“The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic

Detalhes bibliográficos
Autor(a) principal: Oliveira, Isaac Linhares de
Data de Publicação: 2022
Outros Autores: Matias Aidan Cunha de Sousa, Guedes, Karlla Dannielle da Silva, Silva, Nara Raquel Barbosa da, Sampaio, Juliana
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/568
Resumo: The COVID-19 pandemic began in Brazil in March 2020. Since then, there have been several disagreements and disputes between health professionals, researchers and regulatory bodies about prescribed treatments for this infection. Given this scenario, this note proposes to discuss medical autonomy in the described context, based on official documents of the Brazilian Federal Council of Medicine, produced between 2020 and 2021, considering the mentioned therapeutic possibilities. As a result, three official documents were obtained that show that the only form of ‘autonomy’ is ‘medical autonomy’, while the ‘patient autonomy’ is not evidenced in terms of the adoption of therapies. We did not observe discussions in the documents about the bioethical principle of non- aleficence and that of autonomy itself. In this way, it can be seen that the appreciation of ‘medical autonomy’, without considering the knowledge/doings of patients, nor the scientific findings, can promote misunderstandings and harm the principles of medical practice.
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spelling “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic“El médico brasileño sabe cómo tratar el Covid-19”: sentidos de la autonomía médica en la pandemia“O médico brasileiro sabe como tratar a Covid-19”: sentidos de autonomia médica na pandemiaAutonomia ProfissionalAutonomia PessoalConselho de SaúdeCOVID-19MedicinaProfessional AutonomyPersonal AutonomyHealth CouncilsCOVID-19MedicineAutonomía profesional Autonomía personalConsejo de saludCovid-19MedicinaThe COVID-19 pandemic began in Brazil in March 2020. Since then, there have been several disagreements and disputes between health professionals, researchers and regulatory bodies about prescribed treatments for this infection. Given this scenario, this note proposes to discuss medical autonomy in the described context, based on official documents of the Brazilian Federal Council of Medicine, produced between 2020 and 2021, considering the mentioned therapeutic possibilities. As a result, three official documents were obtained that show that the only form of ‘autonomy’ is ‘medical autonomy’, while the ‘patient autonomy’ is not evidenced in terms of the adoption of therapies. We did not observe discussions in the documents about the bioethical principle of non- aleficence and that of autonomy itself. In this way, it can be seen that the appreciation of ‘medical autonomy’, without considering the knowledge/doings of patients, nor the scientific findings, can promote misunderstandings and harm the principles of medical practice.La pandemia de Covid-19 comenzó en Brasil en marzo de 2020. Desde entonces, ha habido varios desacuerdos y disputas – entre profesionales de la salud, investigadores y organismos reguladores – sobre los tratamientos prescritos para esta infección. Ante ese escenario, esta nota se propone discutir la autonomía médica en el contexto descrito, a partir de documentos oficiales del Consejo Federal de Medicina de Brasil, producidos entre 2020 y 2021, considerando las posibilidades terapéuticas mencionadas. Como resultado, se obtuvieron tres documentos oficiales que muestran que la única forma de ‘autonomía’ es la ‘autonomía médica’, mientras que la ‘autonomía del paciente’ no se evidencia en cuanto a la adopción de terapias. No observamos discusiones en los documentos sobre el principio bioético de no maleficencia y el de la propia autonomía. De esta forma, se ve que la apreciación de la ‘autonomía médica’, sin considerar los saberes/ haceres de los pacientes y, tampoco, los hallazgos científicos, puede promover malentendidos y herir los principios del hacer médico.A pandemia de Covid-19 teve início no Brasil em março de 2020. Desde então, há diversas divergências e disputas, entre profissionais de saúde, pesquisadores e entidades regulamentadoras, sobre tratamentos prescritos para essa infecção. Diante desse cenário, esta nota se propõe a discutir a autonomia médica na conjuntura descrita, com base em documentos oficiais do Conselho Federal de Medicina brasileiro, produzidos entre 2020 e 2021, considerando as possibilidades terapêuticas mencionadas. Como resultado, foram