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ADVANCE DIRECTIVES IN SPAIN. PERSPECTIVES FROM A MEDICAL BIOETHICIST APPROACH
ABSTRACT Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates ‘advance directives’ and has prompted various Autonomous Regions to develop legislation in this area. Nev...
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| Published in: | Bioethics 2008-07, Vol.22 (6), p.346-354 |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c4874-8e8cda3fc4a7713a6a7225afa1a89838c5d2f9f0289a7f965069a363c6e4df053 |
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| container_end_page | 354 |
| container_issue | 6 |
| container_start_page | 346 |
| container_title | Bioethics |
| container_volume | 22 |
| creator | SIMON‐LORDA, PABLO TAMAYO‐VELÁZQUEZ, MARIA‐ISABEL BARRIO‐CANTALEJO, INÉS‐MARÍA |
| description | ABSTRACT
Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates ‘advance directives’ and has prompted various Autonomous Regions to develop legislation in this area. Nevertheless, whilst the variety of legislations in different territories presents advantages, the disparity of criteria also presents problems.
Despite significant legislative development, only 23,000 Spanish citizens have filled in an AD. Clearly, AD use is confined to a minority. Several surveys, however, show that the Spanish population views these documents in a positive light. Thus, we must analyse this discrepancy between attitude and practice. A similar situation exists amongst health professionals. Whilst they generally feel that the use of ADs is positive and necessary, they are frequently unwilling to employ them.
Bioethical literature and research on ADs has significantly increased in Spain over the last six years. It is likely that this trend will continue in the foreseeable future; but more resources and effort are required if ADs are to become consolidated. |
| doi_str_mv | 10.1111/j.1467-8519.2008.00644.x |
| format | article |
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Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates ‘advance directives’ and has prompted various Autonomous Regions to develop legislation in this area. Nevertheless, whilst the variety of legislations in different territories presents advantages, the disparity of criteria also presents problems.
Despite significant legislative development, only 23,000 Spanish citizens have filled in an AD. Clearly, AD use is confined to a minority. Several surveys, however, show that the Spanish population views these documents in a positive light. Thus, we must analyse this discrepancy between attitude and practice. A similar situation exists amongst health professionals. Whilst they generally feel that the use of ADs is positive and necessary, they are frequently unwilling to employ them.
Bioethical literature and research on ADs has significantly increased in Spain over the last six years. It is likely that this trend will continue in the foreseeable future; but more resources and effort are required if ADs are to become consolidated.</description><identifier>ISSN: 0269-9702</identifier><identifier>EISSN: 1467-8519</identifier><identifier>DOI: 10.1111/j.1467-8519.2008.00644.x</identifier><identifier>PMID: 18479491</identifier><identifier>CODEN: BIETEE</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>advance care planning ; Advance Care Planning - ethics ; Advance Care Planning - legislation & jurisprudence ; Advance Care Planning - trends ; advance directive ; Advance directives ; Advance Directives - ethics ; Advance Directives - legislation & jurisprudence ; Attitudes ; Bioethics ; Directives ; durable power of attorney ; Ethicists - psychology ; Female ; Health care ; healthcare directive ; Humans ; Law ; Legislation ; living will ; Male ; Minorities ; Minority groups ; Patients ; Polls & surveys ; Spain ; Terminally ill ; Trends</subject><ispartof>Bioethics, 2008-07, Vol.22 (6), p.346-354</ispartof><rights>2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd.</rights><rights>Journal compilation © 2008 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4874-8e8cda3fc4a7713a6a7225afa1a89838c5d2f9f0289a7f965069a363c6e4df053</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27863,27922,27923,30997,30998,33221,33222</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18479491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SIMON‐LORDA, PABLO</creatorcontrib><creatorcontrib>TAMAYO‐VELÁZQUEZ, MARIA‐ISABEL</creatorcontrib><creatorcontrib>BARRIO‐CANTALEJO, INÉS‐MARÍA</creatorcontrib><title>ADVANCE DIRECTIVES IN SPAIN. PERSPECTIVES FROM A MEDICAL BIOETHICIST APPROACH</title><title>Bioethics</title><addtitle>Bioethics</addtitle><description>ABSTRACT
Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates ‘advance directives’ and has prompted various Autonomous Regions to develop legislation in this area. Nevertheless, whilst the variety of legislations in different territories presents advantages, the disparity of criteria also presents problems.
Despite significant legislative development, only 23,000 Spanish citizens have filled in an AD. Clearly, AD use is confined to a minority. Several surveys, however, show that the Spanish population views these documents in a positive light. Thus, we must analyse this discrepancy between attitude and practice. A similar situation exists amongst health professionals. Whilst they generally feel that the use of ADs is positive and necessary, they are frequently unwilling to employ them.
