Maestría en Derecho Médico

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Alternativas del derecho médico en los casos de oposición al trasplante de células progenitoras hematopoyéticos menores de edad en Colombia
(Universidad Santiago de Cali, 2018) Colonia García, Maira Alejandra; Chávez Vivas, Mónica
When a child presents a chronic disease, terminal and scarce treatment options, advances in science, research and technology, can provide options that are not yet certain to be successful in its entirety. Bone Marrow Transplantation (BMT) has become, in recent decades, the best alternative not only for patients undergoing high doses of chemotherapy in the treatment of hemato-oncological diseases, but also for high-risk patients in Colombia and in the world. However, the parents of these do not always agree with this innovative treatment and hematopoietic transplants must be seen also under the bioethical and legal view. For this reason, a systematic documentary review of the national and international bibliography was carried out in the context of medical law in the ProQuest, Scopus, EBSCOHost, PubMed and Redalyc databases. Articles and documents were taken in both Spanish and English, published in the last 17 years, that is, from 2000 to 2017, and that were freely accessible. In addition to the above, normative and jurisprudential information of Colombia was taken, related to the topic, regardless of the year. The bibliographic search focused on two key points: existing legislation and jurisprudence regarding the rights of children and opposition to medical treatment, legal medical experiences in cases of opposition to treatment and alternatives to legal medical solutions when there is opposition to transplant treatment.
Analisis de la posición de garante del médico en la sentencia sp 8759 del 2016 de la corte suprema de justicia sala de casación penal, bajo una perspectiva de la responsabilidad del equipo médico
(Universidad Santiago de Cali, 2024) gonzalez marquez, Claudia eliana
This research article aims to critically analyze the reasons and foundations of the Supreme Court of Justice regarding the position of guarantor of a pathologist, it will be a basic research, reviewing the literature available in the databases, Google Scholar, Dialnet , v/lex to obtain the available literature on the responsibility that has been established so far and the forms of derivation of responsibility in the care process of the medical group, within the framework of qualitative research, make a critique of the position of guarantor, reviewing the scope of the principle of trust in the delegation of functions, the role of the treating physician or team leader and also their responsibility for their errors. Additionally, the forms of delegation of work and responsibility in health care teams are reviewed, in their horizontal and vertical forms, expanding the concept of supervision or supervigilance that can be applied to the leaders of care teams. in order to demonstrate the extension of the position of guarantors to all members of a group involved in the patient care process and the scope of the limitation of responsibility under the principle of trust
Análisis de la responsabilidad médica en casos de embarazos con amenaza de parto pre-término, después de la semana 34, ante la ausencia o error en el consentimiento informado
(Universidad Santiago de Cali, 2018) Trúquez Cerón, Lilia María
the obstetric acts can derive both ethical and legal responsibilities. Faced with this, informed consent is a legal instrument that guarantees that the principles that guide the ethics of the health professional and the rights of the patient are not violated. The lack of knowledge on the part of the care and administrative staff of the characteristics, elements and importance of this legal requirement produces an excess in the claims against these professionals. This article presents a reflection on the ethical implications and the legal consequences of the omission or error in the application of informed consent, particularly when dealing with cases of pregnancy with threatened pre-term delivery, after week 34. In This specific period of embryonic development presents some variables that should be noted; On the one hand, it is essential that the pregnant woman be correctly informed about the clinical conditions and possible treatments; on the other hand, it is important that the trafficker considers the possible physiological consequences and consigns them in the informed consent. Now, the main conclusion of this reflective exercise is that the knowledge of the responsibility (ethical and legal) that implies the omission or the errors in the informed consent can diminish the demands to the professionals of the health whenever it implies an awareness of the importance of preserving the principles (dignity and autonomy) and compliance with legal requirements.
Análisis jurídico de la atención integral del cáncer infantil en la ciudad de Popayán desde el año 2019 al 2023
(Universidad Santiago de Cali, 2023) Meneses Mosquera, Alicia
Pediatric cancer, one of the leading causes of mortality among children and adolescents globally, has seen improvements in survival rates due to advancements in diagnosis and treatment, according to the WHO. The study aims to analyze the comprehensive care of pediatric cancer in Popayán, with a focus on mapping the current regulations in Colombia on this matter. It addresses the identification and tracking of regulations related to pediatric cancer care, as well as the functioning of the healthcare system in these cases and governmental progress in information and coverage. The research also delves into the analysis of legal decisions related to pediatric cancer cases, seeking to understand how the General System of Social Security in Health (SGSSS) handles these cases and what recurring issues exist. Finally, an assessment is made to determine if Popayán has the necessary conditions, both in hospital facilities and in local and national regulations, to effectively address cancer cases, especially in children. This is considered a highly complex health issue that requires prompt treatment and efficiency from local health institutions.
