What ethical conflicts do internists in Spain, México and Argentina encounter? An international cross-sectional observational study based on a self-administrated survey
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View abstract on PubMed
Summary
This summary is machine-generated.Clinical bioethics differ between Spain, Argentina, and Mexico. Internists in Spain and Argentina face similar, more frequent end-of-life conflicts than in Mexico, with cultural factors likely influencing these disparities.
Area Of Science
- Clinical Bioethics
- Cross-cultural Studies
- Medical Ethics
Background
- Limited analysis exists on clinical bioethics differences between Mediterranean and Latin American cultures.
- Ethical conflicts encountered by internists across diverse cultural contexts remain under-explored.
Purpose Of The Study
- To compare the ethical conflicts faced by internists in Spain, Mexico, and Argentina.
- To identify key areas of ethical concern within internal medicine across these three nations.
Main Methods
- A cross-sectional observational study was conducted.
- Surveys were administered online to internists affiliated with National Societies of Internal Medicine in Spain, Argentina, and Mexico.
Main Results
- 762 internists participated: 261 from Spain, 154 from Argentina, and 347 from Mexico.
- Primary ethical conflicts involved end-of-life issues, the clinical relationship, and patient autonomy.
- Withholding/withdrawing life-sustaining treatment was the most frequent conflict in Spain and Argentina, and second in Mexico.
Conclusions
- Internists in Spain and Argentina report highly similar ethical conflicts, perceiving them as more frequent and challenging than their Mexican counterparts.
- Argentinian internists expressed lower satisfaction with the resolution of ethical conflicts.
- Socio-cultural factors such as paternalism, individualism, masculinity, healthcare system organization, bioethics training, and attitudes towards death are postulated to explain observed differences.
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