{"id":"https://openalex.org/W7223966720","doi":"https://doi.org/10.64966/tlj-2026-v1-e12-es","title":"\u00bfAutonom\u00eda o paternalismo? Tensiones en la toma de decisiones sanitarias de adultos mayores en Chile","display_name":"\u00bfAutonom\u00eda o paternalismo? Tensiones en la toma de decisiones sanitarias de adultos mayores en Chile","publication_year":2026,"publication_date":"2026-10-27","ids":{"openalex":"https://openalex.org/W7223966720","doi":"https://doi.org/10.64966/tlj-2026-v1-e12-es"},"language":"es","primary_location":{"id":"doi:10.64966/tlj-2026-v1-e12-es","doi":"https://doi.org/10.64966/tlj-2026-v1-e12-es","is_oa":true,"landing_page_url":"https://doi.org/10.64966/tlj-2026-v1-e12-es","pdf_url":"https://api.index-360.com/static/article/pdf_1/23999/tlj-2026-v1-es-l.pdf","source":{"id":"https://openalex.org/S5407054825","display_name":"Tarapac\u00e1 Law Journal","issn_l":"3087-2480","issn":["3087-2480","3087-2545"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Tarapac\u00e1 Law Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://api.index-360.com/static/article/pdf_1/23999/tlj-2026-v1-es-l.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004139145","display_name":"Veronika Wegner Astudillo","orcid":"https://orcid.org/0009-0005-4357-2951","observed_orcids":["https://orcid.org/0009-0005-4357-2951"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Veronika Wegner Astudillo","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0005-4357-2951","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5004139145"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87319694,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"1","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.7035999894142151,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.7035999894142151,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.1851000040769577,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13275","display_name":"Medical and Health Sciences Research","score":0.026100000366568565,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.6650000214576721},{"id":"https://openalex.org/keywords/clinical-decision-making","display_name":"clinical decision-making","score":0.7639999985694885},{"id":"https://openalex.org/keywords/autonomy","display_name":"autonomy","score":0.5619999766349792},{"id":"https://openalex.org/keywords/paternalism","display_name":"paternalism","score":1.0},{"id":"https://openalex.org/keywords/long-term-care-facilities","display_name":"long-term care facilities","score":0.5879999995231628},{"id":"https://openalex.org/keywords/care-contracts","display_name":"care contracts","score":0.4779999852180481},{"id":"https://openalex.org/keywords/informed-consent","display_name":"informed consent","score":0.5370000004768372},{"id":"https://openalex.org/keywords/capacity","display_name":"capacity","score":0.40700000524520874},{"id":"https://openalex.org/keywords/elder-abuse","display_name":"elder abuse","score":0.6119999885559082},{"id":"https://openalex.org/keywords/physician-patient-relationship","display_name":"physician-patient relationship","score":0.6690000295639038}],"concepts":[{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.536899983882904},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.5034999847412109},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.28610000014305115},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2791999876499176},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.25760000944137573},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.21770000457763672},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.21400000154972076},{"id":"https://openalex.org/C3020299011","wikidata":"https://www.wikidata.org/wiki/Q626608","display_name":"Life insurance","level":2,"score":0.211899995803833},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.21089999377727509},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.1891999989748001}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64966/tlj-2026-v1-e12-es","doi":"https://doi.org/10.64966/tlj-2026-v1-e12-es","is_oa":true,"landing_page_url":"https://doi.org/10.64966/tlj-2026-v1-e12-es","pdf_url":"https://api.index-360.com/static/article/pdf_1/23999/tlj-2026-v1-es-l.pdf","source":{"id":"https://openalex.org/S5407054825","display_name":"Tarapac\u00e1 Law Journal","issn_l":"3087-2480","issn":["3087-2480","3087-2545"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Tarapac\u00e1 Law Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.64966/tlj-2026-v1-e12-es","doi":"https://doi.org/10.64966/tlj-2026-v1-e12-es","is_oa":true,"landing_page_url":"https://doi.org/10.64966/tlj-2026-v1-e12-es","pdf_url":"https://api.index-360.com/static/article/pdf_1/23999/tlj-2026-v1-es-l.pdf","source":{"id":"https://openalex.org/S5407054825","display_name":"Tarapac\u00e1 Law Journal","issn_l":"3087-2480","issn":["3087-2480","3087-2545"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Tarapac\u00e1 Law Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.6601999998092651,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions"},{"score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223966720.pdf","grobid_xml":"https://content.openalex.org/works/W7223966720.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7223835383","https://openalex.org/W2771953956","https://openalex.org/W7084305127","https://openalex.org/W4415993474","https://openalex.org/W3106999282","https://openalex.org/W2787291626","https://openalex.org/W2058945899","https://openalex.org/W1761067180","https://openalex.org/W3196498511","https://openalex.org/W7037006796"],"abstract_inverted_index":{"El":[0],"envejecimiento":[1],"acelerado":[2],"de":[3,29,36,59,61,68,80,83,96,98,102,104,117,120,133,147,149],"la":[4,50,57,66,78,94,115,118,139],"poblaci\u00f3n":[5],"chilena":[6],"ha":[7],"implicado":[8],"un":[9,46,121],"aumento":[10],"relevante":[11],"en":[12,17,27,49,77,93,138],"las":[13,69,89,126,152],"interacciones":[14],"m\u00e9dico-paciente,":[15],"que":[16,54,72,128,135],"cuanto":[18],"a":[19,45,56,65],"lo":[20],"jur\u00eddico":[21],"resultan":[22],"complejas,":[23],"generando":[24],"desaf\u00edos":[25],"importantes":[26],"materia":[28],"capacidad,":[30],"autonom\u00eda,":[31],"consentimiento":[32],"y":[33,53,125],"protecci\u00f3n":[34],"efectiva":[35],"sus":[37],"derechos.":[38],"Dado":[39],"este":[40],"escenario,":[41],"nos":[42],"interesa":[43],"referirnos":[44],"ac\u00e1pite":[47],"particular":[48],"problem\u00e1tica":[51],"sanitaria,":[52],"corresponde":[55],"toma":[58],"decisiones":[60,134],"los":[62],"pacientes":[63],"mayores,":[64],"luz":[67],"pr\u00e1cticas":[70,90],"contractuales":[71,91],"est\u00e1n":[73],"normalizadas":[74],"o":[75],"institucionalizadas":[76],"contrataci\u00f3n":[79,95],"ciertos":[81],"servicios":[82,97],"cuidado,":[84],"utilizando":[85],"como":[86,123,144],"caso":[87],"paradigm\u00e1tico":[88],"empleadas":[92],"cuidado":[99],"por":[100],"parte":[101],"Establecimientos":[103],"Larga":[105],"Estad\u00eda":[106],"para":[107],"Adultos":[108],"Mayores":[109],"(ELEAM).":[110],"En":[111],"particular,":[112],"se":[113,129],"examina":[114],"exigencia":[116],"comparecencia":[119],"tercero":[122],"\u201capoderado\u201d":[124],"facultades":[127],"le":[130],"atribuyen":[131],"respecto":[132],"inciden":[136],"directamente":[137],"esfera":[140],"personal":[141],"del":[142],"residente,":[143],"una":[145],"forma":[146],"manifestaci\u00f3n":[148],"violencia":[150],"contra":[151],"personas":[153],"mayores.":[154]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2026-10-28T00:00:00"}