Análisis jurídico del reconocimiento del derecho a la salud en Colombia
(Universidad Santiago de Cali, 2018) Calderón Ibata, Esain; Yantén Cabrera, Diego Fernando
Análisis jurisprudencial en relación a la carga probatoria en los procesos de responsabilidad odontologica en el departamento del Valle del Cauca de los años 2005 al 2013
(Universidad Santiago de Cali, 2016) Adams Suarez, Ivonne Ledy; Valencia, Henry
Análisis jurisprudencial en torno al acceso a tecnologías no incluidas en el plan de beneficios en salud con cargo a la UPC
(Universidad Santiago de Cali, 2022) Cañas González, Jorge Eduardo; Cano Sterling, Andrés Felipe
The normative progressivity to the health system seeks to promote user accessibility to technologies and services for their care, but it is necessary to analyze whether the implementation of said regulations to technologies and platforms apply these principles or if, on the contrary, the policies adopted by the agents that intervene in the system favor access obstacles. The Honorable Constitutional Court has ruled that there are technologies and services that, although they do not have a therapeutic impact, guarantee that the patient has a better quality of life. But such accessibility would omit criteria such as the exhaustion of therapeutic possibilities contemplated in the PBS, relevance, among others. These technical criteria must be observed and should not be taken as access barriers to be overcome through the tutela action, which leads to a debate in which principles and the protection of rights will always prevail, without the possibility of assessing the technical aspects before the urgency of the terms of the guardianship. Under the premises or sub-rules set forth for the recognition of inputs and services not included in the health benefits plan charged to the capitation payment unit (NOPBSUPC), budget ceilings and maximum budgets assigned to Health Promotion Companies have been adopted. Health for the management of these technologies, as well as those covered by a guardianship ruling, but the high demand for these has led to a lack of financing that could become an access barrier due to the possibility of causing a financial imbalance that would have repercussions on the system
Análisis jurisprudencial sobre topes indemnizatorios para la tasación del perjuicio al derecho a la salud en los procesos de responsabilidad administrativa en Nariño y Caldas
(Universidad Santiago de Cali, 2018) Rengifo Rengifo, Juan Carlos; Guerrero Moreno, Alvaro Alfonso
The following review of the topic, intends to determine the incidence of the ruling of unification of the Council of State on compensation ceilings for the assessment of the damage to health in processes of state administrative responsibility in Nariño and Caldas during the months of January 2015, for this purpose, it is necessary to compare the health damage assessment model in judgments prior to August 28, 2014 with the information contained in the documents issued by the State Council and the Administrative Court of Nariño from 2015, in turn to identify the tendencies of valuation of damages of the unification sentences of the Council of State. Establish the results against the appraisal of damages in judgments subsequent to the decision of the Council of State of August 28, 2014
Aspectos jurídicos en torno al procedimiento de la eutanasia en Colombia en el año 2018
(Universidad Santiago de Cali, 2020) Arboleda Bonilla, Jennifer; Guerrero Moreno, Álvaro Alfonso
Euthanasia is a practice that has developed since the beginning of civilization. It is a procedure that terminates an individual's biological functions for the purpose of eliminating suffering or pain that cannot be effectively treated. This procedure is carried out after the express manifestation of the will of the passive subject. In that order of ideas, the present article contains a series of reflections about the elements that configure this practice and, specifically, those of a legal nature. In Colombia, this issue has been the subject of debates that are frequently revived. 3 The arguments for and against it have guided both the legislator and the Constitutional Court in a series of actions that today shape the regulation of euthanasia as a practice charged with pity and compassion for those who suffer. The objective of this article is to show the importance of these debates and the way in which the Colombian legal system assumes euthanasia as a compassionate act. The main conclusion of this research task is that the right to life and the principle of human dignity must be present in any analysis of euthanasia and assisted suicide. It is from the understanding of these two concepts that the actions of the State in relation to the various cases in which euthanasia and suicide are investigated are constituted
Caracterización de las demandas por responsabilidad médica, falladas por el tribunal contencioso administrativo de Quindío, en el periodo 2016-2020
(Universidad Santiago de Cali, 2022) Mendoza Salazar, Julio Cesar; Guerrero, Álvaro Alfonso
