TY - JOUR
T1 - Cardiovascular medicine at face value
T2 - A qualitative pilot study on clinical axiology
AU - de Hoyos, Adalberto
AU - Nava-Diosdado, Rodrigo
AU - Mendez, Jorge
AU - Ricco, Sergio
AU - Serrano, Ana
AU - Flores Cisneros, Carmen
AU - Macías-Ojeda, Carlos
AU - Cisneros, Héctor
AU - Bialostozky, David
AU - Altamirano-Bustamante, Nelly
AU - Altamirano-Bustamante, Myriam M.
N1 - Funding Information:
This work was supported by the CONACYT SALUD 2007 grant no.068673 and the General Direction of Academic Personnel Affairs of UNAM (DGAPA) for the Papiit project ID 400112. Mexico, D.F. Mexico. The authors would like to thank Liliana Benitez for her work on the graphic presentation of the results of this research. The authors would like to thank Teresa Verthein for the translation of this work and Luz María Vargas Melgarejo for her help with the interviews and the instrument design. We greatly appreciate the work of Elisa Calleja y Raúl Vargas for their help in the data coding. Adalberto de Hoyos thanks the support of the Postdoctoral Fellowship Program at UNAM. The authors are also indebted to the health personnel how generously shared their experiences in the interviews.
PY - 2013/3/27
Y1 - 2013/3/27
N2 - Introduction: Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.Results: We point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.Conclusion: We establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion.
AB - Introduction: Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.Results: We point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.Conclusion: We establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion.
KW - Bioethics
KW - Cardiology
KW - Ethical dilemmas
KW - Patient-doctor relationship
KW - Qualitative analysis
KW - Values
UR - http://www.scopus.com/inward/record.url?scp=84875299324&partnerID=8YFLogxK
U2 - 10.1186/1747-5341-8-3
DO - 10.1186/1747-5341-8-3
M3 - Artículo
C2 - 23531271
SN - 1747-5341
VL - 8
JO - Philosophy, Ethics, and Humanities in Medicine
JF - Philosophy, Ethics, and Humanities in Medicine
IS - 1
M1 - 3
ER -