Ensuring informed consent in low-income settings: Opinion piece

Abstract

In low-income healthcare settings, the implementation of informed consent faces significant challenges despite its pivotal role in upholding patient autonomy and dignity. A study conducted in southeastern Nigeria at the University of Nigeria Teaching Hospital sheds light on these challenges, particularly concerning patient satisfaction and recall of critical information post-consent. While many patients recalled details about their medical condition and planned procedures, there was notably lower recall of associated risks, emphasizing the complexity of conveying risk-related information effectively. Importantly, the study reveals a correlation between patient satisfaction with the consent process and their subsequent recall of information, underlining the intrinsic link between patient engagement, satisfaction, and comprehension. To bridge this gap, tailored communication methods and addressing patient concerns are essential. Systemic deficiencies in the consent process, including generic forms and linguistic barriers, call for interventions such as culturally sensitive consent materials and capacity building for healthcare providers. Looking forward, innovative approaches, including pictorial aids and mobile health applications, should be explored, alongside longitudinal studies to assess their impact. Ultimately, prioritizing patient satisfaction and comprehension in the consent process is crucial for upholding ethical standards in healthcare delivery, even amidst resource constraints.