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1.
Recurso Educacional Abierto en Español | CVSP - Argentina | ID: oer-3883

RESUMEN

1º Jornada «Derecho a la Salud», organizada por el CVSP Nodo Argentina, la Sala de Derecho a la Salud del Colegio de Abogados de Córdoba y la Escuela de Salud Pública y Ambiente de la Facultad de Ciencias Médicas–UNC. La misma se llevó a cabo el día 4 de diciembre del corriente año en el Salón Rojo de la Secretaría de Graduados en Ciencias de la Salud FCM-UNC. La jornada contó con la presencia de Profesionales de la Salud, Profesionales del Derecho, alumnos de postgrado de las Carreras de Ciencias Médicas, Derecho y Ciencias Sociales y público en general. conferencia por el Dr. Andrés de León. Presidente del Consejo Médico de la Provincia de Córdoba.


Asunto(s)
Ética Médica/educación , Códigos de Ética/legislación & jurisprudencia
4.
N Engl J Med ; 381(23): 2196-2197, 2019 Dec 05.
Artículo en Inglés | MEDLINE | ID: mdl-31800985
6.
Zhonghua Yi Shi Za Zhi ; 49(5): 259-264, 2019 Sep 28.
Artículo en Chino | MEDLINE | ID: mdl-31795591

RESUMEN

Foshuo Wenshi Xiyu Zhongseng Jing (, Sutra on Bathing the Sangha in the Bathhouse) as an early Scripture of Han Buddhism, introduced the concept, methods and medical & health care function of bathhouse bathing in detail.The most prominent feature of it, was its distinct medical viewpoints. The medical thoughts were closely related to famous ancient Indian physician Jivaka and Buddhism's thoughts "Mahabhuta(■, great element)" and "Nidana (■, cause, motivation or occasion)" .It focused on the good concept of personal life, physical and mental health, objectively benefited human health.Even from the viewpoints of modern medicine, it is also very reasonable.In particular, its noble medical ethics and benevolence, is instructive for the return of humanistic spirit in the medical profession today.


Asunto(s)
Budismo , Ética Médica , Beneficencia , Humanos
7.
Cuad. bioét ; 30(100): 237-252, sept.-dic. 2019.
Artículo en Español | IBECS | ID: ibc-185238

RESUMEN

En 2003 Ruth Macklin publicó un breve trabajo cuestionando la utilidad del concepto "dignidad humana". Desde entonces se mantiene vivo el debate, si bien en el mundo del Derecho, la ética y la práctica clínica se sigue recurriendo a ese concepto con toda normalidad. En el punto de mira de esa crítica estaba la bioética de Leon Kass, construida sobre el concepto de dignidad y sostenida en una metodología narrativa. En homenaje a Leon Kass, en este trabajo me aproximo al concepto de dignidad desde una perspectiva literaria y centrándome en los cuidados de salud de enfermería, en los que resulta especialmente visible la utilidad del concepto de dignidad humana


In 2003 Ruth Macklin published a short paper questioning the usefulness of the concept "human dignity". Since then the debate has been kept alive, although in the world of Law, ethics and clinical practice, this concept continues to be used normally. In the spotlight of that criticism was the bioethics of Leon Kass, built on the concept of dignity and sustained in a narrative methodology. In homage to Leon Kass, in this work I approach the concept of dignity from a literary perspective and focusing on nursing health care, in which the usefulness of the concept of human dignity is especially visible


Asunto(s)
Humanos , Niño , Adolescente , Disforia de Género , Terapéutica/ética , Bioética/tendencias , Ética Médica
9.
J Clin Ethics ; 30(4): 303-313, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31851621

RESUMEN

A face transplant is as challenging a surgical procedure as any patient can undergo. In this introduction I present the medical aspects of this surgery, the profound ethical issues it raises, and optimal interventions that clinicians can pursue to help these patients and their loved ones. I then discuss how to help other kinds of patients and loved ones who confront similar stresses. I end by presenting a goal that author Sharrona Pearl puts forth after she studied many face transplant patients. The efforts she urges should maximize our capacity to see face transplant patients-and anyone-as they are, as opposed to how they look.


Asunto(s)
Cara/cirugía , Trasplante Facial/ética , Consentimiento Informado/ética , Cirugía Plástica/ética , Confidencialidad , Ética Médica , Trasplante Facial/psicología , Femenino , Humanos
10.
BMC Med Ethics ; 20(1): 101, 2019 12 24.
Artículo en Inglés | MEDLINE | ID: mdl-31870356

RESUMEN

In their letter to the Editor in this issue, Kolstoe and Carpenter challenge a core aspect of our recently published case study of research approvals [BMC Medical Ethics 20:7] by arguing that we conflate research ethics with governance and funding processes. Amongst the key concerns of the authors are: 1) that our paper exemplifies a typical conflation of concepts such as governance, integrity and ethics, with significant consequences for claims around the responsibility and accountability of the organisations involved; 2) that, as a consequence of this conflation, we misrepresent the ethics review process, including in fundamental aspects such as the ethics approval-opinion distinction; 3) that it is difficult to see scope for greater integration of processes such as applying for funding, research approvals, Patient and Public Involvement, etc., as suggested by us. Here we present an alternative point of view towards the concerns raised.


