<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902021000301502</article-id>
<article-id pub-id-type="doi">10.29193/rmu.37.3.10</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ley de Voluntad Anticipada en Uruguay: una intención loable con algunas inconsistencias]]></article-title>
<article-title xml:lang="en"><![CDATA[Advance Directive Act in Uruguay: commendable intention with a few inconsistencies]]></article-title>
<article-title xml:lang="pt"><![CDATA[Lei de diretivas antecipadas de vontade no Uruguai: uma intenção louvável com algumas inconsistências]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borches Duhalde]]></surname>
<given-names><![CDATA[Frances]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Medicina Legal y Ciencias Forenses]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902021000301502&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902021000301502&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902021000301502&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La Ley Nº 18.473 y el Decreto que la reglamenta (385/013) fueron concebidos con la finalidad de dar un marco normativo a la posibilidad que tiene una persona de establecer sus preferencias sobre ciertos actos médicos cuando todavía es capaz de consentir, ejerciendo su autonomía de manera anticipada ante la eventual pérdida de capacidad de decisión. Por lo tanto, el hecho de llevar a cabo o no un procedimiento médico no dependerá de la capacidad de consentir de la persona en ese momento, esto es lo que la diferencia del consentimiento informado habitual.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Act 18.473 and Decree 385/013 which regulates it, were intended to provide a normative framework for individuals to state their preferences about certain medical acts when they are still capable of consenting to them, exercising their autonomy in advance, in light of the potential loss of their decision-making capacity. Therefore, the fact of performing or not a medical act, will not depend on the consent capacity of the individual at that precise moment, what differentiates it from the regular informed consent. This article aims to analyse the possible inconsistencies between what the law intended to achieve and what is actually authorized today. Certain aspects studied could at least partially explain why this norm is still very hard to enforce even after being effective for over 12 years.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A Lei nº 18.473 e o Decreto que a regulamenta (385/013) foram concebidos com o objetivo de dar um marco normativo à possibilidade de uma pessoa estabelecer suas preferências em relação a determinados atos médicos quando ainda está em condições de consentir; exercer previamente a sua autonomia perante a eventual perda da capacidade de decisão. Portanto, a realização ou não de um procedimento médico não dependerá da capacidade da pessoa de consentir naquele momento; isso é o que o torna diferente do consentimento informado usual. O objetivo deste artigo é analisar as possíveis discrepâncias que existem entre o que se pretendia alcançar ao criar a lei e o que realmente pode ser feito. Certos aspectos analisados poderiam explicar, pelo menos em parte, por que essa lei, que já tem mais de 12 anos de sua promulgação, continua sendo muito difícil de implementar.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ética]]></kwd>
<kwd lng="es"><![CDATA[Directivas anticipadas]]></kwd>
<kwd lng="es"><![CDATA[Voluntad en vida]]></kwd>
<kwd lng="en"><![CDATA[Ethics]]></kwd>
<kwd lng="en"><![CDATA[Advance directives]]></kwd>
<kwd lng="en"><![CDATA[Living wills]]></kwd>
<kwd lng="pt"><![CDATA[Ética]]></kwd>
<kwd lng="pt"><![CDATA[Diretivas antecipadas]]></kwd>
<kwd lng="pt"><![CDATA[Testamentos quanto à vida]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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