Introduction.

The objective of this reflection article is to study the deliberative method for decision making in clinical bioethics presented by Diego Gracia, one of the most recognized voices in the field of Spanish bioethics. In this article the following aspects of his proposal will be analyzed: the bioethical fundamentals, deliberation, human project, moral act, the decision-making method, the difficulties for the deliberation and criticism of this method.

Methods.

The epistemological foundation of this research is interpretive, the qualitative approach, the analytical design and the research technique used in the documentary analysis. The categories of analysis of this study were: bioethical foundation, deliberation, human project, moral act, method of decision making, difficulties for deliberation and criticism of this method.

Results.

The most important contributions of this proposal are: a) the evaluation of the clinical history as the main subject for the clinical case study and analysis; b) the recognition of prudent deliberation as the main axis for the study of problematic situations; c) the study that is made of the intrinsic and extrinsic difficulties that can make difficult or obstruct the deliberative process; and d) the proposed methodology is clear and simple to identify and select moral problems to study and courses of action for their resolution.

Discussion.

It is to recognize the work of Diego Gracia as one of the most important contributions made to the study of decision-making methods in clinical bioethics in Spanish, which is a useful tool in the construction and enrichment of knowledge in this field for health professionals and clinical bioethics committees.

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