Attitudes towards informed consent, confidentiality, and substitute treatment decisions in southern African medical students : a case study from Zimbabwe.
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. (...)
Mots-clés Pascal : Zimbabwe, Afrique, Evaluation, Homme, Etudiant, Médecine, Attitude, Ethique, Questionnaire, Consentement éclairé, Confidentialité, Etude transversale
Mots-clés Pascal anglais : Zimbabwe, Africa, Evaluation, Human, Student, Medicine, Attitude, Ethics, Questionnaire, Informed consent, Confidentiality, Cross sectional study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0392610
Code Inist : 002B31. Création : 22/03/2000.