[Health care resource allocation in Chile. Ethical considerations in decision making].
BACKGROUND
The inclusion of ethical aspects in the world health care reform is currently being discussed.


OBJECTIVE
To analyze the ethical component of health care decision making in Chile.


METHODS
A qualitative analysis of interviews with 4 health service directors, 4 public hospital directors and 1 sub director. Inquiries to 16 public hospital ethics committees, about importance of ethical components in decision making, role of ethics committees in financial issues and the feasibility of incorporation explicit ethical considerations in decision making.


RESULTS
There is an absence of explicit ethical criteria in decision making. There is little participation of directors in these issues and lack of information. Although ethical aspects are considered relevant, they are not taken into account. Ethics committees are mostly dedicated to evaluate research protocols. The community is not mentioned as a relevant actor in decision making about resource allocation.


CONCLUSIONS
Health service directors and all health care personnel should be trained in bioethics. These aspects should be incorporated to their daily work.
Bedregal
Paula
P
Departamento de Salud Pública Escuela de Medicina, Centro de Bioética y Escuela de Administración, Pontificia Universidad Católica de Chile, Ministerio de Salud, Unidad de Bioética. pbedrega@med.puc.cl
Leal
Viviana
V
Lavados
Manuel
M
Lafuente
Montserrat
M
Chomali
Fernando
F
Ardiles
Jorge
J
Martínez
Javiera
J
Boeusseu
Marie-Charlotte
MC
D000328:Adult; D000368:Aged; D001675:Bioethics; D002677:Chile; D003657:Decision Making; D017041:Ethics Committees; D015276:Health Care Rationing / Q000592:standards*; D006779:Hospitals, Public / Q000191:economics / Q000592:standards*; D006801:Humans; D007407:Interviews as Topic; D008020:Life Support Care / Q000592:standards; D008875:Middle Aged; D016414:Resuscitation Orders