Nuestras miradas, nuestras realidades (I)

La idea de esta serie que comienza hoy es la de ir mencionando trabajos publicados de bioética hechos en Latinoamérica. Para poder concretarla es imprescindible la participación de l@s lector@s/coautor@s de este blog. El pedido es que envíen los trabajos a esta página y serán incorporados a la serie (no es necesario que sean trabajos propios, pueden ser de otros). Hoy comenzamos con un tema que siempre nos preocupa y nos lleva a entusiastas discusiones: por supuesto… ¡el consentimiento informado! Sobre este tema hay pocos trabajos de campo y mucha discusión teórica, así que esperamos noticias al respecto y, desde ya, gracias.

Para comenzar un trabajo de la mexicana Emma Verastegui:

Consenting of the vulnerable: the informed consent procedure in advanced cancer patients in Mexico
BMC Medical Ethics 2006, 7:13 (http://www.biomedcentral.com/1472-6939/7/13)

Abstract
Background
A topic of great concern in bioethics is the medical research conducted in poor countries sponsored by wealthy nations. Western drug companies increasingly view Latin America as a proper place for clinical research trials. The region combines a large population, modern medical facilities, and low per capita incomes. Participants from developing countries may have little or non alternative means of treatment other than that offered through clinical trials. Therefore, the provision of a valid informed consent is important.
Methods
To gain insight about some aspects of the informed consent procedure in a major cancer centre in Mexico, we conducted a three-step evaluation process: 1) a ten point multiple choice survey questionnaires, was used to explore some aspects of the patients´ experiences during the informed consent process, 2) researchers´ knowledge about specific aspects of the informed consent was evaluated in this study using survey questionnaires; and 3) the comprehensibility, readability and number of pages of the consent forms were analysed. The socioeconomic and educational level of the patients, were also considered. Results were reported using a numerical scale.
Results
Thirty five patients, 20 doctors, and 10 individuals working at the hospital agreed to participate in the study. Eighty three percent of the patients in the study
were classified as living in poverty; education level was poor or non existent, and 31% of the patients were illiterate. The consent forms were difficult to understand according to 49% of the patients, most doctors agreed that the forms were not comprehensible to the patients. The average length of the IC documents analysed was 14 pages, and the readability average score was equivalent to 8TH Grade.

 

Esperamos aportes.

LJ

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