ArticleAtencion primaria2010
[Clinical relationships and ethical problems in primary care, Sao Paulo, SP, Brazil].
Article in Atencion primaria, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- [The adaptation and validation to Spanish of the questionnaire Aid to Capacity Evaluation (ACE), for the assessment of the ability of patients in medical decision-making].Atencion primaria · 2015Observational
- [Bioethics beyond the dilemmas].Atencion primaria · 2010Article
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesMAIN
objectiveto identify ethical problems in primary care according to nurses' and doctors' perceptions. SECONDARY
objectiveto know ethical issues of patient-professional relationships in primary care.
designSynthesis to integrate and reinterpret primary results of qualitative studies.
settingPrimary healthcare centers, Sao Paulo, SP, Brazil. PARTICIPANTS AND/OR CONTEXT: Incidental sample of 34 nurses and 36 medical doctors working in primary healthcare centers selected by convenience.
methodsIndividual, semi-structured interviews to identity situations considered as sources of ethical problems. The sample is socially representative of primary care health centers and professionals. Data collection assured discourse saturation. Hermeneutic-dialectical discourse analysis was used to study the results.
resultsPatient-professional relationships and team work were the main sources of ethical problems. The most important problems were patient information, privacy, confidentiality, interpersonal relationship, linkage and patient autonomy. These issues reflect the recent changes in clinical relation ships and show the peculiarities of primary care with its continuous care which lasts a long time. Healthcare involves multiprofessional team work in the midst of the patient claims for autonomy. Good care of patients needs requires a relationship based on communication and cooperation, and includes feelings and values, with communication skills.
conclusionsEthical problems in primary care are common situations. For quality and humane primary care the relationship should consist of dialogue, trust and cooperation.
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Registered trials
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