This research with a qualitative approach and descriptive scope, seeks to analyze the claims for alleged medical responsibility, ruled by the Contentious Administrative Court of Quindío, period 2016-2020, raising a series of conclusions regarding the problem to be investigated. In Colombia, in the last decade lawsuits for alleged liability in health have increased, in the department of Quindío this phenomenon has not gone unnoticed, as a result of lawsuits for medical liability, state social enterprises, EPS and territorial entities health, have had to allocate a considerable budget for the payment of lawsuits against them. The reasons for which the different actors in the health system are condemned are diverse, among them we find negligence, inexperience, recklessness and non-adherence to regulations; others of an administrative nature, such as lack of coverage, lack of access, opportunity and security in the provision of services, non-delivery of medicines or authorization of procedures, along many other situations that explain the judicial congestion. It is considered important to analyze the health claims presented in the department of Quindío, to establish a clear panorama of this phenomenon since there is no similar study. In this way, the system actors will know what the etiology of the demands is, allowing the initiation of improvement plans in the health care and administrative care processes, which ultimately results in a benefit for the user and management of financial risk in health. As a result of this investigative exercise, a series of interesting data is delivered that allows us to understand both the genesis, as well as those characteristics of the health actors that, in one way or another, are related to the medical act and the provision of health services in the department of Quindío
Concomitancia y responsabilidad restringida del profesional de la medicina en el acto médico complejo
(Universidad Santiago de Cali, 2020) Hernández García, John Fredy; Quintero Calvache, Juan Carlos
This article aims to show that the concomitance in the complex medical act restricts the responsibility of the medical professional against failures in the decisions adopted for the treatment of the patient. From a qualitative approach, an analysis of the Colombian doctrine and jurisprudence that treats the concomitant acts within the annexed functions that integrate the so-called medical care will be made. It is tried to establish that the responsibility derived from the complex medical act is not exclusive to the doctor, since the concomitance in the complex medical act conditions the decisions regarding the diagnosis of the diseases, treatment and surgical interventions. It is concluded that the responsibility of the doctor is not absolute by virtue of the actions that take place in the midst of the complexity and the number of individuals that today participate in patient care.
Derechos que se vulneran frente al acceso a la prestación de la rehabilitación de pacientes con pie diabético
(Universidad Santiago de Cali, 2018) Hurtado Garzon, Claudia Patricia
The purpose of the present investigation come up from the question about the relationship between the concept of misleading advertising and medical responsibility in cosmetic surgeries. The way in which some aesthetic clinics offers their services not always is the appropriated one, this causes that the costumers incurs in the error. This practice is known as misleading advertising. This type of advertising not only focuses on promoting their services in a vehement, attractive way, as it happens in exaggerated advertising, but it has the purpose of deceiving the consumer. However, when is the offered service a cosmetic surgical procedure, whose responsibility is configured from the expected result, the damage goes beyond the physiological and leave a psychological mark
Desconocimiento y omisión del consentimiento informado en el derecho a morir dignamente en Colombia para niños, niñas y adolescentes 2018
(Universidad Santiago de Cali, 2018) Rubio Ramos, Mayra Alejandra; Álvarez Viera, Pedro
The children of Colombia did not have the constitutional protection provided since 2014 when the constitutional court ordered the Ministry of Health that within a period not exceeding six months to regulate everything necessary in relation to euthanasia as a medical procedure authorized by the entities health providers for the affiliates of the system. Objective: to determine the components that highlight the importance of informed consent in the right to die with dignity in Colombia applied to children and adolescents Methodology: it was based on carrying out a search of articles, books, sentences, films, using dignified death as a key word from the different philosophical, political, cultural and religious perspectives that allow a broad approach to the subject and future arguments of the author. Result: Judgment analysis and concepts Conclusion: The proposal was prepared in compliance with judgment T-544 of 2017, in which the Constitutional Court ordered the Ministry "the urgent issuance of the regulation that guarantees the right to death worthy of the children and adolescents. Keywords: Euthanasia, Children, Adolescents, Recognition, Kids Rights
La determinación médica del estado grave por enfermedad y el derecho a la salud de las personas privadas de la libertad en Colombia
(Universidad Santiago de Cali, 2018) Laverde González, Santiago
In this article we detail the elements that intervene in the determination of the grave state due to illness in a person deprived of liberty are particularized, starting from the jurisprudential precedent that in Colombia has been dictated with respect to the rights of the recluses we extend ourselves in the law of health, to analyze the obligation of the State to provide this population group with adequate protection of that specific right, especially the participation of some of the state institutions in penitentiary and prison policy to guarantee timely medical care and specifically the Preponderant action by the Institute of Legal Medicine in the development of regulatory frameworks that serve as a basis for medical professionals who issue the foundational concepts of a judge's decision to grant the benefit of home detention as a measure to prevent the continued deterioration of their health . It is intended, therefore, to present in a comprehensive manner the need to establish within the judicial field effective respect for the scientific autonomy of physicians
