Table 2 Ethical attitude of medical staff in psychiatric staffs in Shanghai
From: Ethics, patient rights and staff attitudes in Shanghai's psychiatric hospitals
Elements | N | Completely disagree (%) | Disagree (%) | Moderate (%) | Agree (%) | Fully agreed (%) | Others (%) |
|---|---|---|---|---|---|---|---|
Guardian has authority over patient’s treatment decisions | 1094 | 6.9 | 19.4 | 2.7 | 33.6 | 34.7 | 2.7 |
Compulsory treatment is/can be beneficial to patients | 1094 | 1.8 | 10.0 | 2.4 | 34.1 | 51.1 | 0.6 |
More stringent standards are necessary in involuntary admissions | 1094 | 2.3 | 6.5 | 2.7 | 24.6 | 63.9 | 0 |
Fully process in involuntary admission (intramuscular medication, etc.). | 1094 | 2.5 | 4.5 | 1.7 | 17.1 | 73.9 | 0.3 |
Patients have rights to refuse medical treatment | 1094 | 41.2 | 39.3 | 1.2 | 14.5 | 3.7 | 0 |
Doctors can record less stigmatized diagnosis | 1094 | 31.3 | 24.5 | 3.3 | 27.4 | 13.5 | 0 |
Patients must sign written informed consent forms before participation in clinical trials | 1094 | 3.7 | 11.6 | 2.3 | 22.3 | 60.1 | 0 |
Patient’s participation in clinical trials is doctor’s decision | 1092 | 48.3 | 40.5 | 1.3 | 6.3 | 3.5 | 0 |
Patient’s participation in clinical trials is guardian’s decision | 1094 | 23.5 | 49.6 | 3.3 | 17.0 | 6.6 | 0 |
Patients or his guardian must sign written informed consent form before participation in clinical trials | 1094 | 3.0 | 6.7 | 2.5 | 23.9 | 63.9 | 0 |
Patients damaged in clinical trials should get free treatment | 1094 | 2.8 | 5.6 | 2.3 | 20.9 | 68.4 | 0 |
Oral consent is sufficient for patient participation in clinical trials | 1093 | 66.0 | 23.8 | 2.7 | 5.3 | 2.1 | 0 |
Biomedical research approved by foreign institutions need not be reviewed again in China | 1094 | 62.3 | 26.4 | 5.4 | 4.3 | 1.6 | 0 |
Doctors can refuse to disclose specific drug types or names during clinical trials | 1094 | 40.9 | 30.7 | 5.2 | 14.6 | 8.6 | 0 |
Medical certifications should have time limits | 1092 | 10.0 | 29.7 | 6.4 | 31.4 | 22.3 | 0 |
Written applications must be submitted in requests for medical certifications | 1094 | 2.8 | 7.2 | 4.7 | 30.7 | 54.4 | 0.2 |
Medical certification has no legal effect in case of judicial appraisal in civil disputes or criminal cases; patients with mental disorders require forensic psychiatry | 1094 | 4.0 | 16.2 | 3.5 | 26.9 | 49.2 | 0.3 |
Judicial officers must obtain patient or guardian consent before copying medical information | 1094 | 12.9 | 20.0 | 4.2 | 25.6 | 37.0 | 0.3 |
Doctor has the right to refuse to write medical certifications for patients | 1093 | 31.9 | 33.6 | 2.6 | 14.4 | 16.5 | 1.0 |
Doctor has the right to prescribe hypnotics to personal friends | 1091 | 11.3 | 19.1 | 4.8 | 22.0 | 42.4 | 0 |