Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión

Background: The inclusion of ethical aspects in the world health care reform is currently being discussed. Aim: To analyze the ethical component of health care decision making in Chile. Material and methods: A qualitative analysis of interviews with 4 health service directors, 4 public hospital dire...

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Autores principales:	Bedregal G,Paula, Leal C,Viviana, Lavados M,Manuel, Lafuente G,Montserrat, Chomali G,Fernando, Ardiles N,Jorge, Martínez S,Javiera, Boeusseu G,Marie-Charlotte
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Health care quality, access, and evaluation Health resources Health services accessibility
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000200008
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spelling	oai:scielo:S0034-988720020002000082014-08-20Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisiónBedregal G,PaulaLeal C,VivianaLavados M,ManuelLafuente G,MontserratChomali G,FernandoArdiles N,JorgeMartínez S,JavieraBoeusseu G,Marie-Charlotte Health care quality, access, and evaluation Health resources Health services accessibility Background: The inclusion of ethical aspects in the world health care reform is currently being discussed. Aim: To analyze the ethical component of health care decision making in Chile. Material and methods: A qualitative analysis of interviews with 4 health service directors, 4 public hospital directors and 1 sub director. Inquiries to 16 public hospital ethics committees, about importance of ethical components in decision making, role of ethics committees in financial issues and the feasibility of incorporation explicit ethical considerations in decision making. Results: There is an absence of explicit ethical criteria in decision making. There is little participation of directors in these issues and lack of information. Although ethical aspects are considered relevant, they are not taken into account. Ethics committees are mostly dedicated to evaluate research protocols. The community is not mentioned as a relevant actor in decision making about resource allocation. Conclusions: Health service directors and all health care personnel should be trained in bioethics. These aspects should be incorporated to their daily work (Rev Méd Chile 2002; 130: 181-190)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.2 20022002-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000200008es10.4067/S0034-98872002000200008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Health care quality, access, and evaluation Health resources Health services accessibility
spellingShingle	Health care quality, access, and evaluation Health resources Health services accessibility Bedregal G,Paula Leal C,Viviana Lavados M,Manuel Lafuente G,Montserrat Chomali G,Fernando Ardiles N,Jorge Martínez S,Javiera Boeusseu G,Marie-Charlotte Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión
description	Background: The inclusion of ethical aspects in the world health care reform is currently being discussed. Aim: To analyze the ethical component of health care decision making in Chile. Material and methods: A qualitative analysis of interviews with 4 health service directors, 4 public hospital directors and 1 sub director. Inquiries to 16 public hospital ethics committees, about importance of ethical components in decision making, role of ethics committees in financial issues and the feasibility of incorporation explicit ethical considerations in decision making. Results: There is an absence of explicit ethical criteria in decision making. There is little participation of directors in these issues and lack of information. Although ethical aspects are considered relevant, they are not taken into account. Ethics committees are mostly dedicated to evaluate research protocols. The community is not mentioned as a relevant actor in decision making about resource allocation. Conclusions: Health service directors and all health care personnel should be trained in bioethics. These aspects should be incorporated to their daily work (Rev Méd Chile 2002; 130: 181-190)
author	Bedregal G,Paula Leal C,Viviana Lavados M,Manuel Lafuente G,Montserrat Chomali G,Fernando Ardiles N,Jorge Martínez S,Javiera Boeusseu G,Marie-Charlotte
author_facet	Bedregal G,Paula Leal C,Viviana Lavados M,Manuel Lafuente G,Montserrat Chomali G,Fernando Ardiles N,Jorge Martínez S,Javiera Boeusseu G,Marie-Charlotte
author_sort	Bedregal G,Paula
title	Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión
title_short	Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión
title_full	Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión
title_fullStr	Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión
title_full_unstemmed	Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión
title_sort	asignación de recursos en salud en chile: consideraciones éticas en la toma de decisión
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000200008
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Asignación de recursos en salud en Chile: Consideraciones éticas en la toma de decisión

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