Asunto(s)
Comités de Ética en Investigación , Ética en Investigación , Inglaterra , Ética Médica , Humanos , Registros
11.
Br J Nurs ; 28(21): 1380-1386, 2019 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-31778332

RESUMEN

BACKGROUND: young-onset dementia (under age 65) varies in many respects to typical aged dementia. Health professionals are centrally involved in supporting individuals and families to cope with the unique challenges that young-onset dementia (YOD) brings. AIMS: this study aimed to explore professionals' perceptions of the key challenges faced by people living with YOD and their families, and how they provide support to this group. METHODS: qualitative interviews were conducted with nine health professionals from a range of health and social care contexts. Data were analysed using interpretative phenomenological analysis. FINDINGS: interviewees reported significant challenges in trying to enact support for people with YOD, and families. Particular challenges relate to delays in accessing timely diagnosis, and difficulty in accessing relevant, age-appropriate supports. Interviewees experienced ethical tensions working in this area; interviewees were keen to enact support for the person following diagnosis, but felt constrained by service options that were not relevant or readily accessible to the person, and in some instances, traditional dementia services added to, rather than lessened the stress experienced by those involved. CONCLUSION: dementia and health services should be cognisant of the unique challenges of YOD, and models of service provision should aim to respond accordingly. Nurses and other health professionals should be afforded the necessary structures to support people living with YOD. This relates to dedicated YOD models of care, specifically timely diagnosis, post-diagnosis support and community services that enhance personhood and resilience.


Asunto(s)
Actitud del Personal de Salud , Demencia/terapia , Ética Médica , Personal de Salud/psicología , Accesibilidad a los Servicios de Salud , Necesidades y Demandas de Servicios de Salud , Adaptación Psicológica , Edad de Inicio , Demencia/psicología , Familia/psicología , Humanos , Persona de Mediana Edad , Relaciones Profesional-Familia , Relaciones Profesional-Paciente , Investigación Cualitativa , Apoyo Social
12.
Lakartidningen ; 1162019 Oct 15.
Artículo en Sueco | MEDLINE | ID: mdl-31613375

RESUMEN

This article highlights a special subtype of this dilemma, in which the patient requests a treatment that the physician judges to be substandard. Reasons for and against providing substandard treatment in the name of patient autonomy are presented and discussed. It is suggested that physicians carefully consider the risk of crowding out of other patients if substandard treatment is provided.


Asunto(s)
Necesidades y Demandas de Servicios de Salud/ética , Prioridad del Paciente , Calidad de la Atención de Salud/ética , Beneficencia , Ética Médica , Prioridades en Salud , Humanos , Participación del Paciente , Derechos del Paciente , Autonomía Personal , Rol del Médico
13.
Gesundheitswesen ; 81(11): 933-944, 2019 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-31614386

RESUMEN

OBJECTIVES: "Medical necessity" (MedN) is a fuzzy term. Our project aims at concretising the concept between medical ethics, social law, and social medicine to support health care regulation, primarily within Germany's statutory health insurance system. In a previous publication we identified MedN as a tripartite predicate: A specific clinical condition requires a specific medical intervention to reach a specific medical goal. Our two-part text searches for and discusses criteria to classify medical methods as generally medically necessary (medn), provided a non-trivial clinical condition and a relevant, legitimate, and reachable goal actually exist. In this paper we present the first part of our results. METHODS: Based on an extensive ethical, sociolegal and sociomedical body of literature, and starting with an non-controversial case vignette (thrombolysis in acute stroke), we generally followed a critical reconstructive approach. First we defined the term "medical method". In several interdisciplinary rounds, we then collected and discussed criteria from three sources: methods to develop clinical practice guidelines as compendia of indication rules, the National Model of Prioritisation in Swedish Health Care, and the HTA Core Model of the European Network for Health Technology Assessment as an instrument of political counselling. RESULTS: We identified general clinical efficacy and benefit as the 2 main "medical" criteria of MedN. As a third - epistemic - criterion, the corresponding bodies of evidence are always to be considered. Since clinical and prioritising guidelines grade their recommendations, the question arises whether MedN should be conceptualised as a dichotomous or finer graded predicate. In accord with German social law we advocate for the binary form. Further discussions focused on multifactorial MedN-configurations, the range of the term, and the variability of evidence requirements. CONCLUSIONS: No matter how the content of MedN is conceptualised, it seems impossible to include its criteria in an algorithm. So deliberative effort is indispensable at any stage of developing a programme to classify medical methods as medically necessary.


Asunto(s)
Ética Médica , Evaluación de la Tecnología Biomédica , Algoritmos , Alemania , Humanos
14.
Am J Bioeth ; 19(11): 63-64, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31661409
15.
Am J Bioeth ; 19(11): 62-63, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31661413
20.
Gesundheitswesen ; 81(11): 945-954, 2019 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-31597188

RESUMEN

OBJECTIVES: "Medical necessity" (MedN) is a fuzzy term. Our project aims at concretising the concept between medical ethics, social law, and social medicine to support health care regulation, primarily within Germany's statutory health insurance system. In Part I, we identified efficacy, (net)benefit, and the corresponding bodies of evidence as obligatory criteria of MedN. This is the second part suggesting and discussing further criteria. METHODS: See Part I RESULTS: (Part II): As further MedN-criteria we critically assessed a method's effectiveness and acceptance in routine care, its potential beneficiaries, theoretical fundament, cost, and being without alternative as well as patients' self-responsibility, cooperation, and preferences. Since MedN has both lower and upper bounds, we had to consider certain cases of mis- and overuse, due for instance to "indication creep" or "disease mongering". CONCLUSIONS: The additional criteria neither establish MedN (when met singly or together) nor exclude it (when not met). If MedN is rejected in view of the 3 obligatory criteria then further information does not overturn the verdict. If a method is already assessed as being medn then further criteria do not make it "more or less necessary". Though we advocated for a binary MedN-concept (Part I) we are nonetheless convinced that not all medical methods deemed medn are equally medically relevant. Respective differences within the range of MedN could be assessed by techniques to prioritise medical conditions, methods, and aims.


Asunto(s)
Prestación de Atención de Salud , Ética Médica , Alemania , Humanos , Legislación Médica , Programas Nacionales de Salud
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