{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:41:25Z","timestamp":1791636085075,"version":"4.3.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2019,12,4]]},"abstract":"<jats:p>Italian Law no. 219\/2017 established the advance care directives (\u201cDisposizioni anticipate di trattamento\u201d \u2013 DAT), a legal document specifying the person's wishes in relation to health, drawn up in case of the possible future incapacity to make informed decisions. DAT are an important instrument of empowerment for a person who is not necessarily a \u201cpatient\u201d and enable the dialogue between healthcare providers and patient to continue when the latter is no longer able to take part consciously. DAT can only be implemented by guaranteeing the fundamental rights of the person, i.e. by ensuring the \u201cnon-complicated\u201d use of this instrument and easy access to the DAT whenever it may be necessary. Furthermore, on the one hand, the requirement of adequate prior medical information has to contend with the fact that the wishes expressed in the document may have been formed outside of the therapeutic relationship; on the other hand, institutions must ensure that DAT are collected and recorded in such a way as to ensure their availability whenever and wherever necessary.<\/jats:p>","DOI":"10.4081\/jphr.2019.1675","type":"journal-article","created":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T22:42:25Z","timestamp":1575499345000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Advance Care Directives: Citizens, Patients, Doctors, Institutions"],"prefix":"10.1177","volume":"8","author":[{"given":"Paola","family":"Delbon","sequence":"first","affiliation":[{"name":"Department of Surgery, Radiology and Public Health, Public Health and Humanities Section, University of Brescia"},{"name":"Centre of Bioethics Research, University of Brescia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Cacace","sequence":"additional","affiliation":[{"name":"Department of Law, University of Brescia, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adelaide","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Radiology and Public Health, Public Health and Humanities Section, University of Brescia"},{"name":"Centre of Bioethics Research, University of Brescia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,12,1]]},"reference":[{"key":"bibr1-jphr.2019.1675","first-page":"97","volume":"3","author":"Delbon P.","year":"2018","journal-title":"J Public Health Res"},{"key":"bibr2-jphr.2019.1675","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4081\/jphr.2014.392","volume":"3","author":"Delbon P","year":"2014","journal-title":"J Public Health Res"},{"key":"bibr3-jphr.2019.1675","unstructured":"Cacace S. La nuova legge in materia di consenso informato e DAT: a proposito di volont\u00e0 e di cura, di fiducia e di comunicazione, Rivista Italiana di Medicina Legale. 2018: 937."},{"key":"bibr4-jphr.2019.1675","unstructured":"Consiglio di Stato. Adunanza della Commissione speciale del 18 luglio 2018, n. 01298\/2018. Ministero della salute. Richiesta di parere in materia di consenso informato e di disposizioni anticipate di trattamento. Available from: https:\/\/www.giustizia-amministrativa.it\/documents\/20142\/213992\/DAT.pdf\/d7a3908b-c009-0baa-82f7-bcbda67d104f."},{"key":"bibr5-jphr.2019.1675","first-page":"54","volume":"1","author":"Pizzetti FG","year":"2018","journal-title":"219, BioLaw Journal \u2013 Rivista di Biodiritto"},{"key":"bibr6-jphr.2019.1675","unstructured":"Comitato Nazionale per la Bioetica. Dichiarazioni anticipate di trattamento. 18 dicembre 2003. Available from: http:\/\/bioetica.governo.it\/media\/1869\/p58_2003_dichiarazioni_anticipate_trattamento_it.pdf"},{"key":"bibr7-jphr.2019.1675","unstructured":"Consiglio Nazionale del Notariato. Le disposizioni anticipate di trattamento. Studio n. 136-2018\/C, approvato nella seduta del 25-26\/10\/2018. Available from: https:\/\/www.notariato.it\/sites\/default\/files\/136-2018-C.pdf."},{"key":"bibr8-jphr.2019.1675","unstructured":"Penasa S. La disciplina delle dichiarazioni anticipate di trattamento nella legge 219\/2017: spunti dal diritto comparato. Available from: http:\/\/www.dirittoesalute.org\/wp-content\/uploads\/2018\/12\/19_penasa_ladisciplinadelledichiarazioni.pdf."},{"key":"bibr9-jphr.2019.1675","first-page":"97","volume":"2","author":"Baldini G","year":"2018","journal-title":"219\/17, BioLaw Journal \u2013 Rivista di Biodiritto"},{"key":"bibr10-jphr.2019.1675","unstructured":"Zatti P. Spunti per una lettura della legge sul consenso informato e DAT. Available from: http:\/\/www.rivistaresponsabilitamedica.it\/wp-content\/uploads\/2018\/01\/paolo-zatti-spunti-peruna-lettura-della-l-n-219-2017.pdf."},{"key":"bibr11-jphr.2019.1675","first-page":"65","volume-title":"Sistema giuridico latinoamericano. Summer School (Brescia, 9-13 luglio 2018)","author":"Cacace S","year":"2019"},{"key":"bibr12-jphr.2019.1675","first-page":"71","author":"Cacace S","year":"2019","journal-title":"La relazione di cura dopo la legge 219\/2017. Una prospettiva interdisciplinare. Pacini Giuridica"},{"key":"bibr13-jphr.2019.1675","unstructured":"Garante per la protezione dei dati personali. Parere su uno schema di decreto recante l'istituzione presso il Ministero della Salute di una Banca dati nazionale destinata alla raccolta delle disposizioni anticipate di trattamento (DAT) - 29 maggio 2019 [9117770]. Available from: https:\/\/www.garanteprivacy.it\/web\/guest\/home\/docweb\/-\/docweb-display\/docweb\/9117770&zx=gzjds6c02oky."},{"key":"bibr14-jphr.2019.1675","unstructured":"Cacace S. Autodeterminazione in Salute. 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