This study focused on some of the most important aspects of ethics in the healthcare industry and examined the relevance of the system created to evaluate ethical healthcare practices in the public sector. The research included developing a conceptual model representing variables that influence ethics in public healthcare services in Portugal, using fuzzy cognitive mapping to facilitate the identification of the most significant variables. This method is a well-established decision problem-structuring tool that allows experts to define cause-and-effect relationships between variables and make decisions. The insights obtained were generated in face-to-face group meetings with experts in the public healthcare sector, showing that professional profiles, management, team relationships, external factors, equity principles, and respect are among the most relevant determinants of ethical healthcare. That is, these criteria are the most commonly applied standards in analyses of ethical practices in public healthcare services. The resulting assessment framework and its applicability were validated by both the panel of experts and the chairperson of the board of directors of S. Francisco Xavier Hospital in Lisbon, Portugal. The advantages and limitations of the analysis developed in this study are also discussed.

中文翻译：

---

使用模糊认知映射分析公共医疗保健部门的伦理实践

本研究侧重于医疗保健行业道德的一些最重要方面，并检查了为评估公共部门的道德医疗实践而创建的系统的相关性。该研究包括开发一个概念模型，代表影响葡萄牙公共医疗保健服务伦理的变量，使用模糊认知映射来促进识别最重要的变量。这种方法是一种成熟的决策问题结构化工具，允许专家定义变量之间的因果关系并做出决策。获得的见解是在与公共医疗保健部门专家的面对面小组会议中产生的，表明专业概况、管理、团队关系、外部因素、公平原则和尊重是道德医疗保健最相关的决定因素。也就是说，这些标准是公共医疗保健服务伦理实践分析中最常用的标准。由此产生的评估框架及其适用性得到了葡萄牙里斯本 S. Francisco Xavier 医院的专家小组和董事会主席的验证。还讨论了本研究中开发的分析的优点和局限性。