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 |