ArticleActa bio-medica : Atenei Parmensis2020
The state of knowledge of young Italian medicolegal doctors on the law of provisions for informed consent and advance treatment directives: a multi-centric survey two years after the enactment of Law 219 of 2017.
Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Shared care planning in people with cognitive disorders and dementia: a survey among patients and caregivers in Italy.BMC medical ethics · 2024Article
- Observational
- Article
- Factors associated with self-reported medical errors among undergraduate health science students in southern Ethiopia.Frontiers in medicine · 2024Article
- Case report: "Scared to deaf": medical-legal evaluation of a suspected post -traumatic stress disorder".Frontiers in psychiatry · 2024Article
- Italian law n. 219/2017 on consent and advance directives: survey among Ethics Committees on their involvement and possible role.BMC medical ethics · 2022Article
- Derivation and performance of an end-of-life practice score aimed at interpreting worldwide treatment-limiting decisions in the critically ill.Critical care (London, England) · 2022Observational
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Authors and funding
7 authors.
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Abstract
backgroundOn 22 December 2017, Law number 219 was approved in Italy entitled "Provisions for informed consent and advance treatment directives". We aim to examine the knowledge of these provisions of Italian medico legal fellows, and the ability of Italian university healthcare facilities to implement the principles of the new law.
methodsA survey was conducted by means of a questionnaire sent to members of a scientific society. The society had 357 members and represents more than 75% of the Italian doctors in training and 32 university healthcare facilities in Italy. 27 facilities and 45% of the society's members participated in this enquiry.
resultsThe majority (68%) of those interviewed felt they had acquired an adequate knowledge of the Law but only 60% of them were able to indicate how for filing legally valid advance directives (60% vs. 40%) and only 37% knew how drafting a shared care plan. 89% of the pool felt that legal recognition of a patient's self-determination was useful for enhancing the care relationship. The 74% of the facilities analyzed have organized training activities regarding the contents of the law but only 26% have updated their procedures on the practical implementation of the law and their informed consent forms. 60% of the facilities perform medico legal consultation activities and in 15% of the facilities, there has been resistance to the application of the law.
conclusionMany of the facilities have performed training activities but lack effective implementation of the activities required. With increased knowledge and organization this could be overcome.
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