Díez Fernández José Antonio
Asociación para la Defensa del Derecho a la Objeción de conciencia, Jaén.
Cuad Bioet. 2010 Jan-Apr;21(71):51-60.
The provisions of the andalusian Law on rights and guarantees of the dignity of persons in the process of death, also known as "act of dignified death", are based on two pillars: the right to the autonomy of the patient, supported, if it be, in a will expressed in instructions given in advance and the duties of doctors and health centers to give satisfaction, to the extent of their potential and respecting the law, those demands. the core of the question is to find the point of necessary balance between the wishes of the patient and the freedom and responsibility of the doctor. Together with positive aspects, such as the recognition of the right and the implementation of the palliative care, there are other questionable proposals, affecting the rights of doctors: a lack of understanding of freedom and professional responsibility, recognition of the objection of conscience and certain ethics duties, etc. As expressed by the law, remain committed substantial rights of doctors and might favor, in the care activity, introducing practices of defensive medicine.
安达卢西亚关于死亡过程中个人尊严的权利与保障的法律规定，也被称为“尊严死亡法案”，基于两大支柱：患者的自主权，若有预先表达在指示中的遗嘱作为支撑，以及医生和医疗中心在其能力范围内并遵守法律的情况下满足这些要求的职责。问题的核心在于找到患者意愿与医生的自由和责任之间的必要平衡点。除了诸如承认权利和实施姑息治疗等积极方面外，还有其他一些有问题的提议，影响到医生的权利：对自由和职业责任缺乏理解、承认良心反对和某些道德义务等。正如法律所表达的那样，医生的实质性权利仍然受到影响，并且在护理活动中可能会助长防御性医疗行为。
