Ethics in medical decision making: an intercultural outlook

Palabras clave: Ethical Decisions, Euthanasia, Globalization, Prevalence. Decisiones éticas, Eutanasia, Globalización, Prevalencia.

Resumen

ABSTRACT

 

In the climate of globalization, the choice dilemma is complicated by ethical conflicts that exist in multicultural contexts. This article investigates the capacity criteria across cultures and the boundaries of delegating responsibility for the patient's health to other people. The attitude towards euthanasia was taken as a marker to trace differences. Statistical analysis of euthanasia acceptability in 2017 involved Western civilizations, according to Huntington. The analysis showed a high prevalence of euthanasia in the Netherlands (48%) and the lowest prevalence in the United States (2%) and Canada (2%). Religious beliefs have a direct effect on ethics in decision making.

RESUMEN

 

En el clima de globalización, el dilema de elección se complica por los conflictos éticos que existen en contextos multiculturales. Este artículo investiga los criterios de capacidad entre culturas y los límites de delegar la responsabilidad de la salud del paciente a otras personas. La actitud hacia la eutanasia se tomó como un marcador para rastrear las diferencias. El análisis estadístico de la aceptabilidad de la eutanasia en 2017 involucró a las civilizaciones occidentales según Huntington. El análisis mostró una alta prevalencia de eutanasia en los Países Bajos (48%) y la prevalencia más baja en los Estados Unidos (2%) y Canadá (2%). Las creencias religiosas tienen un efecto directo sobre la ética en la toma de decisiones.

Biografía del autor/a

A.V BERESTOVA, First Moscow State Medical University

Anna Berestova lives in Moscow, Russian Federation. She is a Сandidate of medical Sciences and has professional medical education. She works as an associate professor at Department of pathological anatomy of I.M. Sechenov First Moscow State Medical University and has professional medical education. The research interests of the author are clinical pathologies of different organs, morbid anatomy. A recent study of the author is “Some Aspects of Resistance to Insulin”.

S. A. ORLOV, First Moscow State Medical University

Sergey Orlov lives in Moscow, Russian Federation. Sergey is an assistant of the department at Institute of Leadership and Health management of I.M. Sechenov First Moscow State Medical University. The research interests of the author are health organization and public health.

R. V GORENKOV, First Moscow State Medical University

Roman Gorenkov is from Moscow, Russian Federation. Roman is a M.D. Нe works as a Professor at the High School of Health Management of I.M. Sechenov First Moscow State Medical University. The research interests of the author are organization of medical care, prevention of non-communicable diseases, occupational medicine, ecology, internal illnesses. A recent study of the author is “Juvenile depression treatment with antidepressants from the selective serotonin reuptake inhibitors group”

V. P. STAROSTIN, Yakut state agricultural Academy

Vladimir Starostin lives in Yakutsk, Russian Federation. Vladimir is a Candidate of philosophy. He works as an associate professor at the Department of Social and humanitarian disciplines of Yakut state agricultural Academy. The research interests of the author are teaching philosophy, formation of civic culture of the local community. A recent study of the author is “Problems and Experience of Teaching Philosophy in a Nonhumanitarian University”

Citas

ABBAS, SQ, ABBAS, Z & MACADEN, S (2008). “Attitudes towards euthanasia and physician-assisted suicide among Pakistani and Indian doctors: A survey”, Indian Journal of Palliative Care, 14, pp.71–74.

ALBORZI, J, SABETI, F, BARAZ, S, MILADINIA, M, SAIDKHANI, V & SHARHANI, A (2018). “Investigating of Moral Distress and Attitude to Euthanasia in the Intensive Care Unit Nurses”, International Journal of Pediatrics, 6(11), pp. 8475-8482.

BERNER, ES & GRABER, ML (2008). “Overconfidence as a cause of diagnostic error in medicine”, The American journal of medicine, 121(5), pp.2-23.

BROGDEN, M (2001). Geronticide: Killing the elderly, Jessica Kingsley Publishers.

BÜLOW, HH, SPRUNG, CL, REINHART, K, PRAYAG, S, DU, B, ARMAGANIDIS, A & LEVY, MM (2008). “The world's major religions' points of viewon end-of-life decisions in the intensive care unit”. Intensive care medicine, 34(3), pp. 423-430.

CHATTOPADHYAY, S & DE VRIES, R (2012). “Respect for cultural diversity in bioethics is an ethical imperative”, Medicine, Health Care and Philosophy, 16(4), pp. 639–645.

CHATTOPADHYAY, S & SIMON, A (2008). “East meets West: Cross-cultural perspective in end-of-life decision making from Indian and German viewpoints”, Medicine, Health Care and Philosophy, 11(2), pp. 165- 174.

