<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2023000200023</article-id>
<article-id pub-id-type="doi">10.24950/rspmi.1521</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Morte Provocada a Pedido do Próprio, Opinião de Sócios da SPMI]]></article-title>
<article-title xml:lang="en"><![CDATA[Provoked Death at Request of the Person, Opinion of SPMI Associates]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[Antonio H.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanches]]></surname>
<given-names><![CDATA[Ana R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Nuno R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital da Luz Arrábida Departamento de Medicina, Urgência e UCI ]]></institution>
<addr-line><![CDATA[Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Sociedade Portuguesa de Medicina Interna (SPMI) Membro do Secretariado do Núcleo de Estudos em Bioética (NEBio) ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Médio Tejo Serviço de Medicina ]]></institution>
<addr-line><![CDATA[Abrantes ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital da CUF Tejo Serviço de Medicina ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>30</volume>
<numero>2</numero>
<fpage>23</fpage>
<lpage>33</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2023000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2023000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2023000200023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A iniciativa da Assembleia da República Portuguesa para aprovar a lei que &#8220;&#8230; regula as condições especiais em que a morte medicamente assistida não é punível&#8221; trouxe à discussão um conceito novo para os Portugueses: a morte provocada a pedido do próprio. O diploma pretende balizar as condições de acesso a este procedimento, nomeadamente no enquadramento de admissão, trâmites e principais intervenientes. Os médicos são diretamente implicados neste novo ato médico. É necessário conhecer o que pensam e consideram ser necessidades de informação e formação. O Núcleo de Estudos em Bioética da SPMI promoveu um inquérito de opinião aos internistas Portugueses sobre a clareza dos termos utilizados nos Projetos-Lei, a congruência com restante ordenamento jurídico e ético da profissão e sobre as necessidades formativas neste âmbito. Cerca de 42% dos respondentes mostrou indisponibilidade para envolvimento neste novo ato médico. As condições clínicas suscetíveis de acesso ao procedimento não são de significado claro para mais de 70%-80% dos res-pondentes, conforme os termos definidos na lei: &#8220;lesão definitiva de gravidade extrema&#8221;, &#8220;lesão grave ou incurável&#8221; e &#8220;sofrimento de grande intensidade&#8221;. Menos de 16% consideram que o Portugal oferece bons cuidados em fim de vida e que a solicitação da morte provocada a pedido do próprio não constitui critério de prioridade de acesso a Cuidados Paliativos. O presente estudo feito com Internistas portugueses identifica dúvidas, dificuldades e revela opiniões dos respondentes, muitas vezes com visões contrárias. Os dados apurados ajudam a perceber o problema e dão pistas para futuras investigações e desenvolvimentos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The Portuguese Parliament recently approved the law that &#8220;&#8230; regulates the special conditions in which medically assisted death is not punishable&#8221; and created a new concept for the Portuguese: death provoked at the request of the person. The diploma intends to rule the conditions for access to this procedure, namely the framework of admission, procedures and main players. Physicians are directly involved in this new medical act. It is necessary to know what they think and consider to be their information and training needs. The Núcleo de Estudos de Bioética of the SPMI carried out an opinion survey among Portuguese internists on the cla-rity of the terms used in the law, their consistency with the rest of the legal and ethical system of the profession and on the training needs in this area. About 42% of the respondents showed unavailability to get involved in this new medical act. The clinical conditions susceptible to access to the procedure are not of clear meaning for more than 70% of the respondents, according to the terms defined in the law: &#8220;definitive injury of extreme gravity&#8221;, &#8220;serious or incurable injury&#8221; and &#8220;suffering of great intensity&#8221;. Less than 16% consider that Portugal offers good end-of-life care and that the request for death provoked at one's own request does not constitute a priority criterion for access to Palliative Care. The present study carried out with Portuguese internists identifies doubts, difficulties and reveals the opinions of respondents, often with opposing views. The collected data help to understand the problem and give clues for future investiga-tions and developments.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Cuidados Terminais]]></kwd>
<kwd lng="pt"><![CDATA[Eutanásia]]></kwd>
<kwd lng="pt"><![CDATA[Suicídio Assistido.]]></kwd>
<kwd lng="en"><![CDATA[Euthanasia]]></kwd>
<kwd lng="en"><![CDATA[Suicide, Assisted]]></kwd>
<kwd lng="en"><![CDATA[Terminal Care.]]></kwd>
</kwd-group>
</article-meta>
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