Trajectory of an ethics committee in primary health care

Abstract

Primary health care is an essential health strategy and represents the basis of the Chilean health
system. The comprehensive health care model transitions from an entrenched paternalistic clinical
relationship to respect for autonomy and a rights-based approach. This transition entails ethical
conflicts in any provider network; however, these have been little addressed at the first level of care.
This study investigated the case of a Health Care Ethics Committee in the O’Higgins region of Chile.
For this purpose, reports and opinions from a seven-year period were analyzed. The main results show
the use of Diego Gracia’s deliberative method and the approach to conflicts related to autonomy and
confidentiality. The institutionalization of health care ethics committees is considered relevant since
they intersect with quality and person-centered care.