La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal

Background: The relationship between patients and health professionals emphasizes deliberation and joint decision making, that derives in the informed consent. Aim: To evaluate decision making of patients in health care and to identify the notion of capacity for decision making, according to lawyers...

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Autores principales:	Bórquez E,Gladys, Raineri B,Gina, Horwitz C,Nina, Huepe O,Gabriela
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Decision making Legislation & Jurisprudence Legislation, medical
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000900009
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spelling	oai:scielo:S0034-988720070009000092008-05-30La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legalBórquez E,GladysRaineri B,GinaHorwitz C,NinaHuepe O,Gabriela Decision making Legislation & Jurisprudence Legislation, medical Background: The relationship between patients and health professionals emphasizes deliberation and joint decision making, that derives in the informed consent. Aim: To evaluate decision making of patients in health care and to identify the notion of capacity for decision making, according to lawyers and physicians. Material and methods: A semi-structured interview about procedures to assess decision making capacity was applied to 27 selected physicians and lawyers, considering their experience in this area. A qualitative analysis of answers was performed. Results: Several differences were observed between physicians and lawyers, probably originated in their respective disciplines as well as the context of their professional practice. For physicians the notion of capacity is associated to comprehension of the information, it is not absolute, and it must consider the intellectual maturity of the teenager and the autonomy of the elderly. This evaluation is frequently performed in the clinical interview and standardized protocols do not exist. For lawyers, capacity is established by age and is associated to rights and obligations, as determined by law. When it is assessed by experts, including physicians, it becomes evidence. These professionals assume that experts will use standardized assessment instruments. Capacity has significance in the legal system. Conclusions: Since there are substantial consequences when a person is deemed incompetent, it is necessary to distinguish between health capacity and legal capacity, and to ¡ink the informed consent with the fundamental rights of citizens, such as taking decisions about our own healthinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.9 20072007-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000900009es10.4067/S0034-98872007000900009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Decision making Legislation & Jurisprudence Legislation, medical
spellingShingle	Decision making Legislation & Jurisprudence Legislation, medical Bórquez E,Gladys Raineri B,Gina Horwitz C,Nina Huepe O,Gabriela La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal
description	Background: The relationship between patients and health professionals emphasizes deliberation and joint decision making, that derives in the informed consent. Aim: To evaluate decision making of patients in health care and to identify the notion of capacity for decision making, according to lawyers and physicians. Material and methods: A semi-structured interview about procedures to assess decision making capacity was applied to 27 selected physicians and lawyers, considering their experience in this area. A qualitative analysis of answers was performed. Results: Several differences were observed between physicians and lawyers, probably originated in their respective disciplines as well as the context of their professional practice. For physicians the notion of capacity is associated to comprehension of the information, it is not absolute, and it must consider the intellectual maturity of the teenager and the autonomy of the elderly. This evaluation is frequently performed in the clinical interview and standardized protocols do not exist. For lawyers, capacity is established by age and is associated to rights and obligations, as determined by law. When it is assessed by experts, including physicians, it becomes evidence. These professionals assume that experts will use standardized assessment instruments. Capacity has significance in the legal system. Conclusions: Since there are substantial consequences when a person is deemed incompetent, it is necessary to distinguish between health capacity and legal capacity, and to ¡ink the informed consent with the fundamental rights of citizens, such as taking decisions about our own health
author	Bórquez E,Gladys Raineri B,Gina Horwitz C,Nina Huepe O,Gabriela
author_facet	Bórquez E,Gladys Raineri B,Gina Horwitz C,Nina Huepe O,Gabriela
author_sort	Bórquez E,Gladys
title	La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal
title_short	La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal
title_full	La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal
title_fullStr	La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal
title_full_unstemmed	La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal
title_sort	la noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000900009
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La noción de capacidad de la persona para tomar decisiones, en la práctica médica y legal

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