Table 2

Additional responses of physicians (and on similar questions for nurses)

QuestionAnswerPhysicianNurse
Note: N=72 physicians. Percentages usually calculated based on number answering question, ranging from 66 to 71 for opinion (non-demographic) questions.
Informs patients of major implications of diagnosis and treatment50–85% of time8.5%
90%15.5
95%19.7
97–99%19.7
100% of time36.6
How often make exceptions to rule on informing0% (never)36.8%
1% of time14.7
2–5%22.0
10%17.6
15–95% of time8.8
Top 5/FirstTop 5/First
Factors most commonly included in top 5 which may influence decision to inform patientEmotional stability51%11%74%30%
Improve compliance444536
Age33243015
Patient requests diagnosis3386220
Prognosis283452
Acceptance of therapy246475
Medical sophistication24492
Harmful to outcome193182
Length of survival141263
How did you acquire strategy for dealing with informing patients (% ranking in top 7)Other45.8%
Clinical training13.9
Medical school12.5
Personal factors8.3
Experience8.3
Family, friends2.8
Commonly accepted1.4
Received formal training in medical ethicsYes41%46%
How likely is strategy of informing patients to changeNo possibility9%
Very unlikely30
Unlikely30
Probably26
Certainly6
Interested in participating in structured discussion of this topicYes52%79%
If you were a patient, would you want to be fully informedYes100%100%
When patient's death is expected outcome, you feel that (ranked first)Best therapeutic alternatives have been followed86%
Medical profession has failed this patient2
This is a personal failure4
None ranked8
Medical specialty (percentage of sample)Internal medicine19.4%
Surgery18.1
Neuropsychology9.7
Family practice8.3
Plastic surgery5.6
Cardiology4.2
Physical medicine4.2
Gastroenterology2.8
Pulmonary1.4
Unknown26.4
Country of medical schoolUSA2%
Other38
Physician age29–4031%
41–5039
51–6019
Over 603
No answer8