Browsing by Author "Bedregal Garcia, Paula"

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    Medical ethics argumentation: analysis of main topics about medical ethics in clinical practice dealt in national journals of Medicine and Bioethics 1998-2013
    (UNIV CHILE, CENTRO INTERDISCIPLINARIO ESTUDIOS BIOETICA, 2017) Ramos Vergara, Paulina; Bedregal Garcia, Paula
    The aim of this investigation is to identify the main topics of the discussion about medical ethics in clinical practice in Chile. 143 articles in Chilean medical and bioethics journals were identified. They were put under a systematic study using comparison, codification and text analysis techniques of the Grounded Theory approach. 30 subjects were identified in the discussion, where the treatment of the ethics from a "professional deontology" predominates. Emergent speeches of an ethics that appeals to goods and values superiors to the professional duties in the search of the good of the patient can be found. The transformation of the context in which the clinical practice takes place is the background of the discussion.
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    Orientaciones éticas para la toma de decisiones médicas en el contexto de la pandemia de COVID-19 en Chile
    (2020) Valera, Luca; Carrasco Barraza, Maria Alejandra; Lopez Barreda, Rodrigo Alonso; Ramos Vergara, Paulina Cecilia; Bernhardi Montgomery, Rommy von; Bedregal Garcia, Paula; Florenzano, Alejandra; Pérez Hernández, Iván Modesto; Olivares Osorio, Patricia Carolina; Vargas Celis, Ivonne; González, Ximena; López S., Paulo; Durán Saavedra, Gloria Patricia; Richards, Constanza; Castro, Ricardo
    The catastrophic emergency experienced by many countries with the COVID-19 pandemic emphasized the importance of bioethics for decision-making, both at the public health (equitable and effective policies) and at the clinical level. At the clinical level, the issues are the fulfillment of medical care demand with adequate health care teams, infrastructure, and supplies, and to cover critical care demands that surpass the available resources. Therefore, ethically correct approaches are required for the allocation of life sustaining resources. There are recommendations for the allocating life support during disasters based on multiple considerations, including ethical ones. However, the ethical criteria of existing guidelines are variable. Ethical principles usually considered are saving the greatest number of lives, saving the greatest number of years of life and the principle of the life cycle or the goal to give each individual equal opportunity to live through the various phases of life. However, the centrality of the human being and the search for the common good should be considered. Knowledge of public perspectives and moral benchmarks on these issues is essential. A successful assignment effort will require everyone's trust and cooperation. Decision making should be planned and discussed in advance, since in-depth deliberation will be extremely complex during the disaster. Our goal is to help the health care teams to wisely allocate resources in shortage periods.