<?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>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732021000300214</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v37i3.12693</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Principlism in the daily practice of family medicine]]></article-title>
<article-title xml:lang="pt"><![CDATA[A ética principialista em medicina geral e familiar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caniço]]></surname>
<given-names><![CDATA[Hernâni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Susana Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silvestre]]></surname>
<given-names><![CDATA[Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACES Baixo Vouga USF Moliceiro ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ACeS Baixo Mondego UCSP Dr. Manuel Cunha ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Faculdade de Medicina da Universidade de Coimbra Instituto de Bioética ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<fpage>214</fpage>
<lpage>221</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732021000300214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732021000300214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732021000300214&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Principlism, from Tom Beauchamp and James Childress, is the most widely accepted theory in biomedical ethics. It is based on four principles: beneficence, non-maleficence, autonomy, and justice. These are part of a common moral serving general action guides to any clinician, including the family doctor. The main purposes of this review are to describe how Principlism can be applied to daily general practice and reflect on how bioethics&#8217; principles can improve the physician-patient relationship.  Methods:  We developed an integrative literature review, including conventions, declarations, treaties, textbooks, and scientific research articles. Three medical databases were selected to search through the medical literature with specific inclusion criteria. From a total of 2,352 potential articles, 161 were read and 21 were included in this review. The results were grouped into four categories: family medicine and the physician-patient relationship; respect for autonomy; non-maleficence and beneficence; and justice.  Results:  Family doctors play their professional role by promoting health, preventing disease, and providing cure, care, or palliation. This area may be faced with ethical dilemmas including the moment of obtaining informed consent, medical confidentiality, disease prevention, and the choice of complementary diagnostic tests and therapeutics. All these moral dilemmas arise in the context of a single interpersonal relationship, which is possibly the most therapeutic aspect of medical consultation.  Conclusions:  Despite all the technological innovation, moral conduct, and principles governing the profession of family doctors remains faithful to the principles of the FM specialty. In a context of a dehumanization threat and global discontent, it is essential to foster a growing humanization of primary health care and recover ethical values, to achieve an optimization of the physician-patient relationship, to deepen the level of understanding of "patient's needs and values" and finally to meet their expectations.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A ética principialista, de Tom Beauchamp e James Childress, constitui atualmente a teoria de maior aceitação na ética biomédica, fundamentada em quatro princípios: beneficência, não-maleficência, autonomia e justiça. Estes fazem parte de uma moral comum servindo de guias gerais de ação de qualquer médico, incluindo o médico de família (MF). Os principais objetivos desta revisão são descrever como o Principialismo se pode aplicar à prática diária da medicina geral e familiar (MGF) e refletir acerca de como os princípios da bioética podem melhorar a relação médico-doente (RMD).  Métodos:  Foi elaborada uma revisão integrativa da literatura, incluindo convenções, declarações, tratados, livros de texto e artigos científicos de investigação. Selecionaram-se três bases de dados e foram usados critérios de inclusão específicos. De um total de 2.352 artigos, 161 foram lidos e 21 incluídos. Os resultados foram agrupados em quatro categorias: MGF e RMD; respeito pela autonomia; não maleficência e beneficência; e justiça.  Resultados:  Os MF desempenham o seu papel profissional promovendo a saúde, prevenindo a doença e providenciando cura, cuidados ou paliação. Na prática clínica apresentam-se dilemas morais ao nível da obtenção do consentimento informado, da confidencialidade, da prevenção da doença e da escolha dos exames complementares diagnósticos e terapêuticos. Estes surgem no contexto de uma relação interpessoal única, que é possivelmente o aspeto mais terapêutico da consulta.  Conclusões:  Apesar de toda a inovação tecnológica, a conduta moral e de princípios que rege a profissão dos MF continua fiel aos princípios da especialidade de MGF. Numa era de desumanização e de descontentamento global, torna-se imprescindível fomentar uma crescente humanização dos cuidados de saúde primários e recuperar valores éticos, no sentido de alcançar uma otimização da relação médico-doente, aprofundando o nível de compreensão da &#8220;posição de doente&#8221; e indo ao encontro das suas expectativas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Bioethics]]></kwd>
<kwd lng="en"><![CDATA[Principlism]]></kwd>
<kwd lng="en"><![CDATA[Beneficence]]></kwd>
<kwd lng="en"><![CDATA[Physician-patient relationship]]></kwd>
<kwd lng="en"><![CDATA[General practice]]></kwd>
<kwd lng="pt"><![CDATA[Bioética]]></kwd>
<kwd lng="pt"><![CDATA[Principialismo]]></kwd>
<kwd lng="pt"><![CDATA[Beneficência]]></kwd>
<kwd lng="pt"><![CDATA[Relação médico-doente]]></kwd>
<kwd lng="pt"><![CDATA[Medicina geral e familiar]]></kwd>
</kwd-group>
</article-meta>
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