ABSTRACT
The paper proposes, as the topic of analysis, the emergence of telemedicine, a tool that has been intensively used by doctors and other professionals during the covid pandemic. The essay, divided into two parts, first describes the current situation of telemedicine and afterwards proposes a few precautionary theses, related to telemedicine and the doctor-patient relationship according to the undestanding that the latter has been inherited and transmitted by medical anthropology and the medical humanities. (AU)
Subject(s)
Humans , Physician-Patient Relations/ethics , Telemedicine/ethics , Information Technology/ethicsABSTRACT
Background: The recognition of ethical problems in medical practice and the potential harmful effects that they may have on patients, underscores the importance of the ethical training of professionals as well as the development of Ethics Committees in Healthcare institutions. However, there is a paucity of national studies about the type of problems faced by professionals and the role of Ethics Committees in hospitals. Aim: To explore the perception about ethical problems in clinical practice of Chilean physicians of different specialties of two public teaching hospitals. Material and Methods: Physicians of both sexes and different specialties working in two teaching hospitals of Metropolitan Santiago, were invited to participate in focus groups of seven to eight participants. They discussed the ethical problems faced during their clinical practice. A content analysis based on the Grounded Theory was performed with the obtained information. Results: Different types of ethical problems could be distinguished according to their content and the actors involved. The data obtained shows that the ethical dimension is present in the daily work of physicians. The evolution of the narrative throughout the interviews corroborated the importance of installing ethical issues and culture in the working routine of health care professionals. Conclusions: Human resources and an adequate institutional environment are required to promote the discussion about ethical issues such as the relationship between physicians and patient, the role of teaching in health care and institutional decisions.
Subject(s)
Humans , Male , Female , Physicians , Health Personnel , Delivery of Health Care , Hospitals, Public , MoralsABSTRACT
The beginning of the implementation at the institutional level of Law 21.030, relating to the decriminalization of pregnancy for three reasons, has generated concerns, practical difficulties and changes in the dynamics of work teams in hospitals that have had to implementar. These difficulties refer to areas as varied as diagnosis, confirmation of the causes, to the opposition of different professionals in their participation in the process. In this first communication we will summarize the last of the problems arising from the new protocol issued by the Ministry of Health, regarding the Institutional Awareness Objection in Hospitals that, like the HCUCH, have an agreement with FONASA. (AU)
Subject(s)
Humans , Female , Pregnancy , Abortion, Legal/legislation & jurisprudence , Conscience , Guidelines as Topic/legislation & jurisprudence , AbortionABSTRACT
This article is intended to describe to clinicians what the Department of Education in Health Sciences means to pre graduation teaching of bioethics, through its historical development,its educational objectives and its contents. There is yet no consensus among different Schools about the methods used to teach the discipline and its purpose, so discussion provokesreflection and alternative decisions. The concept and significance of the hidden curriculum, derived from the afore explicit terminology with polisemic interpretation, adds to the debateas it produces new entrances to the pool of meanings, varying from knowledge and culture increments to deliberated and malicious imposition of information. It seems mandatory to all the clinical tutors to assume direct responsibility in students ethics problems analysis, as part of their general competences and reflecting the usual clinical exposure to these situations and the importance that knowing to handle these events has in the medical setting.
Subject(s)
Humans , Bioethics/education , Education, Medical/ethics , Hospitals, Teaching/trendsABSTRACT
Organizations develop codes of ethics to give orientations to their members on how to recognize, understand and handle ethical dilemmas in their daily work. In year 2005 a group of faculty members of the Universidad de Chile Faculty of Medicine started an institutional ethics project, acknowledging that all institutional decisions have moral contents. The purpose of this project is to promote an ethical environment in the institution. The first step was to establish a diagnosis by means of the organization of focal groups that collected the perceptions of students, faculty members and non-academic personnel. With a diagnosis in hand, a preliminary document was prepared, the Universidad de Chile Faculty of Medicine declaration of principles and values. Members of all groups that participated in the diagnostic phase had the opportunity to discuss this preliminary document and check if their agreement with its contents. Given the relevance of the ethical aspects of the learning and teaching process for the positive modeling of students from all health-related professions, special emphasis is given to its discussion.
Subject(s)
Humans , Codes of Ethics , Faculty, Medical/standards , Ethics, Institutional/education , Ethics, Medical/educationABSTRACT
El Consultorio de Asistencia Perinatal atiende a padres de embarazos con fetos en riesgo vital, malformados complejos y nacidos con problemas graves que impliquen impacto familiar, basados en la hipótesis de que la atención de los padres incide en el bienestar del feto y del recién nacido. Se ha construido un protocolo multiprofesional con participación de pediatra, psicóloga, matronas, obstetra y servicio social que sigue el caso con reuniones grupales y de especialidad desde antes del parto hasta después del desenlace, cualquiera sea éste. Este trabajo a permitido conocer, asistir e investigar sobre la realidad de estos padres que requieren de apoyo especializado para sobrellevar los sentimientos de duelo, temor y culpa que se desarrollan en estas situaciones, derivar a otros tratamientos psiquiátricos cuando es necesario y preparar a los padres ante la eventualidad de nuevos embarazos.
Subject(s)
Humans , Pregnancy , Maternal-Fetal Relations , Parent-Child Relations , Perinatal Care , Pregnancy Complications , Pregnancy, High-Risk , Prenatal DiagnosisABSTRACT
El objetivo que plantea este trabajo es reducir por medio de la rotación manual (RMC) del polo cefálico, el número de cesáreas causadas tanto por distocias de posición como por falta de encajamiento y evitar el riesgo de la rotación y extracción instrumental. Nuestra casuística está formada por 100 pacientes en las cuales se practicó la (RMC) en el segundo período del parto, en 59 multíparas y 41 primíparas; en 37 casos la posición fue transversa y en 63 oblicua posterior. Las indicaciones fueron dadas mayoritariamente por período expulsivo prolongado, abreviación del expulsivo, agotamiento materno, falta de encajamiento y sufrimiento fetal. El parto fue espontáneo en 57 casos: en 40 terminó por aplicaciones complementarias de fórceps con cabeza encajada en una variedad anterior, en su mayoría por sufrimiento fetal: hubo 3 fracasos, 2 occípito posteriores que no rotaron y hubo que rotarlas con el fórceps a occípito sacra y una cesárea por falta de encajamiento; los resultados fueron favorables en el 97 por ciento