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ULTIMO FASCICOLOEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Europa Medicophysica 1999 Settembre;35(3):143-7

 SPECIAL ARTICLES

Ethics: indis­pens­able fac­tors in the out­come of reha­bil­i­ta­tion

Carta A.

ASL of the Province of Varese, Italy

Specialists in reha­bil­i­ta­tion ­have ­shown grow­ing inter­est in eth­i­cal ­issues. This ­paper is my con­tri­bu­tion to the ­debate. Problems relat­ed to the eval­u­a­tions and out­comes of reha­bil­i­ta­tion ­have ­received ­much atten­tion in the sci­en­tif­ic lit­er­a­ture. In par­allel, numer­ous arti­cles ­have ­expressed the ­sense of ­unease and ­need for eth­i­cal ­lines of con­duct ­when fac­ing ­hard med­i­cal choic­es, exac­er­bat­ed by evi­dent finan­cial restric­tions. A ­thorough ­review of the lit­er­a­ture yield­ed a selec­tion of eth­i­cal con­sid­er­a­tions ­that are wide­ly accept­ed by ­well-reput­ed ­authors. These are pre­sent­ed ­along ­with my own com­ments on ­some of the ­most recur­rent ­issues: - rec­on­cil­ing sci­en­tif­ic valid­ity ­with ­patients’ ­informed con­sent; -judg­ing the capac­ity to eval­u­ate the ­results of treat­ments; - rec­on­cil­ing the State’s ­need to lim­it spend­ing on ­health-­care ­with ­patients’ ­right to prop­er ­care (­with par­tic­u­lar ref­er­ence to dis­abled ­patients); - set­ting cri­te­ria for the selec­tion and inclu­sion of ­patients in reha­bil­i­ta­tion pro­grammes, includ­ing ­patients ­with chron­ic dis­eas­es; safe­guard­ing per­son­al auton­o­my, ­even in cas­es of ­severe dis­abil­ity. Some of ­these con­cepts are illus­trat­ed by exam­ples aim­ing to dem­on­strate the impor­tance of ensur­ing ­that reha­bil­i­ta­tion spe­cial­ists ­receive a ­thorough ground­ing in eth­ics if ­they are to act as com­pe­tent pro­fes­sion­als. It is ­hoped ­that the arti­cle ­will stim­u­late a fruit­ful ­exchange of opin­ions on the con­sid­er­a­tions ­expressed and on the ­vast ­field of appli­ca­tions of eth­ics in reha­bil­i­ta­tion.

lingua: Inglese


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