关键词: Atención comunitaria Atención primaria Clinical relationship Community health care Determinantes sociales de la salud Eutanasia Euthanasia Primary health care Relación clínica Social determinants of health

Mesh : Family Practice Humans Primary Health Care Suicide, Assisted

来  源:   DOI:10.1016/j.aprim.2021.102058   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
The approval of the euthanasia law represents a challenge for medicine and culminates a process of civic maturation of society in the face of death. There are challenges that the application of the law will have to meet. Seeking an objective and irreversible medical solution to subjective suffering - where there may be conditioning social determinants - implies a serious risk of inequity that requires policies that establish a pre-decisional guaranteeing framework. Euthanasia should be an exception thanks to the existence of strong clinical, informational and relational safeguards that can only be guaranteed in the context of a solvent primary care that accompanies people throughout their lives. In this primarist and community context, euthanasia can be the last resort of a professional committed to not abandoning a patient with severe and irreversible suffering who requests it.
摘要:
安乐死法的批准代表了医学的挑战,并在面对死亡时达到了社会公民成熟的过程。法律的适用将面临一些挑战。寻求对主观痛苦的客观和不可逆转的医疗解决方案-可能有条件的社会决定因素-意味着严重的不平等风险,这需要建立决策前保证框架的政策。安乐死应该是一个例外,由于强大的临床存在,信息和关系保障,只有在人们一生相伴的有偿付能力的初级保健的背景下才能得到保障。在这个初选和社区背景下,安乐死可能是专业人士的最后手段,致力于不放弃患有严重和不可逆转的痛苦的患者。
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