Principlism in the daily practice of Family Medicine

Autores

  • Ana Catarina Fortunato Silva USF Moliceiro
  • Hernâni Pombas Caniço Assistente Graduado Sénior, Especialista em Medicina Geral e Familiar / ACeS Baixo Mondego, Coimbra, Portugal
  • Susana Rosa Lopes Médica Especialista em Medicina Geral e Familiar
  • Margarida Silvestre Instituto de Bioética, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal

DOI:

https://doi.org/10.32385/rpmgf.v37i3.12693

Palavras-chave:

Bioethics, Principlism, Beneficence, Physician Patient Relationship, General Practice

Resumo

Introduction: Principlism, from Tom Beauchamp and James Childress, is the most widely accepted theory in biomedical ethics. It is based on four principles: Beneficence, Non-maleficence, Autonomy and Justice. These are part of a common moral serving general action guides to any clinician, including the Family Doctor. The main purposes of this review are to describe how Principlism can be applied to daily general practice and reflect about how bioethics’ principles can improve the Physician Patient Relationship.

Methods: We developed an integrative literature review, including conventions, declarations, treaties, text books and scientific research articles. Three medical databases were selected to search through the medical literature with specific inclusion criteria. From a total of 2352 potential articles, 161 were read and 21 were included in this review. The results were grouped into four categories: Family Medicine and the physician-patient relationship; Respect for autonomy; Non-maleficence and beneficence; and Justice.

Results: Family Doctors play their professional role by promoting health, preventing disease and providing cure, care, or palliation. This area may be faced with ethical dilemmas including the moment of obtaining informed consent, medical confidentiality, diseases prevention and also the choice of complementary diagnostic tests and therapeutics. All these moral dilemmas arise in the context of a single interpersonal relationship, which is possibly the most therapeutic aspect of the medical consultation.

Conclusions: Despite all the technological innovation, moral conduct and principles governing the profession of Family Doctors remains faithful to the principles of the FM specialty. In a context of a dehumanization threat and global discontent, it is essential to foster a growing humanization of primary health care and recover ethical values, in order to achieve an optimization of physician-patient relationship, to deepen the level of understanding of "patient's needs and values" and finally to meet their expectations. 

Biografias Autor

Ana Catarina Fortunato Silva, USF Moliceiro

Interna de Formação específica de Medicina Geral e Familiar

 

Hernâni Pombas Caniço, Assistente Graduado Sénior, Especialista em Medicina Geral e Familiar / ACeS Baixo Mondego, Coimbra, Portugal

Assistente Graduado Sénior, Especialista em Medicina Geral e Familiar / ACeS Baixo Mondego, Coimbra, Portugal.

Doutorado pela Universidade de Coimbra / Faculdade de Medicina

Competência em Gestão dos Serviços de Saúde / Ordem dos Médicos

Margarida Silvestre, Instituto de Bioética, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal

Professora Auxiliar Convidada - Regente da Unidade Curricular de Ética, Deontologia e Exercício Profissional

Instituto de Bioética, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal.

Assistente Graduada de Ginecologia-Obstetrícia, Subespecialista em Medicina da Reprodução

Serviço de Medicina da Reprodução, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

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Publicado

2021-07-02

Como Citar

Silva, A. C. F., Caniço, H. P., Lopes, S. R., & Silvestre, M. (2021). Principlism in the daily practice of Family Medicine. Revista Portuguesa De Medicina Geral E Familiar, 37(3), 214–21. https://doi.org/10.32385/rpmgf.v37i3.12693