Legal review of the civil, criminal, and administrative consequences of informed consent violation in medical practice

  • Geovana A. Vallejo-Jiménez Research Group on Criminal Action and Offenses, Postgraduate School, Universidad Autónoma Latinoamericana, Medellín, Colombia.
  • Juliana Nanclares-Márquez Research Group on Administrative Law, Postgraduate School, Universidad Autónoma Latinoamericana, Medellín, Colombia.
Keywords: Informed, Consent, Personal Autonomy, Freedom, Liability, Legal, Physician-Patient Relations

Abstract

Introduction:

The informed consent (IC) ensures respect of the patient's rights to information, freedom, and autonomy. However, when the physician neglects the obligation to inform, legal consequences may follow, including the award of damages or even imprisonment.

Objective:

To analyze the legal implications for a medical practitioner who fails to obtain the patient's IC.

Methodology:

Based on the relevant jurisprudence and legal decisions. With regards to the former, the decisions and legal precedents of the Colombian High Courts with regards to IC and medical practice were studied, emphasizing the rulings of the State Council and the Supreme Court of Justice (civil and penal chambers). With regards to the legal decisions, the analysis enabled the review, systematization and interpretation of the discussions generated around the topic of interest, pursuant to the doctrine or research on civil administrative, and criminal law.

Results:

There is consensus in the Colombian jurisprudence about the liability of the healthcare professional and of the state when the IC or any of its component parts is missing in the doctor-patient relationship. Nevertheless, there are different standpoints, particularly in the criminal arena, where a lack of unanimity exists with regards to this issue.

Conclusion:

Any violation of the IC or the lack of an IC, could give rise to the practitioner's civil liability and disciplinary actions, in addition to the administrative liability of the State, but there should be no criminal liability for the physician.

References

1. García V. Informed consent understood as a fundamental right: physical integrity in research and medicine. 2011;Universidad de la Coruña, Gijón:[Cited 2018 Jul 9]. Available at: http://www.sibi.org/attachments/article/578/Libro_Premio_JGPA_SIBI_2011.pdf.

2. Herrera FJ, Blanco NI, Guarnizo JA. Manual de Responsabilidad Médica. Bogotá: Leyer; 2008.

3. Galán J. El consentimiento informado del usuario de los servicios sanitarios. Madrid: Colex; 1997.

4. Guix J, Balañà L, Carbonell JM, Simón R, Surroca RM, Nualart L. Informed Consent Form Compliance and Comprehension in a Health Care District in Catalonia. Rev Esp Salud Publica 1999;76 6:669-675.

5. Yepes S. La responsabilidad civil médica. 4th ed.Medellín: Biblioteca Jurídica Diké; 1996.

6. Guianella G. Human rights and informed consent in clinical practice: Beyond the right to health. Rev peru med exp salud publica 2013;30 2:315-319.

7. Yepes S. El daño indemnizable en el consentimiento informado del paciente. Revista IARCE 2009;25:125-139.

8. Navarro FP, Argüelles M, Cicero R. Human rights and informed consent. Cir Ciruj 2004;72:239-245.

9. Alpa G. Nuevo Tratado de la Responsabilidad Civil. Lima: Jurista Editores; 2006.

10. Bocanegra JC, Arias JH. Characterization and analysis of adverse events in closed liability cases involving anaesthetists who received legal support from the Colombian Society of Anaesthesia and Resuscitation (S.C.A.R.E.), Colombia, 1993-2012. Rev Colomb Anestesiol 2016;44 3:203-210.

11. Fernández J. El contrato de servicios médicos. Madrid: Civitas; 1998.

12. Mendoza JM, Herrera LA. Consent informed in Colombia: A comparative analysis of the proposed law 24 of 2015 with the current code and other codes of ethics. Rev CES Derecho 2017;8 1:156-171.

13. Corte Constitucional de Colombia. Sentencia rad. T-409/94. Doce (12) de septiembre de mil novecientos noventa y cuatro (1994). [Cited 2017 Sep 15]. 1994. Available at: http://www.corteconstitucional.gov.co/relatoria/1994/T-401-94.htm.

