Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos

In Chile, there are four bills to legalize euthanasia, an act which public surveys report as supported by most of the population. At the legislative, healthcare and social level, there is an active debate about euthanasia, the rights of terminally ill patients and the context of Palliative Care (PC)...

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Autores principales:	Dittborn B.,Mariana, Micolich V.,Constanza
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Euthanasia Palliative Care Palliative Medicine Suicide, Assisted
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000500665
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spelling	oai:scielo:S0034-988720200005006652020-09-29Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativosDittborn B.,MarianaMicolich V.,Constanza Euthanasia Palliative Care Palliative Medicine Suicide, Assisted In Chile, there are four bills to legalize euthanasia, an act which public surveys report as supported by most of the population. At the legislative, healthcare and social level, there is an active debate about euthanasia, the rights of terminally ill patients and the context of Palliative Care (PC) in the country. Chilean literature on euthanasia focuses mainly on the ethical analysis of the act itself but does not address the moral legitimacy of the legalization of this practice. This distinction is relevant since the probity of a particular action does not determine the moral legitimacy of its implementation at a public policy level. One aspect of this dimension is the potential negative impact of the legalization of physician-assisted death (PAD) on the development of PC services. This issue is particularly relevant in Chile, where PC provision is currently suboptimal and mostly restricted to cancer patients. This paper analyses available evidence on the potential impairment of PC development after PAD legalization. Although the analysis of evidence has some limitations, this concern is not supported by the available evidence. However, any project about PAD legalization must contemplate a factual commitment with the development of minimum PC provision, according to international recommendations.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.5 20202020-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000500665es10.4067/S0034-98872020000500665
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Euthanasia Palliative Care Palliative Medicine Suicide, Assisted
spellingShingle	Euthanasia Palliative Care Palliative Medicine Suicide, Assisted Dittborn B.,Mariana Micolich V.,Constanza Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos
description	In Chile, there are four bills to legalize euthanasia, an act which public surveys report as supported by most of the population. At the legislative, healthcare and social level, there is an active debate about euthanasia, the rights of terminally ill patients and the context of Palliative Care (PC) in the country. Chilean literature on euthanasia focuses mainly on the ethical analysis of the act itself but does not address the moral legitimacy of the legalization of this practice. This distinction is relevant since the probity of a particular action does not determine the moral legitimacy of its implementation at a public policy level. One aspect of this dimension is the potential negative impact of the legalization of physician-assisted death (PAD) on the development of PC services. This issue is particularly relevant in Chile, where PC provision is currently suboptimal and mostly restricted to cancer patients. This paper analyses available evidence on the potential impairment of PC development after PAD legalization. Although the analysis of evidence has some limitations, this concern is not supported by the available evidence. However, any project about PAD legalization must contemplate a factual commitment with the development of minimum PC provision, according to international recommendations.
author	Dittborn B.,Mariana Micolich V.,Constanza
author_facet	Dittborn B.,Mariana Micolich V.,Constanza
author_sort	Dittborn B.,Mariana
title	Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos
title_short	Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos
title_full	Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos
title_fullStr	Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos
title_full_unstemmed	Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos
title_sort	legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000500665
work_keys_str_mv	AT dittbornbmariana legalizaciondemuertemedicamenteasistidadiscusionsobreelpotencialimpactoeneldesarrollodecuidadospaliativos AT micolichvconstanza legalizaciondemuertemedicamenteasistidadiscusionsobreelpotencialimpactoeneldesarrollodecuidadospaliativos
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Legalización de muerte médicamente asistida: discusión sobre el potencial impacto en el desarrollo de cuidados paliativos

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