Browsing by Author "Besio, Mauricio"
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Item Argumentos éticos a favor y en contra de la participación del profesional médico en la muerte asistida. Análisis del Departamento de Ética del Colegio Médico de Chile(2020) Salas Ibarra, Sofía; Salinas, Rodrigo A.; Besio, Mauricio; Micolich, Constanza; Arriagada, AnaMaría; Misseroni Raddatz, Adelio; Valenzuela, Carlos Y.; Novoa, Fernando; Bórquez Estefó, GladysThe discussion of a bill that allows medically assisted death (MAD) in Chile, revived the debate about the ethics of this practice. The Department of Ethics of the Chilean Medical Association herein analyzes arguments in favor or against the participation of the medical profession in MAD. Among the main arguments against the participation of physicians in this practice are that MAD conflicts with the basic ethical principles of medical practice, that it is contrary to the purposes of medicine and that it could erode the patients’ and society’s confidence in physicians. The arguments in favor are related to physician ́s compassion and non-abandonment of patients during their illness, choosing palliative care and ushering them to the final instance. Additionally, there is social expectation that this practice will be carried out by trained physicians who can verify that the strict criteria established by the legislation are met, guarantee that it obeys to a repeated request of a fully capable patient, and who is able to deal with the complications of the procedure. In this document we aimed to represent the di- fferent perspectives about physicians’ participation in MAD, offering arguments to colleagues and stimulating their participation in this important debate.Item Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile(2018) Salas, Sofía; Arriagada, Anamaría; Bernier Villarroel, Lioniel; Besio, Mauricio; Micolich, Constanza; Misseroni, Adelio; Novoa Sotta, Fernando; Salinas, Rodrigo A.; Valenzuela, Carlos Y.; Bórquez Estefó, GladysEvery so often, in Chile there is a discussion about the role of physicians in the care of people on hunger strike (HS). In this document, we review the ethical aspects of health care for persons in HS, aiming to provide guidelines to medical doctors who are required to attend them. First, we make an important distinction between HS and suicide, since the former is used as a protest and denunciation tool, while suicide seeks deliberately to end a life. Then we describe the three roles that the health professional can fulfill: as a treating doctor, as an expert or as an official of a prison. The respect for the autonomy and dignity of the person in HS must prevail whatever the role of the physician. Therefore, we maintain that under no circumstances, people who have autonomously decided to be in HS should be fed by force. Due to the complexity of the issue, we make special considerations about the management of minors and the non-competent persons in HS. In conclusion, we adhere to the principles that inspire the Declaration of Malta, which indicate that it would be preferable to “allow a person on hunger strike to die in dignity, rather than subjecting them to repeated interventions against their will”.Item Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile(2018) Salas Ibarra, Sofía; Arriagada, Anamaría; Bernier, Lionel; Besio, Mauricio; Micolic, Constanza; Misseroni, Adelio; Novoa Sotta, Fernando; Salinas, Rodrigo A.; Valenzuela, Carlos; Bórquez Estefó, GladysDebido a diversos casos que han suscitado interés en los medios, cada cierto tiempo surge en Chile la discusión sobre los aspectos éticos asociados a la atención sanitaria de personas en huelga de hambre (HH)1. Con independencia de los motivos que lleven a esa persona o grupo de individuos a asumir el ayuno como medida de presión, dicha acción no deja indiferente a nadie y menos aún a los médicos, quienes suelen ser llamados a intervenir profesionalmente. La atención de personas en HH tiene muchas aristas, puesto que sus potenciales consecuencias afectan no solo la atención sanitaria, sino que también al sistema judicial, la legislación vigente, los compromisos asumidos como país respecto de los derechos humanos y pactos internacionales que son vinculantes. Dicho lo anterior, en el presente artículo nos limitaremos a analizar los aspectos éticos de la atención sanitaria a personas en HH. La preocupación del Departamento de Ética del Colegio Médico de Chile es reflexionar y entregar directrices a nuestros colegiados para abordar adecuadamente las peticiones que las personas en huelga de hambre y la sociedad nos hacen, en virtud de nuestro conocimiento y del rol de nuestra profesión en la comunidad. Dejaremos fuera de este análisis las consideraciones relacionadas con los motivos de la huelga, puesto que creemos que estos exceden al ámbito de competencia del profesional sanitario. Every so often, in Chile there is a discussion about the role of physicians in the care of people on hunger strike (HS). In this document, we review the ethical aspects of health care for persons in HS, aiming to provide guidelines to medical doctors who are required to attend them. First, we make an important distinction between HS and suicide, since the former is used as a protest and denunciation tool, while suicide seeks deliberately to end a life. Then we describe the three roles that the health professional can fulfill: as a treating doctor, as an expert or as an official of a prison. The respect for the autonomy and dignity of the person in HS must prevail whatever the role of the physician. Therefore, we maintain that under no circumstances, people who have autonomously decided to be in HS should be fed by force. Due to the complexity of the issue, we make special considerations about the management of minors and the non-competent persons in HS. In conclusion, we adhere to the principles that inspire the Declaration of Malta, which indicate that it would be preferable to “allow a person on hunger strike to die in dignity, rather than subjecting them to repeated interventions against their will”.