Subject(s)
Child Health Services/standards , Child Health/standards , Disasters , Emergencies , Global Health/standards , Adolescent , Child , Child Health Services/organization & administration , Child, Preschool , Europe , Humans , Infant , Infant, Newborn , International Cooperation , Pediatrics , Societies, MedicalABSTRACT
We had the opportunity to know a judicial decision in relation to a nonagenarian COVID-19 patient, which is clarifying regarding the complex issue of involuntary admission and involuntary treatment of the elderly. The judge authorized the involuntary admission but denied the possibility of imposing medical treatment against the will of the patient. This situation invites us to review the different types of involuntary admission that our legal system provides and how involuntary medical treatment is regulated according to its purpose and the patient's ability to decide. In the field of public health, the determining element to be able to impose any sanitary measure against the will of the patient is the risk to the health of the population. In the case presented, the judge rejects the possibility of authorizing medical treatment for not contributing anything from the point of view of public health. However, it does authorize involuntary admission as it is essential to guarantee isolation.
Subject(s)
COVID-19/therapy , Involuntary Commitment/legislation & jurisprudence , Involuntary Treatment/legislation & jurisprudence , Aged, 80 and over , Decision Making , Human Rights , Humans , Jurisprudence , Male , SpainABSTRACT
Spain is the European country where more assisted reproduction techniques (ART) are performed, reaching 9% of newborns. The objective of this article is to introduce the legal framework and to analyze some ethical questions, not without controversy, in relation to the anonymity of gamete donors and the concealment of origin by ART from their children. Spanish legislation establishes the relative anonymity of donors: both gamete recipients and born children have the right to obtain general information about them as long as their identity is not included, but in situations of risk to the life and health of the children allows your bankruptcy. Likewise, an unequivocal right to privacy and confidentiality of submission to the ART is established. The movement aimed at introducing in our country a legislative amendment that ends the anonymity of gamete donors is based on the right of those children to know their biological origin. Along with legal changes, the attitude of parents and professionals must gradually change towards more transparent and responsible communication, based on the experiences of adults conceived by these techniques, and those adopted. Building values such as trust and truth in the family relationships from responsibility requires placing the children, largely forgotten and the most vulnerable part, at the center of the debate.
Subject(s)
Confidentiality , Oocyte Donation , Adult , Confidentiality/ethics , Female , Germ Cells , Humans , Infant, Newborn , Oocyte Donation/ethics , Privacy , Spain , Tissue DonorsABSTRACT
La evolución de las tecnologías de la información y comunicación (en adelante TIC) en el ámbito sanitario ha dado lugar al fenómeno actual de la eHealth o eSalud, términos equivalentes al concepto de ciberespacio, pero referido exclusivamente a la salud. Fruto de la aparición de la web 2.0 se puede afirmar que nos encontramos ante un fenómeno mucho mayor que lo que sería el mero uso de tecnologías: estamos ante un verdadero cambio social dando lugar a la denominada Salud 2.0. La regulación jurídica de este ciberespacio exige 2 tipos distintos de normas. Unas que regulen el ciberespacio en sí mismo y otras los hechos que se realizan con el uso del mismo y a las que parece aplicable el derecho convencional. En este último caso nos estamos refiriendo a la aplicación del derecho ya existente a los actos realizados a través de las TIC, como es el caso de los actos médicos. Dentro de estos últimos también hay que distinguir 2 situaciones claramente diferentes: las responsabilidades profesionales derivadas de actos médicos ejecutados dentro del ejercicio profesional, llevado a cabo en el seno de las organizaciones sanitarias cuando se implanta el uso de las TIC y aquellos otros actos ejecutados de manera voluntaria y a título individual y privado, utilizando medios y dispositivos propios. Es en este tipo de actos donde la legalidad se ve generalmente conculcada respecto a la protección de datos y la intimidad de los pacientes, y a la vez los profesionales pueden incurrir en responsabilidades
The increasing use of Information and Communication Technologies (ICT) in the health setting has given rise to the current phenomenon of eHealth or eMedicine, terms equivalent to the cyberspace concept, but refer exclusively to health. Due to the appearance of Web 2.0 it can be stated that we are dealing with a phenomenon much greater than just using the technologies: we are facing a real social change, giving rise to that called Health 2.0. The legal regulation of this cyberspace requires two different types of rules. Some that regulate cyberspace itself, and others, the actions performed with its use and to those that appear applicable to conventional law. In this latter case, we are referring to the applying of already existing laws to actions performed using ICT, as is the case of medical actions. Within these latter situations, two clearly different ones have to be distinguished: the professional responsibilities arising from medical actions carried out within health organisation settings when the use of ICT is introduced, and those other actions carried out voluntarily, individually and privately, using personal media and devices. It is in these types of actions where the legality, as regards data protection and privacy of the patient, appears to be violated, and at the same time the professional may be held responsable
Subject(s)
Humans , Information Technology , Social Responsibility , Liability, Legal , Computer Security , TelemedicineABSTRACT
The increasing use of Information and Communication Technologies (ICT) in the health setting has given rise to the current phenomenon of eHealth or eMedicine, terms equivalent to the cyberspace concept, but refer exclusively to health. Due to the appearance of Web 2.0 it can be stated that we are dealing with a phenomenon much greater than just using the technologies: we are facing a real social change, giving rise to that called Health 2.0. The legal regulation of this cyberspace requires two different types of rules. Some that regulate cyberspace itself, and others, the actions performed with its use and to those that appear applicable to conventional law. In this latter case, we are referring to the applying of already existing laws to actions performed using ICT, as is the case of medical actions. Within these latter situations, two clearly different ones have to be distinguished: the professional responsibilities arising from medical actions carried out within health organisation settings when the use of ICT is introduced, and those other actions carried out voluntarily, individually and privately, using personal media and devices. It is in these types of actions where the legality, as regards data protection and privacy of the patient, appears to be violated, and at the same time the professional may be held responsible.
