Publication: Telemedicina. Una mirada a las buenas prácticas éticas y
jurídicas internacionales. En particular, la confidencialidad y
el consentimiento informado en la legislación
latinoamericana.
Authors
Valerio Monge, Carlos José
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Publisher
Universidad de Murcia, Servicio de Publicaciones
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DOI
https://doi.org/10.6018/bioderecho.510241
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info:eu-repo/semantics/article
Description
Abstract
La pandemia del covid-19 ha traído consigo el fortalecimiento de distintas formas de prestación de
servicios de salud con el fin de adecuarlos a las circunstancias de esta emergencia. Uno de ellos ha sido la Telemedicina, la cual se ha constituido en una adecuada respuesta a las limitaciones de la prestación de servicios presenciales producto
de las medidas sanitarias de distanciamiento y movilización.
En este artículo, se revisarán las principales recomendaciones éticas y jurídicas que orientan una correcta prestación de
servicios telemáticos. La Asociación Médica Mundial, el Informe de la Comisión Central de Deontología de la
Organización Médico Colegial de España del 10 de junio de 2020 y el Ministerio de Salud de Argentina del 2019,
plantean una serie de recomendaciones éticas para asegurar una prestación de servicios telemáticos que respondan a las
exigencias y a los cánones de respeto de los derechos de los pacientes y a las exigencias de la Salud Pública.
Particularmente, con la Telemedicina cobra vigencia la teoría civilista de los Valores de la Personalidad como la
imagen, la voz y el nombre. Pero, sobre todo, el respeto al derecho a la confidencialidad se torna medular, su adecuado
manejo y sus excepciones y, particularmente el consentimiento informado como presupuesto indispensable para la
realización de una consulta médica por medio de la Telemedicina.
Se repasan al final las regulaciones nacionales e internacionales sobre esta materia, en particular las regulaciones de
Brasil, Perú, Colombia, Argentina y Uruguay.
The covid-19 pandemic has brought with it the strengthening of different forms of health service delivery in order to adapt them to the circumstances of this emergency. One of these has been telemedicine, which has been an appropriate response to the limitations of face-to-face service delivery due to the health measures of distance and mobilisation. This article will review the main ethical and legal recommendations that guide the proper provision of telemedicine services. The World Medical Association, the Report of the Central Commission of Deontology of the Spanish Medical Association of 10 June 2020 and the Ministry of Health of Argentina of 2019, set out a series of ethical recommendations to ensure the provision of telematic services that meet the requirements and standards of respect for the rights of patients and the requirements of Public Health. In particular, Telemedicine brings into play the civil theory of the values of personality, such as image, voice, and name. But, above all, respect for the right to confidentiality becomes essential, its proper handling and exceptions and, particularly, informed consent as an essential prerequisite for carrying out a medical consultation by means of telemedicine.Finally, national, and international regulations on this subject are reviewed, in particular those of Brazil, Peru, Colombia, Argentina and Uruguay.
The covid-19 pandemic has brought with it the strengthening of different forms of health service delivery in order to adapt them to the circumstances of this emergency. One of these has been telemedicine, which has been an appropriate response to the limitations of face-to-face service delivery due to the health measures of distance and mobilisation. This article will review the main ethical and legal recommendations that guide the proper provision of telemedicine services. The World Medical Association, the Report of the Central Commission of Deontology of the Spanish Medical Association of 10 June 2020 and the Ministry of Health of Argentina of 2019, set out a series of ethical recommendations to ensure the provision of telematic services that meet the requirements and standards of respect for the rights of patients and the requirements of Public Health. In particular, Telemedicine brings into play the civil theory of the values of personality, such as image, voice, and name. But, above all, respect for the right to confidentiality becomes essential, its proper handling and exceptions and, particularly, informed consent as an essential prerequisite for carrying out a medical consultation by means of telemedicine.Finally, national, and international regulations on this subject are reviewed, in particular those of Brazil, Peru, Colombia, Argentina and Uruguay.
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Citation
Bioderecho, Nº 14, 2021
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