Ethical challenges of early identification of advanced chronic patients in need of palliative care: The catalan experience

Xavier Gómez-Batiste, Carles Blay, Marc Antoni Broggi, Cristina Lasmarias, Laura Vila, Jordi Amblàs, Joan Espaulella, Xavier Costa, Marisa Martínez-Muñoz, Bernabé Robles, Salvador Quintana, Joan Bertran, Francesc Torralba, Carmen Benito, Nuria Terribas, Josep Maria Busquets, Carles Constante

Producción científica: Artículo en revista indizadaArtículorevisión exhaustiva

9 Citas (Scopus)

Resumen

Palliative care must be early applied to all types of advanced chronic and life limited prognosis patients, present in all health and social services. Patients’ early identification and registry allows introducing palliative care gradually concomitant with other measures. Patients undergo a systematic and integrated care process, meant to improve their life quality, which includes multidimensional assessment of their needs, recognition of their values and preferences for advance care planning purposes, treatments review, family care, and case management. Leaded by the National Department of Health, a program for the early identification of these patients has been implemented in Catalonia (Spain). Although the overall benefits expected, the program has raised some ethical issues. In order to address these challenges, diverse institutions, including bioethics and ethics committees, have elaborated a proposal for the program’s advantages. This paper describes the process of evaluation, elaboration of recommendations, and actions done in Catalonia.

Idioma originalInglés
Páginas (desde-hasta)247-251
Número de páginas5
PublicaciónJournal of Palliative Care
Volumen33
N.º4
DOI
EstadoPublicada - 1 ene 2018
Publicado de forma externa

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