Assessing Physician-Parent Communication During Emergency Medical Procedures in Children An Observational Study in a Low-Literacy Latino Patient Population

作者：Dahl Aaron; Sinha Madhumita^*; Rosenberg David I; Tran Melissa; Valdez Andre

来源：Pediatric Emergency Care, 2015, 31(5): 339-342.

• informed consent
• procedures
• health literacy

Objective: Effective physician-patient communication is critical to the clinical decision-making process. We studied parental recall of information provided during an informed consent discussion process before performance of emergency medical procedures in a pediatric emergency department of an inner-city hospital with a large bilingual population.
Methods: Fifty-five parent/child dyads undergoing emergency medical procedures were surveyed prospectively in English/Spanish postprocedure for recall of informed consent information. Exact logistic regression was used to predict the ability to name a risk, benefit, and alternative to the procedure based on a parent's language, education, and acculturation.
Results: Among English-speaking parents, there tended to be higher proportions that could name a risk, benefit, or alternative. Our regression models showed overall that the parents with more than a high school education tended to have nearly 5 times higher odds of being able to name a risk.
Conclusions: A gap in communication may exist between physicians and patients (or parents of patients) during the consent-taking process, and this gap may be impacted by socio-demographic factors such as language and education level.

• 出版日期2015-5