Potential Situations in the ESF—from the IPE-APS*

Is this an ethical problem for you?

No (%)

Yes (%)

01. Difficulty in setting the limits for the professional-patient relationship.

49.4

50.6

02. Team member prejudices against patients.

31.5

68.5

03. The professional treats a patient with lack of respect.

47. 2

52.8

04. Inadequate or wrong prescriptions.

43.2

55.8

05. Prescribing medication that the patient cannot purchase.

44.7

55.3

06. Prescribing medication that is more expensive, even where cheaper alternatives are as effective.

47.2

55.8

07. The patient requests procedures from his or her doctor and nurse.

36.0

64.0

08. Convincing a patient to maintain a treatment regime.

37.9

62.1

09. Withholding information on the patient’s health from him or her.

34.5

65.5

10. Health professionals’ access to private aspects of a patient’s life.

37.5

62.5

11. It is difficult to maintain a patient’s privacy when healthcare is provided at home.

37.9

62.1

12. It is difficult for the ACS to maintain professional secrecy.

36.8

63.2

13. Sharing a patient’s health information with his or her family members.

40.2

59.8

14. Lack of commitment and engagement by certain professionals in the PSF.

28.7

71.3

15. The ESF teams do not collaborate.

41.4

58.6

16. A lack of respect between team members.

33.3

66.7

17. Professionals are unprepared to operate in the PSF.

35.2

64.8

18. It is difficult to set limits for each professional’s role and responsibility.

38.6

61.4

19. Professionals do not object when they encounter an inadequate or wrong prescription.

27.3

72.7

20. Users ask a team member to maintain secrecy regarding his/her condition with respect to the remaining PSF team members.

36.4

63.6

21. It is difficult to preserve privacy due to problems in the USF’s physical structure and routines.

41.4

58.6

22. Lack of support by intersector actions to discuss and solve ethical problems.

30.7

69.3

23. UBS administration problem solving by professionals lacks transparency.

29.5

70.5

24. An excessive number of families are ascribed to each team.

41.6

58.4

25. Restricted patient access to the UBS because the doctors refuse to care for patients who do not have an appointment.

30.7

69.3

26. Inappropriate referrals by PSF physicians.

39.1

60.9

27. Difficulties with and a lack of references for performing complementary tests.

38.4

61.6

28. Difficulties with laboratory test result returns and reliability.

31.8

68.2

29. It is difficult to limit the team’s interference in patient and families lifestyles.

37.1

62.9

30. Doctor’s attitude toward religious values, either his/her own or the patients’.

44.9

55.1

31. Underage patients ask the team for procedures and examinations without parental authorization or knowledge.

38.2

61.8

32. Patients refuse to follow medical advice or undergo examinations.

44.8

55.2

33. The team discusses a patient’s health condition in front of him/her without his/her participation.

39.3

60.7

34. Failing to ask the family for permission before reporting the user’s history in a scientific publication.

44.9

55.1

35. USF employees question medical prescriptions.

31.5

68.5

36. Medical confidentiality breach by additional members outside the team who publish case histories.

42.7

57.3

37. A reference specialist team for the PSF publishes a case history without previous authorization by the PSF team or family.

42.7

57.3

38. Insufficient USF structure to perform house visits.

31.5

68.5

39. Insufficient conditions at the USF to provide emergency care.

23.6

76.4

40. Lack of support for removal services.

27.0

73.0