2026, Number 3
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Acta Med 2026; 24 (3)
Knowledge of the Advance Will Law at Hospital Angeles Acoxpa
Sandoval BMA, Silva NFA, García CAM, Martínez HMA, Sierra VAM, Sandoval OL
Language: Spanish
References: 31
Page: 325-328
PDF size: 489.34 Kb.
ABSTRACT
The study assesses knowledge of the Advance Will Law (LVA)
among medical staff at Hospital Angeles Acoxpa through
an anonymous survey of 100 participants. Results reveal
insufficient understanding: only 30% show familiarity with the
law, compared to 50% in national and international studies.
Most (51%) recognize its purpose as respecting patient
autonomy, but confusion persists about its nature (legal,
medical, or ethical), revocability (53% believe it cannot be
revoked), and relation to euthanasia (37% mistakenly equate
them). There is also a lack of clarity regarding palliative care and
therapeutic obstinacy. This suggests that poor understanding
could lead to unnecessary treatments, compromising patient
dignity and autonomy, and raising bioethical dilemmas, such
as balancing life prolongation with harm avoidance. The study
underscores the need to enhance education on the LVA to
ensure its proper application, respecting patient rights and
optimizing medical resources. Confusion over key concepts
highlights a training gap among healthcare staff, potentially
impacting end-of-life care.
REFERENCES
Rykov MY. [The evolution of personalized medicine: publicationsreview]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2022;30 (6): 1211-1219. Available in: https://doi.org/10.32687/0869-866x-2022-30-6-1211-1219
Bellini V, Badino M, Maffezzoni M, Bezzi F, Bignami E. Evolution ofhybrid intelligence and its application in evidence-based medicine:a review. Med Sci Monit. 2023; 29: e939366. Available in: https://doi.org/10.12659/msm.939366
Perrigault PF, Greco F. Ethical issues in neurocritical care. Rev Neurol(Paris). 2022; 178 (1-2): 57-63.
Vivas L, Carpenter T. Meaningful futility: requests for resuscitation againstmedical recommendation. J Med Ethics. 2021; 47 (10): 654-656.
Congreso de la Ciudad de México. (n.d.). La Ley de voluntadanticipada en el Distrito Federal. [Recuperado el 19 de julio de 2024]Disponible en: https://www.congresocdmx.gob.mx
Di Luca A, Consalvo F, Varone MC. Living will legislation: betweenadvance healthcare directives and advance care planning, which isthe better way to go. Clin Ter. 2021; 171 (1): e46-e48. Available in:https://doi.org/10.7417/ct.2021.2279
Stuart RB, Birchfield G, Little TE, Wetstone S, McDermott J. Use ofconditional medical orders to minimize moral, ethical, and legal riskin critical care. J Healthc Risk Manag. 2022; 41 (3): 14-23. Availablein: https://doi.org/10.1002/jhrm.21487
Ley General de Salud. Artículo 166 Bis. Diario Oficial de laFederación, México. 2008.
Ordóñez N, Monroy Z. La importancia de implementar y difundirla Ley de Voluntad Anticipada en México. Rev Colomb Bioét. 2021;16 (2): e3758.
Van Dyck LI, Paiva A, Redding CA, Fried TR. Understanding therole of knowledge in advance care planning engagement. J PainSymptom Manage. 2021; 62 (4): 778-784. Available in: https://doi.org/10.1016/j.jpainsymman.2021.02.011
Carrasco A, Olivares A, Pedraza A. Nivel de conocimiento de “laley de voluntad anticipada” en población geriátrica en México. RevCubana Med Gen Integr. 2019; 35 (1): e799.
Gracia DG. Dilemas actuales de la ética médica ante opciones vidamuerte.Cuad Secc Cienc Med. 1994; 3: 143-154.
Grinberg AR, Tripodor VA. Futilidad médica y obstinación familiar enterapia intensiva. ¿Hasta cuándo seguir y cuándo parar? Medicina (BAires). 2017; 77: 491-496.