“Efectos jurídicos generados por las fallas en la prestación de servicios de salud y análisis de informes periciales de responsabilidad profesional en salud del instituto nacional de medicina legal y ciencias forenses durante el periodo de 2012 a 2015 en la ciudad de Cali: construcción de modelos de atención pericial diferencial por tipo de proceso”
(Universidad Santiago de Cali, 2016) Ramírez Obando, Jesús Eduardo; Sandoval Mondragon , Carlos Julio
Desde el ejercicio profesional como Médico y Maestrante en Derecho Medico, considero necesario y pertinente una revisión que desde el enfoque de salud y justicia, facilite a los peritos y en general al personal de operadores judiciales un acercamiento conceptual y técnico a los procesos jurídicos derivados de insatisfacción en la prestación de servicios de salud. Se busca entonces que mediante un enfoque multidisciplinario, no solo se dimensione las consecuencias jurídicas en el ejercicio de la profesión, sino la revisión y análisis de cómo se presta el servicio ajustado a las normas propias del sistema de seguridad social en salud de Colombia. Partiendo del posible daño, que se ocasione mediante la actividad terapéutica en salud, se hace menester también identificar los procesos y herramientas diversas que desde lo jurídico buscan generar la simetría entre los derechos y obligaciones que interactúan entre el profesional en salud y su paciente. Si bien es cierto, la Constitución de 1991 reconoce a todos los habitantes del territorio nacional el derecho a elegir una profesión u oficio en su artículo 26, también es cierto que el ejercicio de un derecho conlleva obligaciones, y la violación de estas genera responsabilidades, al punto que la misma constitución del 91 en su artículo 95, se expresa como deber de todo ciudadano, el tener en cuenta que el ejercicio de los derechos y libertades consagrados en la constitución implica el respeto por los derechos ajenos y el no abuso de los propios, siendo ésta una forma de la consagración de la máxima de la responsabilidad civil, que implica el deber de todas las personas de no causar daño, y en caso de causarlo, el deber correlativo de tener que repararlo. (Const., 1991, art. 26 y 95) Es necesario generar espacios de discusión interdisciplinar sobre una temática conjunta, pues acerca el saber y el saber hacer al respeto por los derechos ajenos y no abusar de los propios, adquiere una mayor dimensión para los profesionales de la salud, en tanto y cuanto en sus manos se ha encomendado la salvaguarda de la vida e integridad de todas las personas, adquiriendo de esta manera el Derecho a la salud, un carácter de derecho fundamental por estar intimamente ligado a la dignidad humana, lo cual implica para los profesionales de la medicina, un mayor compromiso en el ejercicio de su profesión, partiendo precisamente del reconocimiento de esa dignidad humana en el paciente, entendiendo y reconociendo en ellos unos verdaderos sujetos de derechos que en caso de no ser respetados, implican para el profesional, la obligación entre otras de reparar los daños que se hayan ocasionado.
Efectos médicos legales generados por la aplicación de la normatividad existente con respecto a la evaluación de la "grave enfermedad o muy grave incompatible con la vida en reclusión formal" centro de reclusión de la 40-Pereira Risaralda. 2008-2012
(Universidad Santiago de Cali, 2016) Díaz Betancurth, Gabriel; Macana, Marco Antonio
Eficacia probatoria de las historias clínicas en los procesos judiciales que implican responsabilidad por muerte neonatal
(Universidad Santiago de Cali, 2020) Murillo Mosquera, Maricel; Daza Arana, Jorge Enrique
The obstetric-gynecologist (OBGYN) specialist and the personnel involved in the care of the newborn, can be legally liable in cases of neonatal death; in the medical record all the exams, assessments and procedure descriptions must be recorded, this document is private and therefore constitute documentary evidence as part of acquis in all types of legal proceedings. The general objective: identify the evidential efficacy of the medical records in the legal proceeding that imply responsibility for neonatal death in Colombia. Methodology: casuistry was performed with analysis and interpretation of sentences for lawsuits with medico-legal implications in OBGYN for neonatal death. Results: in one of the cases, the mother visited the health center (EPS) in five different occasions without providers foreseeing the existence of the cephalo-pelvic incompatibility of the fetus. In the second case, an ultrasound taken a month earlier with obvious evidence of coiling of the umbilical cord in the uterine cistern is not taken in consideration and after fail inductions, a cesarean section was performed but the neonate did not survive; there are clear failures in the care provided so a lawsuit is filed and eventually obligates the defendant to compensate the accuser for damages. Conclusions: The medical record as a probative document leads the judges and the different jurisdictional bodies to detect flaws in the care process, even when the mother-child pair have an unregistered pre-existence and find it difficult to establish the causal link, with the cognitivemodel the judicial truth is established by protecting the rules of the burden of proof and sound criticism.
