Humanización de la Medicina y las Biociencias
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Date
2018
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Abstract
"Recent scientific developments, along with growing awareness of cultural and social diversity,
have led to a continuously growing range of available treatment options; however, such
developments occasionally lead to an undesirable imbalance between science, technology
and humanism in clinical practice. This study explores the understanding and practice of values
and value clusters in real-life clinical settings, as well as their role in the humanization of
medicine and its institutions. The research focuses on the values of clinical practice as a
means of finding ways to enhance the pairing of Evidence-Based Medicine (EBM) with Values-based
Medicine (VBM) in daily practice.
Methods and findings
The views and representations of clinical practice in 15 pre-CME and 15 post-CME interviews
were obtained from a random sampling of active healthcare professionals. These
views were then identified and qualitatively analyzed using a three-step hermeneutical
approach.
A clinical values space was identified in which ethical and epistemic values emerge, grow
and develop within the biomedical, ethical, and socio-economic dimensions of everyday
health care. Three main values—as well as the dynamic clusters and networks that they
tend to form—were recognized: healthcare personnel-patient relationships, empathy, and
respect. An examination of the interviews suggested that an adequate conceptualization of values leads to the formation of a wider axiological system. The role of clinician-as-consociate
emerged as an ideal for achieving medical excellence.
Conclusions
By showing the intricate clusters and networks into which values are interwoven, our analysis
suggests methods for fine-tuning educational interventions so they can lead to demonstrable
changes in attitudes and practices."
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Keywords
Medicina Proteómica y Bioética, Medicina