REALIZATION ISSUES OF PATIENT'S AUTONOMY PRINCIPLE IN THE OUTPATIENT PEDIATRIC PRACTICES

Abstract

There was a survey of 88 pediatricians and 164 mothers, who brought their children to the polyclinic. Most respondents prefer new types of relations between the doctor and the patient's parents. Despite that only every fifth mother chose an authoritarian model, 38,4% of all the respondents do not want to participate in decision making regarding the medical intervention. A few doctors give parents information on the methods used to examine children, probable complications of a disease and side effects of the medical intervention. 62,5% of the pediatricians always receive the informed voluntary consent to the medical intervention from the parents, while 27,3% of the pediatricians always receive the informed voluntary consent to the medical intervention from a child. The doctors are quite often unacquainted with the regulations, sanctioning the disclosure of the medical secrecy. Only 59% of them support the right of parents to deny the medical intervention. Most pediatricians of the outpatient network admitted the level of their knowledge in the field of the biomedical ethics, patient's rights, social and legal protection of the medical staff and their responsibility in case of the damage caused to the patient to be insufficient.
Key words: child patient, autonomy, patient's rights, informed consent.