The use of bioethical decision-making framework in the ICU of a public Brazilian hospital: a retrospective observational case series
Structured family conferences supported by a bioethical and communication frameworks were associated with a high frequency of treatment decisions explicitly aligned with patient values. These findings demonstrate that systematic value-based decision-making is feasible in resource-limited public hospitals. Prospective multicenter studies are needed to confirm these results and evaluate their impact on quality of care and clinical outcomes.
Authors
- Daniel Neves Forte (ORCID: https://orcid.org/0000-0003-1996-7193)
- L. Hajjar
- Sheyla Costa de Oliveira (ORCID: https://orcid.org/0000-0003-0485-1729)
- Daniel Mendonça Dantas
- Juliana Blassioli Suyama
- Victor Moitinho Mariano
- Fabrício Ferreira Lipi
- Bernardo Ramos De Godoy
- Gabriel Lehvy Cantarin Gonçalves
- Vivian Meloni Bagini
- Matheus Parra Barcelos de Mendonça
Institutions
- Universidade de São Paulo (BR)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Fundação Faculdade de Medicina (BR)
Publication Details
- Journal
- BMC Medical Ethics
- Published
- 2026-03-02
- DOI
- https://doi.org/10.1186/s12910-026-01395-6
- Primary Topic
- Palliative Care and End-of-Life Issues
- Type
- article
- Field-Weighted Citation Impact
- 0.00