Publication: Responsabilidad por pérdida de oportunidad asistencial en la medicina pública española
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2017-08-30
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Universidad Complutense de Madrid
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Abstract
Entre los distintos problemas que se debaten alrededor de la responsabilidad médica, quizá el más relevante sea, en la actualidad, el relativo al resarcimiento de la pérdida de oportunidad, planteada en casos de incertidumbre causal, en los que no se puede afirmar ni negar con certeza que la conducta de un sujeto ha ocasionado el daño sufrido por la víctima. Por esta razón, la pérdida de oportunidad asistencial es un concepto jurídico que se ha abierto paso en los últimos años como un criterio determinante para la valoración del daño corporal derivado de la asistencia sanitaria. En este trabajo analizamos las sentencias condenatorias dictadas por la jurisdicción Contencioso Administrativa, en el ámbito de la medicina pública española, en los supuestos en los que, por falta de diligencia del profesional, el paciente ha perdido la posibilidad de un diagnóstico o un tratamiento adecuado. Los supuestos estudiados comparten la dificultad que entraña conocer y demostrar lo que habría ocurrido si el autor de la conducta hubiera actuado adecuadamente. Es decir, queda resolver si al añadir mentalmente la conducta omitida, el resultado lesivo se habría producido. Además, para que la investigación ofreciera resultados aún más puntuales y eficaces, profundizamos el estudio de las sentencias sobre pérdida de oportunidad terapéutica en las patologías Oncológicas Malignas y Neurológicas, debido a su prevalencia entre las resoluciones judiciales y a su peso en aspectos muy importantes de la vida...
Among the many issues debated in the context of medical liability, maybe the most significant currently is that of compensation for loss of chance, which arises in cases of causal uncertainty, where it cannot be asserted or denied with any degree of certainty that a professional's conduct has led to the damage that a victim has suffered. As a result, loss of chance is a legal concept that has emerged in recent years as a decisive factor in assessing bodily harm from healthcare. In this paper, we analyse convictions handed down by the administrative courts (in the context of public healthcare in Spain), where patients, as a result of a lack of diligence displayed by the professional in question, has missed the chance of receiving a proper diagnosis or treatment. A common element in the cases analysed has been ascertaining and demonstrating what would have happened if the professional had acted in a proper and adequate manner. In other words, a mental exercise must be conducted to ascertain if the damage would still have occurred if the omitted conduct had otherwise been performed...
Among the many issues debated in the context of medical liability, maybe the most significant currently is that of compensation for loss of chance, which arises in cases of causal uncertainty, where it cannot be asserted or denied with any degree of certainty that a professional's conduct has led to the damage that a victim has suffered. As a result, loss of chance is a legal concept that has emerged in recent years as a decisive factor in assessing bodily harm from healthcare. In this paper, we analyse convictions handed down by the administrative courts (in the context of public healthcare in Spain), where patients, as a result of a lack of diligence displayed by the professional in question, has missed the chance of receiving a proper diagnosis or treatment. A common element in the cases analysed has been ascertaining and demonstrating what would have happened if the professional had acted in a proper and adequate manner. In other words, a mental exercise must be conducted to ascertain if the damage would still have occurred if the omitted conduct had otherwise been performed...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Toxicología y Legislación Sanitaria, leída el 29/11/2016. Tesis formato europeo (compendio de artículos)