Bioethical literature and research on ADs has significantly increased in Spain over the last six years. It is likely that this trend will continue in the foreseeable future; but more resources and effort are required if ADs are to become consolidated.</description><subject>advance care planning</subject><subject>Advance Care Planning - ethics</subject><subject>Advance Care Planning - legislation & jurisprudence</subject><subject>Advance Care Planning - trends</subject><subject>advance directive</subject><subject>Advance directives</subject><subject>Advance Directives - ethics</subject><subject>Advance Directives - legislation & jurisprudence</subject><subject>Attitudes</subject><subject>Bioethics</subject><subject>Directives</subject><subject>durable power of attorney</subject><subject>Ethicists - psychology</subject><subject>Female</subject><subject>Health care</subject><subject>healthcare directive</subject><subject>Humans</subject><subject>Law</subject><subject>Legislation</subject><subject>living will</subject><subject>Male</subject><subject>Minorities</subject><subject>Minority groups</subject><subject>Patients</subject><subject>Polls & surveys</subject><subject>Spain</subject><subject>Terminally ill</subject><subject>Trends</subject><issn>0269-9702</issn><issn>1467-8519</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqNkTtPwzAYRS0EoqXwF5DFwJZgO34ODCFNaaQ-oiZ0tUzqSK36IiGi_fcktIDEUr7Fln3uHb4DAMTIxfU8LFxMuXAkw8olCEkXIU6puzsD7Z-Pc9BGhCtHCURa4KosF6gexdglaGFJhaIKt8HQ7079URDCbjQJgzSahgmMRjCJ_WjkwjicJPH3c28yHkIfDsNuFPgD-BSNw7QfBVGSQj-OJ2M_6F-Di9wsS3tzPDvgpRemQd8ZjJ-bkJNRKagjrcxmxsszaoTAnuFGEMJMbrCRSnoyYzOSqxwRqYzIFWeIK-NxL-OWznLEvA64P_Rui81bZct3vZqXmV0uzdpuqlILzCnB-DTIpESScHIaFERRwU6DnkCMI0Fr8O4PuNhUxbpei8aq1oCEaNrkAcqKTVkWNtfbYr4yxV5jpBvVeqEbo7oxqhvV-ku13tXR22N_9bqys9_g0W0NPB6Aj_nS7v9drBux9c37BBA-reI</recordid><startdate>200807</startdate><enddate>200807</enddate><creator>SIMON‐LORDA, PABLO</creator><creator>TAMAYO‐VELÁZQUEZ, MARIA‐ISABEL</creator><creator>BARRIO‐CANTALEJO, INÉS‐MARÍA</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope></search><sort><creationdate>200807</creationdate><title>ADVANCE DIRECTIVES IN SPAIN. PERSPECTIVES FROM A MEDICAL BIOETHICIST APPROACH</title><author>SIMON‐LORDA, PABLO ; TAMAYO‐VELÁZQUEZ, MARIA‐ISABEL ; BARRIO‐CANTALEJO, INÉS‐MARÍA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4874-8e8cda3fc4a7713a6a7225afa1a89838c5d2f9f0289a7f965069a363c6e4df053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>advance care planning</topic><topic>Advance Care Planning - ethics</topic><topic>Advance Care Planning - legislation & jurisprudence</topic><topic>Advance Care Planning - trends</topic><topic>advance directive</topic><topic>Advance directives</topic><topic>Advance Directives - ethics</topic><topic>Advance Directives - legislation & jurisprudence</topic><topic>Attitudes</topic><topic>Bioethics</topic><topic>Directives</topic><topic>durable power of attorney</topic><topic>Ethicists - psychology</topic><topic>Female</topic><topic>Health care</topic><topic>healthcare directive</topic><topic>Humans</topic><topic>Law</topic><topic>Legislation</topic><topic>living will</topic><topic>Male</topic><topic>Minorities</topic><topic>Minority groups</topic><topic>Patients</topic><topic>Polls & surveys</topic><topic>Spain</topic><topic>Terminally ill</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SIMON‐LORDA, PABLO</creatorcontrib><creatorcontrib>TAMAYO‐VELÁZQUEZ, MARIA‐ISABEL</creatorcontrib><creatorcontrib>BARRIO‐CANTALEJO, INÉS‐MARÍA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Bioethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SIMON‐LORDA, PABLO</au><au>TAMAYO‐VELÁZQUEZ, MARIA‐ISABEL</au><au>BARRIO‐CANTALEJO, INÉS‐MARÍA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ADVANCE DIRECTIVES IN SPAIN. PERSPECTIVES FROM A MEDICAL BIOETHICIST APPROACH</atitle><jtitle>Bioethics</jtitle><addtitle>Bioethics</addtitle><date>2008-07</date><risdate>2008</risdate><volume>22</volume><issue>6</issue><spage>346</spage><epage>354</epage><pages>346-354</pages><issn>0269-9702</issn><eissn>1467-8519</eissn><coden>BIETEE</coden><abstract>ABSTRACT
Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates ‘advance directives’ and has prompted various Autonomous Regions to develop legislation in this area. Nevertheless, whilst the variety of legislations in different territories presents advantages, the disparity of criteria also presents problems.
Despite significant legislative development, only 23,000 Spanish citizens have filled in an AD. Clearly, AD use is confined to a minority. Several surveys, however, show that the Spanish population views these documents in a positive light. Thus, we must analyse this discrepancy between attitude and practice. A similar situation exists amongst health professionals. Whilst they generally feel that the use of ADs is positive and necessary, they are frequently unwilling to employ them.
Bioethical literature and research on ADs has significantly increased in Spain over the last six years. It is likely that this trend will continue in the foreseeable future; but more resources and effort are required if ADs are to become consolidated.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18479491</pmid><doi>10.1111/j.1467-8519.2008.00644.x</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-9702 |
| ispartof | Bioethics, 2008-07, Vol.22 (6), p.346-354 |
| issn | 0269-9702 1467-8519 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71642115 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Wiley; PAIS Index |
| subjects | advance care planning Advance Care Planning - ethics Advance Care Planning - legislation & jurisprudence Advance Care Planning - trends advance directive Advance directives Advance Directives - ethics Advance Directives - legislation & jurisprudence Attitudes Bioethics Directives durable power of attorney Ethicists - psychology Female Health care healthcare directive Humans Law Legislation living will Male Minorities Minority groups Patients Polls & surveys Spain Terminally ill Trends |
| title | ADVANCE DIRECTIVES IN SPAIN. PERSPECTIVES FROM A MEDICAL BIOETHICIST APPROACH |
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