What ethical conflicts do internists in Spain, México and Argentina encounter? An international cross-sectional observational study based on a self-administrated survey.

IF 3 1区哲学 Q1 ETHICS

BMC Medical Ethics Pub Date : 2024-11-02 DOI:10.1186/s12910-024-01123-y

Antonio Blanco Portillo, Rebeca García-Caballero, Diego Real de Asúa, Karmele Olaciregui Dague, Octavio Márquez Mendoza, Pascual Valdez, Benjamín Herreros

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Abstract

Background: The differences in clinical bioethics between the Mediterranean and Latin American cultures have not been analyzed. The objective of the study is to compare the ethical conflicts that internists in Spain, Mexico and Argentina have.

Methods: Cross-sectional observational study through a survey directed at internists from Spain, Argentina and Mexico. The survey was administered to affiliated members of the National Societies of Internal Medicine across three countries via an online platform.

Results: 762 internists participated, 261 from Spain, 154 from Argentina and 347 from Mexico. The main ethical conflicts that internists in Spain, Argentina and Mexico have are related (in order) to the end of life, to the clinical relationship and to the patient's autonomy. Withholding and withdrawing life-sustaining treatment is the most frequent conflict in Spain and Argentina and the second in Mexico.

Conclusions: Internists from Spain and Argentina identify very similar ethical conflicts. Furthermore, they consider them more frequent and difficult than in Mexico. In Argentina they are less satisfied with the way they are resolved. To explain these differences, socio-cultural factors are postulated, among others: paternalism, individualism, masculinity, organization of the health system, formal training in bioethics and assessment of death.

查看原文本刊更多论文

西班牙、墨西哥和阿根廷的内科医生会遇到哪些伦理冲突？一项基于自我调查的国际横断面观察研究。

背景：地中海和拉丁美洲文化在临床生物伦理方面的差异尚未得到分析。本研究旨在比较西班牙、墨西哥和阿根廷内科医生的伦理冲突：方法：通过一项针对西班牙、阿根廷和墨西哥内科医生的调查进行横断面观察研究。调查通过在线平台对三个国家的国家内科医学会附属成员进行：共有 762 名内科医生参与了调查，其中 261 人来自西班牙，154 人来自阿根廷，347 人来自墨西哥。西班牙、阿根廷和墨西哥的内科医生面临的主要伦理冲突（依次）与生命终结、临床关系和患者自主权有关。在西班牙和阿根廷，拒绝和撤销维持生命的治疗是最常见的冲突，在墨西哥则是第二常见的冲突：西班牙和阿根廷的内科医生发现了非常相似的伦理冲突。结论：西班牙和阿根廷的内科医生发现了非常相似的伦理冲突，而且他们认为这些冲突比墨西哥更频繁、更困难。在阿根廷，他们对解决冲突的方式不太满意。为了解释这些差异，提出了一些社会文化因素，其中包括：家长制、个人主义、男性气质、卫生系统的组织、生物伦理和死亡评估方面的正规培训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Medical Ethics MEDICAL ETHICS-

CiteScore

5.20

自引率

7.40%

发文量

108

审稿时长

>12 weeks

期刊介绍： BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.