ArticleBMJ open2017
Percutaneous coronary intervention patients' and cardiologists' experiences of the informed consent process in Northern England: a qualitative study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Article
- Percutaneous Coronary Intervention in Africa: A Systematic Review of Associated Outcomes.Cureus · 2025Review
- Attitudes and Experiences With Informed Consent for Percutaneous Coronary Intervention in Korea: A Mixed-Methods Study.Journal of Korean medical science · 2025Article
- Development and user-testing of a digital patient decision aid to facilitate shared decision-making for people with stable angina.BMC medical informatics and decision making · 2022Article
- Perceptions of patients undergoing percutaneous coronary intervention on pre-operative education in China: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Article
- Water on Fire: The Patients' Lived Experience of Primary Percutaneous Coronary Intervention.Journal of patient experience · 2020Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveInformed consent is central to ethical medical practice, but little is known about how the process takes place in clinical practice. Percutaneous coronary intervention (PCI) is a common revascularisation procedure. Studies report that patients overestimate benefits, forget the risks and are unaware of alternative treatments. The aim of this study was to describe PCI patients' and cardiologists' experiences of the informed consent process in acute care settings. DESIGN/SETTING/
participantsA qualitative study with a maximum variation sample of elective and acute PCI patients and cardiologists taking their consent, recruited from a district general hospital and tertiary centre. In-depth interviews were conducted, and consent discussions were audio recorded. Data collection, coding and theorising occurred simultaneously.
findingsForty-one (26 male) patients scheduled for elective (20) or urgent (21) PCI and 19 cardiologists (5 female) participated. Despite diversity in patients' experiences of informed consent, elective and acute patients experienced a common four-stage process of consent. Most patients made the decision to have treatment at PCI referral and took a passive role in the discussions we recorded. They recognised cardiologists as experts, trusted the medical system to 'fix' their health problem and were unaware of their role in the informed consent process. Informed consent discussions functioned as a formal 'event',enabling cardiologists to check patients' understanding and enabling patients to access treatment.
conclusionsThe configuration of services and patients' perceptions of their role in informed consent underpin a mismatch between legal and ethical principles of informed consent and current practice. The variation in patients' experiences of the current place of informed consent in service delivery represents a missed opportunity for cardiologists to work in decision-making partnerships with patients. In light of recent changes in the law, a new approach to informed consent is required.
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