El consentimiento informado en la determinación de la responsabilidad médica en cirugías estéticas
(Universidad Santiago de Cali, 2024) Arboleda Quintero, Afrania
The medical specialty in plastic surgery has two subspecialties: aesthetic and reconstructive. This article emphasizes the importance of Informed Consent (IC) to configure medical responsibility in aesthetic surgeries, since in recent years, the boom achieved by these has produced a significant increase in the number of lawsuits for undesired results and many of the legal processes initiated respond to flaws in their preparation, since in many cases this responds to a standard format with multiple flaws, gaps and absence of precise, clear and detailed information about of the procedure to be performed, its treatment alternatives and the possible consequences and sequelae derived from it. Patients' expectations of obtaining successful results or the eventual promise of considerable improvements in physical appearance have given rise to multiple legal claims, due to disagreements filed when the results are diametrically opposite to what was promised. This article is the result of analysis of socio-legal research on IQ, from which characteristics, structure and normative foundations have been identified and from there determine the type of responsibility attributable to the doctor, especially when the results of aesthetic surgeries are not the same. desired, since jurisprudentially it has been said that when there is a commitment to deliver a certain result, the obligation is of result, in those unique and exceptional cases, because in general the medical obligation is of means; However, it is necessary to identify which elements must be taken into account when defining whether this type of responsibility is actually attributable when a lawsuit is filed for aesthetic procedures; taking into account that the I.C. It is the base document of the service contract that the doctor provides to his patient and whose incorrect and/or incomplete completion is key in the medical liability lawsuit processes.
Elementos del derecho médico
(Universidad Santiago de Cali, 2020) Jojoa Pinchao, Leny Andrea; Rincòn Andreu Gerard
Medical law ─being a special field of law─ seeks to show the area concerning the legislation included on the medical practice, involving ethics as an essential factor. To develop this topic, it is necessary to define the elements that distinguish medical law. To do so the next questions are going to be answered throughout the text:  Which are the specific elements that form medical law?  How should the physician-patient relationship be? It is also important to divide the subject into three sections: the first one on the theoreticalconceptual description, and, therefore, the delimitation of the elements of medical law; then, in depth, the physician practice and the doctor-patient relationship will be studied; and lastly, the applicability and relationship of the elements in the medical-legal field. To achieve this goal the methodology is based on the study of a subject that is not studied in depth, through the compilation of studies that approach the subject. Then, it is theorized, and later a postulate is proposed about the elements of medical law. This will allow the reader having a broader view of the fields associated with medical law. These are fully relevant and worthwhile, considering legal problems in the activities of health care practitioners; even more so, given the statistics that show an increase in lawsuits due to medical liability. Additionally, due to the situation of the present health emergency by COVID-19, a mention of the current scenario will be made, as well as a possible behavioral approach to the pandemic and the reaction of the Colombian healthcare system.
Estado de cosas inconstitucionales de la salud como una consecuencia de la Ley 1751 de 2015
(Universidad Santiago de Cali, 2019) Orozco Sánchez, Esther Johanny; Zapata Bonilla, Gilberto Hernán
This paper proposes a review of the subject when assessing jurisprudentially the state of unconstitutional health issues in Colombia as a consequence of statutory law 1751 of 2015; At the same time, it intends to define the theoretical and conceptual contents that are developed from the jurisprudential analysis within the mechanism of constitutional protection of tutelage against the development of the right to health and systematize the scope in the affectation of Constitutional Rights with the Health Reform which is proposed by the Congress of the Republic within the decennial public health plan 2012 - 2021.

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