Decision making capacity assessment in general practice in Ireland

Part of Special Series: WONCA World Rural Health Conference Abstracts 2022go to url


name here
Hope Davidson
1 Lecturer

name here
Roisin Leo
BA, LLM, PhD, MA, Student *

name here
Seoidín McKittrick
ORCID logo

name here
Patrick O’Donnell
4 MB, BCh, BAO, MSc, GP, Supervisor, Researcher ORCID logo

name here
Amir Jalali
5 Lecturer

name here
Eimear Spain
6 Senior Lecturer


* Roisin Leo


1, 4, 5, 6 University Of Limerick, Limerick, Ireland


10 January 2023 Volume 23 Issue 1


RECEIVED: 20 September 2022

ACCEPTED: 20 September 2022


Davidson H, Leo R, McKittrick S, O’Donnell P, Jalali A, Spain E.  Decision making capacity assessment in general practice in Ireland. Rural and Remote Health 2023; 23: 8181. https://doi.org/10.22605/RRH8181


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Introduction: It has been reported internationally that doctors have a limited understanding of the legal standard that applies to decision making capacity (DMC). No research on this has been conducted in Ireland to date. We sought to assess the understanding of legal principles relating to capacity and consent among Irish general practitioners (GPs), alongside how DMC assessments are conducted.

Methods: This study utilised a cross-sectional cohort model circulating online questionnaires to Irish GPs associated with a university research network. Data were analysed using SPSS to conduct a variety of statistical tests.

Results: There were 64 participants, with 50% aged 35–44 years and 60.9% being female. Of these, 62.5% found DMC assessments time-consuming. Only 10.9% of participants felt extremely confident in their abilities; most participants (59.4%) felt ‘somewhat confident’ in their ability to assess DMC. Also, 90.6% of GPs routinely engaged with families when assessing capacity. GPs felt their medical training did not prepare them for DMC assessment (undergraduate 90.6%, non-consultant hospital doctor 78.1%, GP training 65.6%). 70.3% felt guidelines relating to DMC would be helpful and 65.6% felt they needed additional training.

Discussion and Conclusions: Most GPs recognise the importance of DMC assessment, and it is not considered a complex or burdensome task. There was limited knowledge of the legal instruments relevant to DMC. GPs felt there should be extra support available to assist them with DMC assessment; specific guidelines for different categories of patients was found to be the most popular resource requested.

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