Cardiovascular medicine at face value: a qualitative pilot study on clinical axiology

Philosophy, Ethics, and Humanities in Medicine

Myriam M Altamirano-Bustamante³  Nelly Altamirano-Bustamante⁵  David Bialostozky⁴  Héctor Cisneros⁸  Carlos Macías-Ojeda¹  Carmen Flores Cisneros⁶  Ana Serrano²  Sergio Ricco⁹  Jorge Mendez²  Rodrigo Nava-Diosdado²  Adalberto de Hoyos⁷ 

[1] Universidad Anáhuac, Mexico, Mexico;Grupo transfuncional en ética clínica, Centro Médico Nacional Siglo XXI, IMSS, Av. Cuauhtémoc 330 Col. Doctores, México, 06720, D.F Mexico;Unidad de Investigación de Enfermedades Metabólicas, Centro Médico Nacional Siglo XXI, IMSS, Av. Insurgentes 3300. Copilco Universidad, México, 04530, D.F. Mexico;Instituto Nacional de Cardiología, Ignacio Chávez, Mexico, Mexico;Instituto Nacional de Pediatría, Secretaría de Salud, Mexico, Mexico;Instituto Nacional de Perinatología, Mexico, Mexico;FES Acatlán, Universidad Nacional Autónoma de México, Av. Cuauhtémoc 330 Col. Doctores, México, 06720, D.F. Mexico;Facultad de Ciencias, UNAM, Mexico, Mexico;Universidad Pedagógica Nacional, Mexico, Mexico

关键词: Ethical dilemmas;    Cardiology;    Values;    Patient-doctor relationship;    Qualitative analysis;    Bioethics;   

Others  :  816444
DOI  :  10.1186/1747-5341-8-3

 received in 2011-12-12, accepted in 2013-03-17,  发布年份 2013

【 摘 要 】

Introduction

Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.

Results

We point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.

Conclusion

We establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion.

【 授权许可】

   
2013 de Hoyos et al.; licensee BioMed Central Ltd.

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