Informed consent In the practice of the otolaryngologyst during the era of COVID-19

Main Article Content

Santiago Hernández
Miguel A González
Kevin A Guzmán-Ortiz
Pedro Velandia

Abstract

Since the onset of the SARS-CoV-2 (COVID-19) pandemic, the medical practice has undergone profound structural changes; one of the components in which these changes are and will be seen is the doctor-patient relationship. It is clear that the praxis will modify the medicine as we know it, since the history taking in the medical consult, to performing the physical exam and the treatment options. From the pandemic onwards, new on-site and non-contact technological tools and protection measures for the patients and medical staff will be included, even the patient-physician relationship will change trying to avoid the contact as much as possible, modifying the traditional medical atmosphere.


The contagious transmissible diseases will force otolaryngologists to transform their behavior and medical-patient relationship, forcing both parts (doctor and patient) to take action pursuing the care of themselves and the other, attending the two-way relationship of the medical attention.


Within this new physician-patient relationship, the informed consent (IC) will take special relevance, not only because it will be present in many of the new service providing ways but also because it has a new component which, for now, will be very difficult to ignore: the risk of Covid19 Infection. The medical explanation of what is happening with this novel coronavirus and the acceptance by the patient, will create a new medical performance as part of a new methodology.


This article explains the use of the IC in this new medical practice and will be developed from its philosophical, medical and legal aspects, providing the reader with more information regarding this valuable tool.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Hernández S, González MA, Guzmán-Ortiz KA, Velandia P. Informed consent In the practice of the otolaryngologyst during the era of COVID-19. Acta otorrinolaringol cir cabeza cuello [Internet]. 2020May7 [cited 2024Jul.3];48(1):45 - 4. Available from: https://revista.acorl.org.co/index.php/acorl/article/view/491
Section
Revisiones

References

Asamblea General de Naciones Unidas, A/64/272. Informe del relator Especial sobre el derecho de toda persona al disfrute del más alto nivel posible de salud física y mental. 10 de agosto de 2009.

Comisión Nacional para la Protección de los Sujetos Humanos de Investigación Biomédica y del Comportamiento, “Informe Belmont de 30 de septiembre de 1978. Principios éticos y orientaciones para la protección de sujetos humanos en la experimentación”, en M. CASADO (con la colaboración de S.Darío Bergel, M. Dobernig, G. Figueroa Yáñez y A. Sánchez Urrutia): Las leyes de la bioética. Gedisa, Barcelona, 2004.

OMS. Declaración de derechos de pacientes Europeos. Amsterdam, 1994.

L. Beauchamp y J. F. Childress: Principles of Biomedical Ethics. Fourth Edition, Oxford University Press, Nueva York/Oxford 1994 (trad. cast. Principios de ética biomédica. Masson,Barcelona 1999.

Ley 23 de 1981, Diario Oficial 35.711. 27 de febrero de 1981.

Constitución Política de Colombia.

Corte Constitucional. T-401/94, Magistrado Ponente Eduardo Cifuentes. 12 de septiembre de 1994.

Consejo de Estado Expediente 26660. 27 de marzo de 2014

Corte Constitucional. C-405/16, Magistrado Ponente Gloria Stella Ortiz Delgado. 3 de agosto de 2016.

Ley 23 de 1981, Diario Oficial 35.711. 27 de febrero de 1981.

Decreto 3380 de 1981, Diario Oficial 35914. 30 de diciembre de 1981.

Decreto 1751 de 993, Diario Oficial 40.989. 17 de agosto de 1993.

Decreto 1543 de 1997, Diario Oficial 43.062. 17 de junio de 1997.

Ley 1412 de 2010, Diario Oficial 47.867. 19 de octubre de 2010.

Ley 1799 de 2016, Diario Oficial 49.954. 25 de julio de 2016.

Código General del Proceso, Diario Oficial 48.489. 12 de julio de 2012.

Resolución 01/2020. Pandemia y Derechos Humanos en las Américas. Comisión Interamericana de Derecho Humanos. 10 de abril de 2020.

Ministerio de Salud. Resolución 2654. 3 de octubre de 2019.

Ministerio de Salud. Resolución 521. 28 de marzo de 2020.

Ministerio de Salud. Resolución 464 del 18 de marzo de 2020.

Ministerio de Comercio, Industria y Turismo. Decreto 2364 del 22 de noviembre de 2020.

Ministerio de Salud. Decreto legislativo 538 del 12 de abril de 2020.

Clinical guide to surgical prioritisation during the coronavirus pandemic [Internet]. Disponible en: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/ C0221-specialty-guide-surgical-prioritisation-v1.pdf

National confidential enquiry into patient outcome and death[Internet]. Disponible en : http://www.ncepod.org.uk/.