession médicale ; Attitude ; Bioéthique ; Ethique ; Questionnaire ; Consentement soins ; Confidentialité |
| Résumé : | [BDSP. Notice produite par INIST 7R0x4t4U. Diffusion soumise à autorisation]. This study explored the attitudes of biomedical science students (medical students) in a non-Western setting towards three medical ethics concepts that are based on fundamental Western culture ethical principles. A dichotomous (agree/disagree) response questionnaire was constructed using Western ethnocentric culture (WEC) based perspectives of informed consent, confidentiality, and substitute decision-making. Hypothesized WEC-Biased responses were assigned to the questionnaire's questions or propositions. A number of useful responses (169) were obtained from a large, cross-sectional, convenience sample of the MBChB students at the University of Zimbabwe Medical School. Statistical analysis described the differences in response patterns between the student's responses compared to the hypothesized WEC-Biased response. The effect of the nine independent variables on selected dependent variables (responses to certain questionnaire questions) was analyzed by stepwise logistic regression. Students concurred with the hypothesized WEC-Biased responses for two-thirds of the questionnaire items. This agreement included support for the role of legal advocacy in the substitute decision-making process. The students disagreed with the hypothesized WEC-Biased responses in several important medical ethics aspects. Most notably, the students indicated that persons with mental dysfunctions, as a class, were properly considered incompetent to make treatment decisions. (...) |
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