Examinando por Autor "Taboada R., Paulina"
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Ítem Consideraciones acerca de la “interrupción voluntaria del embarazo”, desde el punto de vista ético-médico (a propósito de un proyecto de ley)(Sociedad Médica de Santiago, 2015-11) Echeverría B., Carlos; Serani M., Alejandro; Arriagada U., Ana María; Goic G., Alejandro; Herrera C., Carolina; Quintana V., Carlos; Rojas O., Alberto; Ruiz-Esquide, Gonzalo; Salinas R., Rodrigo; Taboada R., Paulina; Vacarezza Y., Ricardo“Voluntary termination of pregnancy” can refer to actions intended to make a delivery easier, to provide medical care to the fetus, or to protect the life or health of the mother. All of these are proper medical actions and are by definition voluntary. In other cases, the expression denotes a termination of pregnancy before the embryo or fetus is viable, leading to the death of the latter. This action is constitutive of abortion under current Chilean law. The product of conception living being, who develops in the womb during pregnancy, is an individual, both in the sense that it is different from its mother and father, and in that it is a biological individual. For these reasons, such living being constitutes another patient in itself. The free and voluntary medical action of health care professionals is geared toward disease prevention or health recovery and medical terminations of pregnancy, as distinguished from abortion, are not criminalized in our country. Therefore, the idea of legalizing abortive terminations of pregnancy so that they become “legitimate health care services” is a call to the medical community, which should engage in a debate about the meaning and consequences of an eventual mandate of the State that would be at odds with the Hippocratic tradition. A woman can feel that her health is at risk due to her pregnancy, and she certainly has the right to request medical help. Health professionals should care both at the medical and emotional level for all those who require their services, especially when such persons are undergoing situations of vulnerability and distress. When requested to perform an abortion, the physician faces dilemmas that should be addressed in line with the present state of the medical art.Ítem Dimensión ética en la organización de la atención de salud(Sociedad Médica de Santiago, 2013-06) Burrows, Jaime; Echeverría B., Carlos; Goic G., Alejandro; Herrera C., Carolina; Quintana V., Carlos; Rojas O., Alberto; Salinas R., Rodrigo; Serani M., Alejandro; Taboada R., Paulina; Vacarezza, RicardoHealth Care at population level is a complex problem. Having this in mind, the purpose of this paper is to focus on the goods that are ethically relevant in the process of caring for health at this level. We briefly analyze some of the Chilean health statistics that, although they show important improvements along the years, demonstrate that certain conditions are to be deemed as inadequate by both healthcare providers and patients. Ethics is a central component to determine how to structure and organize health care systems and how they should operate. We emphasize Human Dignity as an ethical corner stone of the Health Care System, along with other important values such as Justice and Humanization, under the scope of the Ends of Medicine, and other components such as technical competence of providers and the financing of the whole process. We conclude that as far as a health care system is organized in a way that medical practice is well ordered, primarily and fundamentally according the Ends of Medicine and the good of persons, such a health care system is ethically adequate.Ítem El respeto a la intimidad del paciente(Sociedad Médica de Santiago, 2014-04) Burrows, Jaime; Echeverría B., Carlos; Goic G., Alejandro; Herrera C., Carolina; Quintana V., Carlos; Rojas O., Alberto; Ruiz-Esquide, Gonzalo; Salinas R., Rodrigo; Serani M., Alejandro; Taboada R., Paulina; Vacarezza Y., RicardoTransparency as a general rule for all our professional acts casts doubts about the statement of the Hippocratic Oath that says "Whatever I see or hear in the lives of my patients, I will keep secret, as considering all such things to be private". Medical secrecy protects the intimacy of patients, who reveal to their physicians their most hidden secrets aiming to recover their health. Therefore, physicians should receive those secrets with reverence and care, as servers and not as their owners. The values associated with the respect for personal intimacy are the anthropological basis of medical confidentiality. A medical act is performed by definition between two equally honorable individuals. Therefore, the professional honors the trust of his patient, maintaining strict confidence of what is revealed. Therefore, medical secrecy must be strengthened rather than weakened, pursuing common wealth and dignity.