La evaluación de la capacidad de la persona: en la práctica actual y en el contexto del consentimiento informado / The evaluation of decision making capacity in health care and its relationship to informed consent
Rev. méd. Chile
;
132(10): 1243-1248, oct. 2004.
Article
in Spanish
| LILACS
| ID: lil-453991
ABSTRACT
The decision making capacity of patients will acquire special relevance with the introduction of informed consent in clinical practice and the new normative that will appear in the future when the bills about health services are approved in the Congress. This paper reviews the concept of decision making capacity in the context of health care and its legal background in Chile. The main problems that arise from the comprehension, use and assessment of decision making capacity, are analyzed. The assessment of this capacity is, in most cases, subjective since there are no criteria, protocols or standards to be used. In courts of justice, the exercise capacity assessment is requested to experts. These specilized physicians will evaluate the mental health of the subject and its implications in the capacity to make decisions. In practice, it is difficult to integrate the concept of capacity from the law or health care perspective. It is concluded that the elaboration of criteria, standards and procedures to evaluate the decision capacity of patients, is mandatory.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Patient Participation
/
Mental Competency
/
Decision Making
/
Delivery of Health Care
/
Informed Consent
Type of study:
Evaluation studies
/
Practice guideline
/
Prognostic study
Limits:
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2004
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Chile/CL
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