de Hoyos Adalberto, Nava-Diosdado Rodrigo, Mendez Jorge, Ricco Sergio, Serrano Ana, Flores Cisneros Carmen, Macías-Ojeda Carlos, Cisneros Héctor, Bialostozky David, Altamirano-Bustamante Nelly, Altamirano-Bustamante Myriam M
Grupo transfuncional en ética clínica, Centro Médico Nacional Siglo XXI, IMSS, Av. Cuauhtémoc 330 Col. Doctores, México 06720, DF, Mexico.
Philos Ethics Humanit Med. 2013 Mar 27;8:3. doi: 10.1186/1747-5341-8-3.
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.
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.
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.
心脏病学以其先进的生物医学技术和循证医学的主导地位为特征。这种主导地位使得医疗保健专业人员难以应对该亚专业中出现的伦理困境。本文首次尝试对一家心脏病专科医院中医疗保健专业人员的价值论基础进行实证研究。我们的试点研究选择心脏病学人员作为目标人群，不仅是因为他们面临艰难的伦理考量，还因为他们必须在严格的条件下做出这些考量。因此，迫切需要重新审视临床伦理学和基于价值的医学。本研究对一家心脏病专科医院中医疗保健专业人员的价值观和美德进行定性分析，以确定前者如何影响后者做出的医疗和伦理决策。
我们指出，为了实现医学目标，需要加强医疗保健人员作为教育者和指导顾问的角色，以及需要一种与我们的研究结果相符的伦理辨别力，即医疗保健专业人员形成的伦理价值观源于他们的生活经历以及专业教育。
我们确定了建立更牢固的医患关系所需的行动、沟通技巧和同理心，这同时能改善预后、治疗效率和治疗依从性。