14. Corte Constitucional de Colombia. Sentencia rad. C-246/17. Veintiséis (26) de abril de dos mil diecisiete (2017). [Cited 2017 Sep 15]. 2017. Available at: http://www.corteconstitucional.gov.co/relatoria/2017/c-246-17.htm.

15. Corte Constitucional de Colombia. Sentencia rad. SU 337/99. Doce (12) de mayo de mil novecientos noventa y nueve (1999). [Cited 2017 Sep 15]. 1999. Available at: http://www.corteconstitucional.gov.co/relatoria/1999/su337-99.htm.

16. Alonso M. El consentimiento informado del paciente en el tratamiento médico, bases jurídicas e implicaciones penales. Autonomía personal y decisiones médicas. Cuestiones éticas y jurídicas. Navarra: Thomson Reuters; 2010.

17. Sáinz J. Intervención médica y consentimiento informado. In: Morillas L, director. Estudios jurídicos sobre responsabilidad penal, civil y administrativa del médico y otros agentes sanitarios. Madrid: Dykinson; 2009. p. 63-8.

18. Vallejo GA. Legal evaluation of risk as a criterion for determining criminal liability of medical professionals. Rev Colomb Anestesiol 2017;45 (suppl 2):58-63.

19. Galán J. Responsabilidad civil médica. Pamplona: Thomson Reuters; 2016.

20. Sardinero C. Responsabilidad administrativa, civil y penal por falta de información en el ámbito clínico. Criterios indemnizatorios. Valencia: Tirant lo Blanch; 2016.

21. Roxin C. Derecho penal: parte general. T. I. Fundamentos, la estructura de la teoría del delito. 2nd ed. Madrid: Civitas; 1997.

22. Malanda SR. Responsabilidad penal médica por ausencia de consentimiento informado: Un enfoque alternativo a las tesis dominantes. Cuadernos de Política Criminal 2013;110:73-113.

23. Jorge A. La imprudencia punible en la actividad médico quirúrgica. Madrid: Tecnos; 1990.

24. Romeo CM. El médico y el Derecho penal I. La actividad curativa (Licitud y responsabilidad penal). Barcelona: Bosch; 1981.

25. López-Barja J. Derecho penal. Parte General, II. Introducción a la teoría jurídica del delito. Madrid: Marcial Pons; 2002.

26. Garrido J. Análisis causal del acto médico y su importancia en el consentimiento informado. In: Morillas L, director. Estudios jurídicos sobre responsabilidad penal, civil y administrativa del médico y otros agentes sanitarios. Madrid: Dykinson; 2009. p. 451-60.

27. Choclán J. Deber de cuidado y delito imprudente. Barcelona: Bosh; 1998.

28. Villacampa C. Responsabilidad penal del personal sanitario: atribución de responsabilidad penal en tratamientos médicos efectuados por diversos profesionales sanitarios. Madrid: Thomson Reuters-Aranzadi; 2003.

29. Sanz N. La responsabilidad penal del personal. In: Llamas E, director. Estudios sobre responsabilidad sanitaria. Un análisis interdisciplinar. Madrid: La Ley; 2014. p. 291-340.

30. Rodríguez V. El delito de tratamiento médico arbitrario: una propuesta de lege ferenda. RECPC 2017;19 3:1-59.

31. Gómez Rivero MC. La responsabilidad penal del médico. 2nd ed. Valencia: Tirant lo Blanch; 2008.
How to Cite
1.
Vallejo-Jiménez GA, Nanclares-Márquez J. Legal review of the civil, criminal, and administrative consequences of informed consent violation in medical practice. Colomb. J. Anesthesiol. [Internet]. 2019 Apr. 1 [cited 2024 Mar. 29];47(2):107-12. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/266

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Published
2019-04-01
How to Cite
1.
Vallejo-Jiménez GA, Nanclares-Márquez J. Legal review of the civil, criminal, and administrative consequences of informed consent violation in medical practice. Colomb. J. Anesthesiol. [Internet]. 2019 Apr. 1 [cited 2024 Mar. 29];47(2):107-12. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/266
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