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Inicio Radiología (English Edition) Autonomy, consent and responsibility. Part 1: Limitations of the principle of au...
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Vol. 58. Issue 5.
Pages 343-351 (September - October 2016)
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Vol. 58. Issue 5.
Pages 343-351 (September - October 2016)
Update in Radiology
Autonomy, consent and responsibility. Part 1: Limitations of the principle of autonomy as a foundation of informed consent
Autonomía, consentimiento y responsabilidad. Parte 1: limitaciones del principio de autonomía como fundamento del consentimiento informado
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402
J.M. Mellado
Servicio de Radiología, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Table 1. Informed consent in Ley (Act) 41/2002 of November 14, the basic law regulating the patient's autonomy and the rights and obligations on information and clinical documentation.56
Table 2. Informed consent in the medical deontological Code of the Collegiate Medical Ogranization.64
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Abstract

Legal recognition of patient's rights aspired to change clinical relationship and medical lex artis. However, its implementation has been hampered by the scarcity of resources and the abundance of regulations. For several years, autonomy, consent, and responsibility have formed one of the backbones of the medical profession. However, they have sparked controversy and professional discomfort. In the first part of this article, we examine the conceptual and regulatory limitations of the principle of autonomy as the basis of informed consent. We approach the subject from philosophical, historical, legal, bioethical, deontological, and professional standpoints. In the second part, we cover the viability of informed consent in health care and its relationship with legal responsibility.

Keywords:
Right to autonomy
Patients’ rights
Informed consent
Bioethics
Law
Code of ethics
Professionalism
Resumen

La consolidación legislativa de los derechos del paciente introdujo modificaciones en la relación clínica y en la lex artis, pero su implantación progresa con dificultades en un entorno sanitario muy condicionado por la escasez de los recursos y la abundancia de las normas. Desde hace algunos años, la autonomía, el consentimiento y la responsabilidad forman uno de los ejes vertebradores de la profesión médica. Sin embargo, son objeto de controversia y causan malestar profesional. En la primera parte de este artículo examinamos las limitaciones conceptuales y normativas del principio de autonomía como fundamento del consentimiento informado, abordadas desde una perspectiva filosófica, histórico-jurídica, bioética, legal, deontológica y profesional. En la segunda parte analizamos la viabilidad del consentimiento informado en la medicina asistencial y su relación con la responsabilidad jurídica.

Palabras clave:
Derecho de autonomía
Derechos del paciente
Consentimiento informado
Bioética
Ley
Código deontológico
Profesionalismo

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