https://doi.org/10.4081/mem.2009.258

Il Parere del Comitato Nazionale per la Bioetica su rifiuto e rinuncia consapevole al trattamento sanitario

Vol. 58 No. 1 (2009)
Published: February 28, 2009
Consenso informato, rifiuto delle cure, principio di autonomia, rapporto medico-paziente / Informed consent, treatment refusal, principle of autonomy, physician- patient relationship
Abstract Views: 590
PDF (Italiano): 6
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Claudio Sartea
Ricercatore in Filosofia del Diritto, Facoltà di Giurisprudenza, Università di Roma "Tor Vergata", Italy.
Stefano Anzilotti
s.anzilotti@unicampus.it
Avvocato; Dottorando di Ricerca in Bioetica, Università "Campus Bio-Medico di Roma", Roma, Italy.
Il presente lavoro costituisce un'analisi e un commento del Parere del Comitato Nazionale per la Bioetica (CNB) dal titolo "Rifiuto e rinuncia consapevole al trattamento sanitario nella relazione paziente-medico", approvato il 24 ottobre 2008. La prima parte del contributo descrive sinteticamente la struttura e il contenuto del documento, il cui oggetto, secondo le parole dello stesso CNB, è così individuato: "rifiuto o rinuncia consapevole, totale o parziale, a trattamenti sanitari non iniziati o già intrapresi manifestata da un paziente informato e pienamente capace di intendere e di volere, e rivolta al medico (o all'èquipe medica), titolare di fondamentali obblighi giuridici e deontologici e sotto la cui responsabilità il trattamento è in atto". Operata questa prima delimitazione, la successiva importante distinzione che viene effettuata è tra un paziente autonomamente in grado di sottrarsi alla terapia indesiderata e un paziente che si trova in condizioni di dipendenza tali da rendere necessario l'intervento di un altro soggetto (il medico) per realizzare l'interruzione della cura. L'ultima parte del Parere presenta le "Conclusioni" che sintetizzano le riflessioni svolte ed espongono i profili di convergenza all'interno del Comitato. Gli Autori del contributo procedono quindi ad un'analisi critica del Parere a partire da queste "Conclusioni", concentrando in particolare l'attenzione sulla distinzione, già messa in risalto, tra autonomia e dipendenza. Viene così evidenziato, da una parte, in relazione alla prima situazione, l'autentico fondamento dell'agire medico, anche in rapporto al consenso informato; dall'altra parte, riguardo alla situazione di dipendenza, si riafferma il valore giuridico del bene "vita" ed il ruolo dell'operatore sanitario per la tutela di essa.
----------
The present work constitutes of analysis and comment on the Advice of the Council on Bioethics entitled: "Conscious refusal and renunciation to medical care in the physician-patient relation", approved on October 24th, 2008. The first part of this work describes synthetically the structure and the contents of the Advice, the object of which, according to the words of the same CNB, is: "The conscious refusal and renunciation, totally or partially, of medical care not started or already started by an informed and capable patient and directed to a physician, holder of fundamental legal obligation and medical ethics under whose responsibility the medical care is already in progress". After this first delimitation, the succeeding important distinctions that come into effect between a patient who autonomously refuses the undesired therapy and a patient who is found in a state of dependence which requires the intervention of another subject (the doctor) to realize the interruption of the cure. The last part of the work presents the conclusions which synthesize the reflections made and the areas of overlap inside the Committee. The Authors proceed therefore to a critical analysis of the document apart from the conclusion, concentrating particular attention on the distinction already made between autonomy and dependence. They furthermore, in relation to the first situation, emphasize the authentic foundation of the medical act as it relates to informed consent; from another part, regarding the situation of dependence, they reaffirm the importance of life and the role of the physician in preserving it.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC

How to Cite

Sartea, C., & Anzilotti, S. (2009). Il Parere del Comitato Nazionale per la Bioetica su rifiuto e rinuncia consapevole al trattamento sanitario. Medicina E Morale, 58(1). https://doi.org/10.4081/mem.2009.258

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

An Open Access Publication is one that meets the following two conditions:

  1. the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
  2. a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.