Ethical Conflicts in Care Throughout the Life Cycle in Primary Care in Chile: Perspectives of an Ethics Committee
Bibliographic record
Abstract
People-centred health care recognizes patients as subjects of rights, while the principle of continuity of care is related to longitudinality, establishing a long-term therapeutic relationship throughout the individual life cycle. These principles of the comprehensive care model in Chile pose ethical challenges to primary health care teams. The purpose of this article is to describe and analyze the main ethical conflicts deliberated by a primary care clinical ethics committee, differentiated by life cycle. A qualitative methodology was used, with a case study approach reviewing 30 of the 70 queries received by the committee over a period of seven years. The results show that ethical conflicts during adolescence and in the care of elderly people generate greater difficulties for the health team. The main conclusions are related to the responsibility of addressing them appropriately, and for contributing to comprehensive care plans that always consider the ethical aspects of care.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.018 | 0.054 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.003 | 0.058 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".