obtidos três documentos oficiais que evidenciam como única forma de ‘autonomia’ a ‘autonomia médica’, enquanto a ‘autonomia do paciente’ não é evidenciada no que tange à adoção de terapêuticas. Não observamos discussões nos documentos sobre o princípio bioético da não maleficência e o da própria autonomia. Desta forma, percebe-se que a valorização da ‘autonomia médica’, sem considerar os saberes/fazeres dos pacientes e, tampouco, os achados científicos, pode promover equívocos e ferir princípios do fazer médico. Foto: Anna Shvets/Pexels Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion`Convidadoapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/56810.1590/1981-7746-ojs568Trabalho, Educação e Saúde; v. 20 (2022); 71981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/568/189Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOliveira, Isaac Linhares de Matias Aidan Cunha de SousaGuedes, Karlla Dannielle da Silva Silva, Nara Raquel Barbosa da Sampaio, Juliana 2023-01-13T13:39:59Zoai:ojs.pkp.sfu.ca:article/568Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:46.778774Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
“El médico brasileño sabe cómo tratar el Covid-19”: sentidos de la autonomía médica en la pandemia
“O médico brasileiro sabe como tratar a Covid-19”: sentidos de autonomia médica na pandemia
title “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
spellingShingle “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
Oliveira, Isaac Linhares de
Autonomia Profissional
Autonomia Pessoal
Conselho de Saúde
COVID-19
Medicina
Professional Autonomy
Personal Autonomy
Health Councils
COVID-19
Medicine
Autonomía profesional
Autonomía personal
Consejo de salud
Covid-19
Medicina
title_short “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
title_full “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
title_fullStr “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
title_full_unstemmed “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
title_sort “The Brazilian doctor knows how to treat COVID-19”: meanings of medical autonomy in the pandemic
author Oliveira, Isaac Linhares de
author_facet Oliveira, Isaac Linhares de
Matias Aidan Cunha de Sousa
Guedes, Karlla Dannielle da Silva
Silva, Nara Raquel Barbosa da
Sampaio, Juliana
author_role author
author2 Matias Aidan Cunha de Sousa
Guedes, Karlla Dannielle da Silva
Silva, Nara Raquel Barbosa da
Sampaio, Juliana
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Oliveira, Isaac Linhares de
Matias Aidan Cunha de Sousa
Guedes, Karlla Dannielle da Silva
Silva, Nara Raquel Barbosa da
Sampaio, Juliana
dc.subject.por.fl_str_mv Autonomia Profissional
Autonomia Pessoal
Conselho de Saúde
COVID-19
Medicina
Professional Autonomy
Personal Autonomy
Health Councils
COVID-19
Medicine
Autonomía profesional
Autonomía personal
Consejo de salud
Covid-19
Medicina
topic Autonomia Profissional
Autonomia Pessoal
Conselho de Saúde
COVID-19
Medicina
Professional Autonomy
Personal Autonomy
Health Councils
COVID-19
Medicine
Autonomía profesional
Autonomía personal
Consejo de salud
Covid-19
Medicina
description The COVID-19 pandemic began in Brazil in March 2020. Since then, there have been several disagreements and disputes between health professionals, researchers and regulatory bodies about prescribed treatments for this infection. Given this scenario, this note proposes to discuss medical autonomy in the described context, based on official documents of the Brazilian Federal Council of Medicine, produced between 2020 and 2021, considering the mentioned therapeutic possibilities. As a result, three official documents were obtained that show that the only form of ‘autonomy’ is ‘medical autonomy’, while the ‘patient autonomy’ is not evidenced in terms of the adoption of therapies. We did not observe discussions in the documents about the bioethical principle of non- aleficence and that of autonomy itself. In this way, it can be seen that the appreciation of ‘medical autonomy’, without considering the knowledge/doings of patients, nor the scientific findings, can promote misunderstandings and harm the principles of medical practice.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/568
10.1590/1981-7746-ojs568
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/568
identifier_str_mv 10.1590/1981-7746-ojs568
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/568/189
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 20 (2022); 7
1981-7746
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