Medicina (B. Aires)  vol.66 número1; Resumen: S0025-76802006000100015

SciELO - Scientific Electronic Library Online

vol.66 número1Giardia y giardiasis índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados



  • No hay articulos citadosCitado por SciELO

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Medicina (Buenos Aires)

versión On-line ISSN 1669-9106


COLT, Henri. Autonomy and practical identity: Cornerstones to ethical physician behavior. Medicina (B. Aires) [online]. 2006, vol.66, n.1, pp. 75-80. ISSN 1669-9106.

Three frequent  problems of daily medical practice are analyzed: 1) a physician’s perceived obligation to provide medical services regardless of whether one’s health care institution provides monetary compensation for the medical act, 2) increasing pressures to obtain informed consent in a national context where paternalistic physician-patient interactions have been customary, and 3) a physician’s professional responsibility to offer internationally recognized standard of care even if this means allocating expensive tertiary healthcare resources to a small number of patients in spite of one’s knowledge that national governments are unable to provide primary care to millions of their citizens. These problems are discussed from the point of view of the ethical principle of respect for patient autonomy. Potential limiting factors (cultural, financial, religious or disease-related influences) on autonomy of patients and doctors are identified. The functions of patient autonomy in the framework of four different patient-doctor interaction models (paternalist, informative, interpretative and deliberatibe) are described. Physician leaders, health care institutions, and professional organizations are responsible for creating an environment in which doctors can discuss ethical issues as comfortably and as frequently as they discuss biological matters. Health care providers should do their best to recover the human side of medical practice which, undoubtedly, would create a greater likelihood that appropriate decisions will be made when facing complex ethical dilemmas.

Palabras llave : medical ethics; patient autonomy; medical responsibility.

        · resumen en Español     · texto en Español     · pdf en Español