La ética y la medicina familiar

Olivia Ochoa-del Toro; Manuel E. Tamayo-Gómez

doi:10.59706/aebmedicine.v2i1.9631

Authors

Olivia Ochoa-del Toro TecSalud. Instituto Tecnológico y de Estudios Superiores de Monterrey Campus Guadalajara. https://orcid.org/0009-0009-3856-8244
Manuel E. Tamayo-Gómez Instituto Tecnológico y de Estudios Superiores de Monterrey Campus Guadalajara https://orcid.org/0000-0002-9321-4467

DOI:

https://doi.org/10.59706/aebmedicine.v2i1.9631

Keywords:

Medicina familiar, Ética, Bioética, Educación médica continua

Abstract

La medicina familiar es la especialidad médica más noble; no sólo trata patologías, sino también personas. Debido al amplio espectro de retos que se enfrenta para el abordaje, así como el tratamiento de los pacientes, la ética es un parteaguas para la toma de decisiones. Su aplicación correcta demuestra las habilidades intrínsecas del médico familiar como miembro activo en la comunidad, educador y promotor de la salud. En este artículo se analizan los conceptos básicos de ética, su papel e importancia en la consulta y la enseñanza de la ética como disciplina en los programas de residencia de medicina familiar.

Abstract

Family medicine is the noblest medical specialty of all; not only treats pathologies, but people. Due to the wide spectrum of challenges faced for a patient´s approach and treatment, ethics plays a key role for decision-making. A correct application of ethics will show the physician´s intrinsic skills as an active member in his community, as educator and promoter of health for society. This article analyzes the basic concepts of ethics, its role and importance in daily practice, and the teaching of ethics as a subject in family medicine residency programs.

Downloads

Download data is not yet available.

References

Pérez-García R. La competencia en bioética: eje fundamental en la formación de residentes de Medicina Familiar y Comunitaria. Educ Médica. 2018;19(4):235–40.

Tunzi M, Ventres W. Family medicine ethics: An integrative approach. Fam Med. 2018;50(8):583–8.

Have H. Encyclopedia of global bioethics. Springer International Publishing; 2016.

Saultz J. Ethics and family medicine. Fam Med. 2018;50(8):577–8.

Taylor RB, Rosen MG, Jacott WE, Donatelle EP, Buckingham JL, editores. Fundamentals of family medicine. New York, NY: Springer New York; 1983.

Ogle W, Sullivan M, Arsenault I, Donlevy M, Macdonald S, Poliakova E, et al. The College of Family Physicians of Canada. Ethics in family medicine: Faculty handbook. 2012.

Gotler RS, Bayliss EA. The heart of family medicine. Ann Fam Med. 2010;8(5):464–6.

American Academy of Family Physicians. Recommended curriculum guidelines for family medicine residents: medical ethics. American Academy of Family Physicians; 2008.

Silva ACF, Família M de, Caniço HP, Lopes SR, Silvestre M, Família M de, et al. Principlism in the daily practice of Family Medicine. Rpmgf. 2021;37(3):214–21.

Zuluaga ÁF. Teorías contemporáneas del desarrollo ético y su aplicación a la psiquiatría. Rev Colomb Psiquiatr. 2011;40(4):768–86.

Agazzi E. The individual and collective dimension in bioethics. Bioeth Update. 2017;3(2):79–81.

García-Pérez MA. El triángulo bioético: una aproximación intuitiva a la ética de la práctica clínica. Aten Primaria. 2004;33(9):510–5.

Madani SJ, Larijani B, Nedjat S, Bagheri A. Family medicine ethical issues regarding physician-patient interactions from patients’ perspectives: A qualitative study. Caspian J Intern Med. 2021;12(2):184–93.

Beauchamp TL. Principles of biomedical ethics. 8a ed. Londres, Inglaterra: Oxford University Press; 2019.

Martínez IP, Alvarez RM. Importancia de los Comités de Ética en la Investigación en Medicina de Familia. Aten Primaria. 2019;51(5):263–5.

Ferrer RL, Gill JM. Shared decision making, contextualized. Ann Fam Med. 2013;11(4):303–5.

Bechini A, Boccalini S, Ninci A, Zanobini P, Sartor G, Bonaccorsi G, et al. Childhood vaccination coverage in Europe: impact of different public health policies. Expert Rev Vaccines. 2019;18(7):693–701.

Swindell JS, McGuire AL, Halpern SD. Beneficent persuasion: Techniques and ethical guidelines to improve patients’ decisions. Ann Fam Med. 2010;8(3):260–4.

Karches KE, Sulmasy DP. Justice, courage, and truthfulness: Virtues that medical trainees can and must learn. Fam Med. 2016;48(7):511–6.

Durante C. Bioethics and multiculturalism: nuancing the discussion. J Med Ethics. 2018;44(2):77–83.

Pelcastre-Villafuerte BE, Meneses-Navarro S, Sánchez-Domínguez M, Meléndez-Navarro D, Freyermuth-Enciso G. Condiciones de salud y uso de servicios en pueblos indígenas de México. Salud Publica Mex. 2020;62(6):810–9.

Cardona-Iguacen X. La competencia en la toma de decisiones en bioética. FMC - Form Médica Contin Aten Primaria. 2008;15(7):431–3.

Yenet A, Nibret G, Tegegne BA. Challenges to the availability and affordability of essential medicines in African countries: A scoping review. Clinicoecon Outcomes Res. 2023;15:443–58.

Ohta R, Sano C. Implementation of the principles of family medicine in modern family medicine education needing system-specific approaches. Cureus. 2022;14(11):e31177.

Saura-Llamas J, Astier-Peña MP, Puntes-Felipe B. La formación en seguridad del paciente y una docencia segura en atención primaria. Aten Primaria. 2021;53(1):102199.

de Oliveira-Vidal EI, Silva V d. S, Santos MF d., Jacinto AF, Boas PJFV, Fukushima FB. Why medical schools are tolerant of unethical behavior. Ann Fam Med. 2015;13(2):176–80.

Chourey N, Sinha P, Hiremath R, Ghodke S, Sharma A, Vaswani P. Knowledge and practices of bioethics – Need for periodic assessment and reinstatement for budding family physicians. J Family Med Prim Care. 2022;11(7):3901.

Alardan A, Alshammari SA, Alruwaili M. Knowledge, attitude, and practice of Family Medicine trainees in Saudi training programs towards medical ethics, in Riyadh. J Evol Med Dent Sci. 2021;10(13):968–75.

Eilat-Tsanani S, Notzer N, Lavi I, Tabenkin H. Medical ethics: Training residents in family medicine. Educ Prim Care. 2008;19(3):303–12.

Hong DZ, Goh JL, Ong ZY, Ting JJQ, Wong MK, Wu J, et al. Postgraduate ethics training programs: a systematic scoping review. BMC Med Educ. 2021;21(1):338.

Manson HM, Satin D, Nelson V, Vadiveloo T. Ethics education in family medicine training in the United States: a national survey. Fam Med. 2014;46(1):28–35.

Hurst DJ. Ethics education in US and Canadian family medicine residency programs: a review of the literature. Int J Ethics Educ. 2019;4(1):73–82.