Abstract:
Effective communication is a cornerstone of high-quality medical care. For deaf-mute patients, the absence of
a reliable verbal channel poses serious bioethical challenges, particularly regarding the respect of patient
autonomy, the integrity of informed consent, and diagnostic accuracy and precision. The study aimed to
identify and analyze bioethical challenges caused by communication barriers in the doctor-pacient relationship
with profound deafness, focusing on respecting autonomy. The study consisted of a documentary analysis of
international bioethical guidelines, national legislation, USMF Library articles, and WHO protocols. Recent
sources ( 2019-2024 ) were thoroughly examined using a quantitative comparative method, aiming to highlight
current trends and existing gaps in ethical practice. In 64% of the studies analyzed, diagnostic delays were
attributed to ineffective communication. Only 28% of institutions had access to sign language interpreters,
while informed consent was correctly obtained in just 36% of cases. Written communication proved effective in
just only 31% of interactions. The lack of structured communication protocols and insufficient staff training
were associated with decreased patient satisfaction and a higher risk of malpractice. No quantitative statistical
tools were used, as the study relied entirely on qualitative analysis, focused on the ethical context and
interpretive depth. The hypothesis was confirmed: communication barriers negatively affect ethics in medical
practice, impacting the quality of care. Clear communication protocols, staff training, and expanded access to
specialized interpreters for profoundly deaf patients are urgently recommended.
