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2020 ; ä (ä): ä Nephropedia Template TP
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English Wikipedia
¿Cuáles son los conflictos éticos más frecuentes para los internistas españoles?
#MMPMID32650946
Blanco Portillo A
; García-Caballero R
; Real de Asúa D
; Herreros B
Rev Clin Esp
2020[Jul]; ä (ä): ä PMID32650946
show ga
BACKGROUND AND OBJECTIVE: Clinicians face a multitude of ethical conflicts in
their daily practice. There have been no studies on the types of ethical
conflicts encountered most frequently and that are of most concern to clinicians
in Spain. The aim of this study is to report the most common ethical conflicts
faced by Spanish internists, as well as the importance that the practitioners
attribute to each conflict. MATERIALS AND METHODS: Our observational
cross-sectional study employed a voluntary and anonymous survey aimed at Spanish
medical internists and distributed through an ad hoc platform of the Spanish
Society of Internal Medicine. RESULTS: The most common and relevant ethical
issues for Spanish internists are related to patients' end of life (decisions
limiting therapeutic effort, use of palliative treatments, the establishment of
do-not-resuscitate orders), the conflicts arising within the
doctor-patient/family relationship, and making decisions with noncompetent
patients. These results are similar to those of other English and European
series. The ethical problems further complicate the healthcare activity of
clinicians who more often notice these problems (50.3%) than those who do not
notice them (16%). CONCLUSIONS: The most common and relevant ethical conflicts
among Spanish internists are related to managing patients' end of life, followed
by those related to the doctor-patient relationship and the management of
noncompetent patients. It is essential that training programs be designed to
better address and recognise these problems.