Ethical problems in primary care: the perspectives of ethicists and professionals
DOI:
https://doi.org/10.26512/rbb.v3i1.7903Keywords:
Bioethics. Family health. Primary Healthcare. Humanization of assistance. Ethics.Abstract
This is a quantitative, exploratory research focused on bioethics and primary care. The objectives of its initial phase were to identify ethical problems experienced by nurses and doctors working within the Family Health Program and observe the frequency of their occurrence. In the second phase, the objective was to build a “golden pattern” based on the opinion of ethicists and bioethicists and to compare this pattern with the results from the first phase. A self-applied questionnaire was used to collect data, based on ethical problems mentioned by doctors and nurses regarding relations between patients and their families and multiprofessional teams and with the health system on previous research by one of the authors. The panel included bioethic specialists professionally trained, such as nurses, medical doctors, philosophers, theolo- gians and dentists. Considering the problems as a whole, professionals and ethicists agreed only in 67.5% of the situations. The results of Kappa Indices confirmed the discordance between them.
Downloads
References
Brody H. Transparency: informed consent in primary care. Hasting Centers Report sep/oct, 1989. pp. 5”“9.
Gracia D. Bioética clínica. Santa Fé de Bogotá: El Buho, 1998.
Fetters, MD & Brody, H. The epidemiology of bioethics. The Journal of Clinical Ethics 1999; 10:107”“15.
Mayer-Braunack AJ. What makes a problem an ethical problem? An empirical perspective on the nature of ethical problems in general practice. Journal of Medical Ethics 2001; 27:98-103.
Zoboli ELCP. Bioética e atenção básica: um estudo de ética descritiva com enfermeiros e médicos do Programa Saúde da Família. [Tese de Doutorado]. São Paulo:Faculdade de Saúde Pública da Universidade de São Paulo; 2003.
Sugarman J (org.). Ethics in primary care. New York: McGraw-Hill; 2000, p. xiii”“xvi.
Gracia D. Procedimentos de decisión en ética clínica. Madrid: Eudema, 1991.
Maliandi R. Ética: conceptos y problemas. Buenos Aires: Biblos; 1991.
Beauchamp TL & Childress JF. Principles of biomedical ethics. 5aed. New York: Oxford University Press; 2001.
Sulmasy DP & Sugarman J. The many methods of medical ethics. In: Sugarman J & Sulmasy DP. (orgs.) Methods in medical ethics. Washington: Georgetown University Press; 2001, pp. 3-18.
Secretaria de Saúde da Prefeitura Municipal de São Paulo. Implantando o PSF no município de São Paulo: balanço de um ano. São Paulo: 2002.
Sánchez-González M. La investigación bioética: tipos, funciones y relaciones mutuas. Cuadernos del Programa Regional de Bioética 1998; 6:57-76. 12.
Cortina A & Martinez E. Ética. São Paulo: Edições Loyola; 2005.