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Attitudes and Experiences With Informed Consent for Percutaneous Coronary Intervention in Korea: A Mixed-Methods Study

Authors
 Min Ji Kim  ;  Ilhak Lee  ;  Jiyong Park  ;  Chan Joo Lee  ;  Won Lee  ;  So Yoon Kim 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.40(22) : e114, 2025-06 
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
 1011-8934 
Issue Date
2025-06
MeSH
Adult ; Aged ; Attitude of Health Personnel ; Comprehension ; Cross-Sectional Studies ; Female ; Humans ; Informed Consent* ; Male ; Middle Aged ; Percutaneous Coronary Intervention* ; Physicians / psychology ; Republic of Korea ; Surveys and Questionnaires
Keywords
Disclosure ; Informed Consent ; Patient Rights ; Percutaneous Coronary Intervention ; Personal Autonomy
Abstract
Background: Percutaneous coronary intervention (PCI) is one of the most popular invasive cardiovascular procedures performed worldwide. However, patients often overestimate its benefits or underestimate potential risks, which should be addressed during informed consent (IC). In light of this, our study aimed to explore in greater depth the attitudes and experiences with IC regarding PCI in South Korea.

Methods: This mixed-methods study employed a sequential design following the guidelines of the Mixed Methods Reporting in Rehabilitation and Health Sciences. Between December 2022 and January 2023, a cross-sectional survey was completed by 255 patients and 136 physicians. From February to April 2023, in-depth interviews were conducted with 13 physicians were conducted and analyzed using conventional content analysis.

Results: Patients and physicians showed a significant difference in agreement with the purpose of IC with respect to the right to self-determination (P < 0.001; mean patient rank 178.1, mean physician rank 228.0). There were gaps between patients and physicians in the degrees of agreement regarding understanding (P < 0.001; mean patient rank 182.2, mean physician rank 220.4) and remembering (P = 0.014; mean patient rank 185.5, mean physician rank 214.3) information during the IC process. Physicians experienced difficulties due to patients' low comprehension of the information provided during the IC process.

Conclusion: Patients should first be educated on the purpose of IC to prepare them for receiving detailed information about PCI. When they are ready to accept information, strategies suggested by several studies may be applied to improve their understanding. This step-by-step provision of information will elevate patient compliance with IC.
Files in This Item:
T202503522.pdf Download
DOI
10.3346/jkms.2025.40.e114
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Humanities and Social Sciences (인문사회의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, So Yoon(김소윤) ORCID logo https://orcid.org/0000-0001-7015-357X
Lee, Il Hak(이일학) ORCID logo https://orcid.org/0000-0002-6531-8752
Lee, Chan Joo(이찬주) ORCID logo https://orcid.org/0000-0002-8756-409X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/206194
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