Brunon J. Ethics and meningiomas: From prudence to obstinacy?The position of the neurosurgeon (for treatment or insurancepurposes) in the case of complaints concerning post-operative clinicaldeterioration. Neurochirurgie. 2018; 64 (1): 1-4. Available in: https://doi.org/10.1016/j.neuchi.2014.08.004
Castelli Dransart DA, Maggiori C, Lapierre S, Voélin S. Will they letme die? Perspectives of older Swiss adults on end-of-life issues. DeathStud. 2022; 46 (4): 920-929. Available in: https://doi.org/10.1080/07481187.2020.1788669
Bacoanu G, Poroch V, Anitei MG et al. Therapeutic obstinacy in endof-life care-a perspective of healthcare professionals from Romania.Healthcare (Basel). 2024; 12 (16): 1593. Available in: https://doi.org/10.3390/healthcare12161593
Bazargan M, Cobb S, Assari S. Completion of advance directivesamong African Americans and Whites adults. Patient Educ Couns.2021; 104 (11): 2763-2771. Available in: https://doi.org/10.1016/j.pec.2021.03.031
McIlfatrick S, Slater P, Bamidele O, Muldrew D, Beck E, Hasson F.‘It’s almost superstition: If I don’t think about it, it won’t happen’.Public knowledge and attitudes towards advance care planning: asequential mixed methods study. Palliat Med. 2021; 35 (7): 1356-1365. Available in: https://doi.org/10.1177/02692163211015838
García G. Tratados hipocráticos. España: Credos Juramentohipocrático. 1983.
Batista CC, Gattass CA, Calheiros TP, Moura RB. Individual prognosticassessment in the intensive care unit: can therapeutic persistencebe distinguished from therapeutic obstinacy? Rev Bras Ter Intensiva.2009; 21 (3): 247-254.
Herreros B, Moreno B, Pacho E, Real de Asua D, Roa CRA, ValentiE. Terminología en bioética clínica. Rev Med Inst Mex Seguro Soc.2015; 53 (6): 750-761.
Bonete M, Campos G. La muerte de los niños: Debates éticos entorno a la limitación del esfuerzo terapéutico. J Healthc Qual Res.2023; 38 (3): 180-185. Disponible en: https://doi.org/10.1016/j.jhqr.2022.11.010
Grupo de estudios de ética clínica de la Sociedad Médica de Santiago.Eutanasia y acto médico. Rev Med Chile. 2011; 139 (5): 642-654.Disponible en: https://doi.org/10.4067/s0034-98872011000500013
Gracia D. Fundamentos de bioética. Tricastela, Madrid. 2019.
Beauchamp T, Childress J. Principles of biomedical ethics. OxfordUniversity Press. 2001.
Torke AM, Fitchett G, Maiko S et al. The Association of SurrogateDecision Makers’ religious and spiritual beliefs with end-of-lifedecisions. J Pain Symptom Manage. 2020; 59 (2): 261-269. Availablein: https://doi.org/10.1016/j.jpainsymman.2019.09.006
Vatican News. El magisterio de la Iglesia Católica sobre la eutanasia.(2022, February 9). [Recuperado el 01 de septiembre de 2024].Disponible en: https://www.vaticannews.va/es/iglesia.html
Sandoval M, Muñoz J, Santos J, García M. Temas actuales enneurocirugía. En: Guinto BG. (Compilador). Instituto Mexicano delSeguro Social, México. 2024.
Kant I. Fundamentación de la metafísica de las costumbres[Fundamental Principles of the Metaphysics of Morals]. 1785.
Kutner L. The living will: coping with the historical event of death.Bayl Law Rev. 1975; 27 (1): 39-53.
Allner M, Gostian M, Balk M et al. Advance directives in patientswith head and neck cancer - status quo and factors influencing theircreation. BMC Palliat Care. 2022; 21 (1): 47. Available in: https://doi.org/10.1186/s12904-022-00932-5