Consent in osteopathy: A cross sectional survey of patients' information and process preferences

Daniels, Glen and Vogel, Steven (2012) Consent in osteopathy: A cross sectional survey of patients' information and process preferences. International Journal of Osteopathic Medicine, 15. pp. 92-102.

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Abstract

Background: Consent is an ethical and legal requirement for any therapeutic process. It is the responsibility of healthcare practitioners to respect patients' rights of autonomy and to receive their consent. The United Kingdom law currently states that all relevant risks, which a reasonable patient would want to know, must be told to them. Consequently the General Osteopathic Council's (GOsC) "Code of Practice" includes specific expectations in this area. As a result risk disclosure and informed consent has become of increasing importance within osteopathy, particular in today's increasingly litigious society. Osteopathy is a patient centred approach to healthcare; as such research to determine patients' expectations and preferences is needed. Objective: To explore and describe patients' preferences of consent procedures in a sample of UK osteopathic patients. Methods: A cross sectional survey using a new questionnaire was performed incorporating paper and web-based versions of the instruments. 500 copies were made available, (n = 200) to patients attending the British School of Osteopathy (BSO) clinic, and (n = 300) for patients attending 30 randomly sampled osteopaths in practice. Quantitative data were analysed descriptively to assess patient preferences; non-parametric analyses were performed to test for preference difference between patients using demographic characteristics. Results: 124 completed questionnaires were returned from the BSO sample representing a 41 response rate. None were received from patients attending practices outside of the BSO clinic. The majority (98) of patient respondents thought that having information about rare yet potentially severe risks of treatment was important. Patients' preferred to have this information presented during the initial consultation (72); communication method favoured was verbal (90). 99 would like the opportunity to ask questions about risks, and all respondents (100) consider being informed about their current diagnosis as important. Conclusion: Patients endorse the importance of information exchange as part of the consent process. Verbal communication is very important and is the favoured method for both receiving information and giving consent. Further research is required to test the validity of these results in practice samples. © 2012 Elsevier Ltd.

Item Type: Article
Keywords: Consent,Informed consent,Manipulation,Osteopathic medicine,Osteopathy,Patient preference,Survey
Depositing User: Dr Hilary Abbey
Date Deposited: 21 Dec 2020 13:01
Last Modified: 16 Mar 2021 13:21
URI: https://uco.repository.guildhe.ac.uk/id/eprint/117

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