CHRISTEN, M, INEICHEN, C & TANNER, C (2014). “How “moral” are the principles of biomedical ethics?–a cross-domain evaluation of the common morality hypothesis”, BMC medical ethics, 15(1), p. 47.

CLARK, K, CONNOLLY, A, CLAPHAM, S, QUINSEY, K, EAGAR, K & CURROW, DC (2016). “Physical symptoms at the time of dying was diagnosed: A consecutive cohort study to describe the prevalence and intensity of problems experienced by imminently dying palliative care patients by diagnosis and place of care”, Journal of Palliative Medicine, 19(12), pp. 1288-1295.

COWARD, H & RATANAKUL, P (2006). A cross-cultural dialogue on health care ethics, Wilfrid Laurier Univ. Press.

DONATE-BARTFIELD, E, & LAUSTEN, L (2002). “Why practice culturally sensitive care? Integrating ethics and behavioral science”, Journal of Dental Education, 66(9), pp.1006-1011.

DRABIAK, K, WEGNER, C, FREDLAND, V & HELFT, PR (2007). “Ethics, law, and commercial surrogacy: a call for uniformity”, The Journal of Law, Medicine & Ethics, 35(2), pp. 300-309.

EISER, AR & ELLIS, G (2007). “Cultural competence and the African American experience with health care: The case for specific content in cross-cultural education”, Academic Medicine, 82(2), pp. 176-183.

GOLOFF, N & MOORE, T (2019). “A Case Study in Cross-cultural Health Care and Ethics: Who Decides What Is in the Child’s Best Interest?”, Journal of Hospice & Palliative Nursing, 21(1), pp. 8-13.

JHA, V, MCLEAN, M, GIBBS, TJ & SANDARS, J (2015). “Medical professionalism across cultures: a challenge for medicine and medical education”, Medical teacher, 37(1), pp. 74-80.

JOHNSTONE, MJ (2019). Bioethics: a nursing perspective, Elsevier Health Sciences.

LEININGER, MM & MCFARLAND, MR (2006).”Culture care diversity and universality: A worldwide nursing theory”, Jones & Bartlett Learning.

LOUW, B (2016). “Cultural Competence and Ethical Decision Making for Health Care Professionals”, Humanities and Social Sciences, 4(2), pp. 41-52.

MAUTNER, MN (2009). “Life‐centered ethics, and the human future in space”, Bioethics, 23(8), pp. 433-440.

MINKOFF, H (2014). “Teaching Ethics: When Respect for Autonomy and Cultural Sensitivity Collide”, American Journal of Obstetrics and Gynecology, 210(4), pp. 298-301.

NIKOLAEVA, YV, GRIMALSKAYA, SA, PETROSYANTS, DV, ZULFUGARZADE, TE, MAYSTROVICH, EV, & SHESTAK, VA (2018). “Philosophical View of Multiculturalism in Modern European Cinematography”, European Journal of Science and Theology, 14(6), pp. 205-214.

RAMABELE, T (2004). Attitudes of the elderly towards euthanasia: A cross-cultural study, (Doctoral dissertation, University of the Free State).

RIESEBRODT, M (2016). “Dimensions of the Protestant Ethic” In the Protestant Ethic Turns 100, Routledge, pp. 55-84.

SHEKHAWAT, RS, KANCHAN, T, SETIA, P, ATREYA, A & KRISHAN, K (2018). “Euthanasia: Global Scenario and Its Status in India”, Science and engineering ethics, 24(2), pp. 349-360.

THAM, J, KWAN, KM & GARCIA, A (2017). Religious perspectives on bioethics and human rights, (Vol. 6). Springer.

WASSERMAN, JA, AGHABABAEI, N & NANNINI, D (2015). “Culture, Personality, and Attitudes Toward Euthanasia”, OMEGA - Journal of Death and Dying, 72(3), pp. 247–270.

ZHURAVLEV, AL & YUREVICH, AV (2013). “The psychology of morality as a field of psychological research”, Russian Journal of Psychology, 34 (3), pp. 4-14.

Publicado
2019-12-08
Cómo citar
BERESTOVA, A., ORLOV, S. A., GORENKOV, R. V., & STAROSTIN, V. P. (2019). Ethics in medical decision making: an intercultural outlook. Utopía Y Praxis Latinoamericana, 24(1), 144-151. Recuperado a partir de https://produccioncientificaluz.org/index.php/utopia/article/view/29988
Número
Vol. 24 (2019): Extra 5 [Interlocuciones]
Sección
Artículos