While in Western European countries, the end-of-life decisions have become a matter of public policy, this paper provides a detailed analysis of end-of-life decisions in Albania by focusing on instructional medical directives. The manuscript investigates the Albanian legal system, the documents published by the National Ethics Committee and the National Committee of Health, as the two main advisory public bodies on health issues, as well as the national medical jurisprudence and the Code of Medical Ethics. After emphasizing the importance of instructional medical directives and considering the international literature that has underlined the ethical principle of patient autonomy, this paper provides some policy suggestions. In the conclusion, this contribution highlights the importance of ad hoc rules governing instructional medical directives as well as the ethical principles and international literature as an instrument to fill the gap in the national system. In addition, particular attention is given to the application of ethical principles in end-of-life decisions in the current pandemic situation.

中文翻译：

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阿尔巴尼亚的临终决定：呼吁进行道德修订

虽然在西欧国家，临终决定已成为公共政策的问题，但本文通过关注教学医疗指示，对阿尔巴尼亚的临终决定进行了详细分析。手稿调查了阿尔巴尼亚的法律制度、国家伦理委员会和国家卫生委员会作为健康问题的两个主要咨询公共机构发布的文件，以及国家医学判例和医学道德规范。在强调了医学指导的重要性并考虑了强调患者自主伦理原则的国际文献后，本文提供了一些政策建议。在结论中，这一贡献突出了指导医学指令以及伦理原则和国际文献的临时规则作为填补国家系统空白的工具的重要性。此外，在当前的大流行情况下，特别注意在临终决定中应用伦理原则。