Law on advance health care directives: a medical perspective

Clin Ter. 2018 Mar-Apr;169(2):e77-e81. doi: 10.7417/T.2018.2058.

Abstract

The paper's authors aim to elaborate on law 22 dicembre 2017, n. 219 , designed to regulate informed consent practices and advance health care directives", which has sparked a passionate debate centered on the substantial innovation achieved over the past decades in bio-medical science and at the same time, the noteworthy accomplishments made in enforcing human and personal rights. Within the paper, article three is delved into, which covers the creation of the so-called DAT ("Disposizioni anticipate di trattamento", advance health care directives), by which patients, in light of possible future incapacity to choose, can express their convictions and decisions on how to be treated and their consent or dissent to undergo treatments and procedures, including artificial nutrition and hydration. The authors peruse the new law's provisions through a medical perspective, and observe how they are heavily tilted towards patient choice, thus making doctors little more than mere tools of such decisions.

Keywords: Advance directives; Informed consent; Italian legislation; Living will; Principle of self-determination.

Publication types

  • Review

MeSH terms

  • Adult
  • Advance Directives / legislation & jurisprudence*
  • Aged
  • Aged, 80 and over
  • Attitude of Health Personnel
  • Female
  • Humans
  • Informed Consent / legislation & jurisprudence*
  • Italy
  • Male
  • Middle Aged
  • Physicians / psychology*