Subject(s)
Medical Informatics/ethics , Professional Practice/ethics , Social Media/ethics , Telemedicine/ethics , Humans , Medical Informatics/legislation & jurisprudence , Professional Practice/legislation & jurisprudence , Social Media/legislation & jurisprudence , Spain , Telemedicine/legislation & jurisprudenceABSTRACT
Cada vez es más frecuente que se produzcan peticiones de pacientes o de sus representantes relativas a que determinada información no quede registrada en la historia clínica o que, si ya lo está, se elimine. Sin duda esto es debido a que saben que a los historiales clínicos acceden numerosos profesionales que en muchas ocasiones no guardan una relación estrictamente asistencial con ellos y que de manera generalizada se copian antecedentes médicos que de forma innecesaria se reproducen en los diversos informes de alta o de asistencia. El problema produce situaciones de conflicto cuando los datos objeto de controversia hacen referencia a aspectos clínicos especialmente sensibles para la intimidad personal y familiar, como ocurre con las técnicas de reproducción asistida. Por ello, la pregunta que cabe formular es: ¿quién decide qué datos deben constar en la historia clínica y en función de qué criterios debe tomarse esa decisión? (AU)
There is an increasing request by patients or their representatives not to have some data registered in their clinical history or if such data exists to be deleted. Without doubt, this is so because such clinical data is accessed by various professionals who in most cases are not directly involved in caring for such patients. On the other hand, such data is copied and iteratively and unnecessary reproduced in various discharge reports and others forms. The problem arises when such controversial data refer to particularly sensitive clinical aspects such as assisted reproduction techniques, which invades personal and family privacy. Therefore, the question is who determines what data should be recorded in the medical records and according to what criteria should be taken that decision? (AU)
Subject(s)
Humans , Medical Records/standards , Privacy , Computer Security/standards , Reproductive Techniques, Assisted/standards , Ethical Analysis/methods , Personal Autonomy , Computer Security/ethics , Reproductive Techniques, Assisted/ethics , Delivery of Health Care/ethics , Delivery of Health Care/standardsABSTRACT
There is an increasing request by patients or their representatives not to have some data registered in their clinical history or if such data exists to be deleted. Without doubt, this is so because such clinical data is accessed by various professionals who in most cases are not directly involved in caring for such patients. On the other hand, such data is copied and iteratively and unnecessary reproduced in various discharge reports and others forms. The problem arises when such controversial data refer to particularly sensitive clinical aspects such as assisted reproduction techniques, which invades personal and family privacy. Therefore, the question is who determines what data should be recorded in the medical records and according to what criteria should be taken that decision?
Subject(s)
Confidentiality , Disclosure , Medical Records/standards , Oocyte Donation , Reproductive Techniques, Assisted , Spermatozoa , Tissue and Organ Procurement , Confidentiality/ethics , Decision Making , Female , Humans , Male , Patient Rights , Personal AutonomyABSTRACT
No disponible
Subject(s)
Humans , Education, Medical/trends , Health Sciences/education , Professional Competence , Specialization/trends , Professional Role , Internship and Residency/trendsABSTRACT
La medicina del deporte es una especialidad médica orientada al cuidado de la salud de la población general y de los deportistas de competición. Como actividad asistencial está sometida a las mismas exigencias legales que otras especialidades médicas. Sin embargo, también está sometida a la normativa de dopaje. En la actualidad existen diferentes documentos que registran la prescripción de fármacos. El objetivo de este trabajo es analizarlos documentos existentes y crear un modelo de consentimiento informado (CI) en la prescripción de fármacos en el deporte. Material y métodos: se analizan los distintos modelos genéricos: historia clínica y receta, libro de registro de prescripción, libro de salud y otros modelos particulares de consentimiento, en función de los criterios básicos del CI: información al deportista de la naturaleza del procedimiento terapeútico, riesgos, beneficios y alternativas de tratamiento. Resultados y discusión: la historia clínica es la base de toda atención médica y su legalidad está reconocida siempre que se detalle todos sus apartados. El libro de registro no contempla los criterios de Cl de tratamiento. El libro de salud incluye el listado de las sustancias dopantes pero no tiene en cuenta del resto de aspectos del CI. Por último, los modelos particulares analizados indican las sustancias dopantes pero no recogen, en cada prescripción, los criterios del CI. Por otro lado, proponemos un modelo de Cl para la prescripción de fármacos en medicina del deporte aceptado por el comité asistencial de ética del Hospital Central de Asturias. Conclusiones: la historia clínica es el documento básico de la atención médica. El documento propuesto de CI para la prescripción de fármacos en medicina del deporte cumple los criterios básicos de CI (AU)
Subject(s)
Humans , Drug Prescriptions/standards , Informed Consent/legislation & jurisprudence , Doping in Sports/prevention & control , Sports/legislation & jurisprudenceABSTRACT
No disponible
