Legal protection of health professionals involved in care in the context of the COVID-19 pandemic

Detalhes bibliográficos
Autor(a) principal: Rosenvald, Nelson
Data de Publicação: 2021
Outros Autores: Pereira, André Gonçalo Dias, Doménech, Javier Barceló
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos Ibero-Americanos de Direito Sanitário (Online)
Texto Completo: https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/769
Resumo: COVID-19 is the first contemporary public health crisis with the potential to overwhelm the public health system worldwide. Health care is a resource of the shared society and, therefore, the ethical principles that guide its rationing require that services, medicines and equipment be applied where they are most effective, which prioritizes patients most likely to benefit from treatment. Health service providers make rational decisions with scarce resources, and deserve considerable freedom for their deliberations in good faith guided by established ethical structures. The standard of care properly applied is modulated in its application, which requires a mitigation of medical liability within certain objective parameters. The normative logic is based on the principle of reciprocity. When society asks some of its members to take great personal risks in serving the interests of the public, it is reasonable to expect society to take some responsibility for them in exchange for the risks taken. It is appropriate for public policy makers to articulate special care standards for mass disasters, such as COVID-19. The objective of the article is to identify how in Brazil, Portugal and Spain, the change in circumstances imposed the adequacy of the judicial analysis of professional standards of conduct to a panorama of calamity.
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spelling Legal protection of health professionals involved in care in the context of the COVID-19 pandemicProtección jurídica de los profesionales sanitarios involucrados en la atención en el contexto de la pandemia COVID-19Proteção jurídica dos profissionais de saúde envolvidos no atendimento em contexto da pandemia da COVID-19COVID-19Direito da SaúdeRelações Médico-PacienteResponsabilidade LegalCOVID-19Derecho SanitárioRelaciones Médico-PacienteResponsabilidad LegalCOVID-19Health LawPhysician-Patient RelationsLegal liabilityCOVID-19 is the first contemporary public health crisis with the potential to overwhelm the public health system worldwide. Health care is a resource of the shared society and, therefore, the ethical principles that guide its rationing require that services, medicines and equipment be applied where they are most effective, which prioritizes patients most likely to benefit from treatment. Health service providers make rational decisions with scarce resources, and deserve considerable freedom for their deliberations in good faith guided by established ethical structures. The standard of care properly applied is modulated in its application, which requires a mitigation of medical liability within certain objective parameters. The normative logic is based on the principle of reciprocity. When society asks some of its members to take great personal risks in serving the interests of the public, it is reasonable to expect society to take some responsibility for them in exchange for the risks taken. It is appropriate for public policy makers to articulate special care standards for mass disasters, such as COVID-19. The objective of the article is to identify how in Brazil, Portugal and Spain, the change in circumstances imposed the adequacy of the judicial analysis of professional standards of conduct to a panorama of calamity.COVID-19 es la primera crisis de salud pública contemporánea con el potencial de abrumar al sistema de salud pública en todo el mundo. La atención de la salud es un recurso de la sociedad compartida y, por tanto, los principios éticos que orientan su racionamiento exigen que los servicios, medicamentos y equipos se apliquen donde sean más efectivos, lo que prioriza a los pacientes con mayor probabilidad de beneficiarse del tratamiento. Los proveedores de servicios de salud toman decisiones racionales con recursos escasos y merecen una libertad considerable para sus deliberaciones de buena fe guiadas por estructuras éticas establecidas. El estándar de atención aplicado correctamente se modula en su aplicación, lo que requiere una mitigación de la responsabilidad médica dentro de ciertos parámetros objetivos. La lógica normativa se basa en el principio de reciprocidad. Cuando la sociedad pide a algunos de sus miembros que asuman grandes riesgos personales para servir a los intereses del público, es razonable esperar que la sociedad asuma alguna responsabilidad por ellos a cambio de los riesgos asumidos. Es apropiado que los formuladores de políticas públicas articulen estándares de atención especial para desastres masivos, como la COVID-19. El objetivo del artículo es identificar cómo en Brasil, Portugal y España, el cambio objetivo de circunstancias impuso la adecuación del análisis judicial de los estándares de conducta profesional a un panorama de calamidad.A COVID-19 é a primeira crise contemporânea de saúde pública com potencial para sobrecarregar o sistema público de saúde mundial. A assistência à saúde é um recurso da sociedade compartilhada e, portanto, os princípios éticos que orientam seu racionamento exigem que serviços, medicamentos e equipamentos sejam aplicados onde forem mais eficazes, o que prioriza os pacientes com maior probabilidade de se beneficiar do tratamento. Os prestadores de serviços de saúde tomam decisões racionais com recursos escassos e merecem uma liberdade considerável para as suas deliberações de boa-fé, guiadas por estruturas éticas estabelecidas. O padrão de atendimento adequadamente aplicado sofre modulação em sua aplicação, o que requer uma mitigação da responsabilidade civil médica dentro de certos parâmetros objetivos. A lógica normativa é fundamentada no princípio da reciprocidade. Quando a sociedade pede que alguns de seus membros corram grandes riscos pessoais ao servir os interesses do público, é razoável esperar que a sociedade assuma algumas responsabilidades por eles em troca dos riscos assumidos. É apropriado que os formuladores de políticas públicas articulem padrões de atendimento especiais para desastres em massa, como a COVID-19. O objetivo do artigo é identificar como, no Brasil, Portugal e Espanha, a objetiva alteração das circunstâncias impôs a adequação da análise judicial de padrões de conduta profissionais a um panorama de calamidade.Fundação Oswaldo Cruz Brasília2021-06-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/76910.17566/ciads.v10i2.769Iberoamerican Journal of Health Law; Vol. 10 No. 2 (2021): (APR./JUN. 2021); 151-182Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 10 Núm. 2 (2021): (APR./JUN. 2021); 151-182Cadernos Ibero-Americanos de Direito Sanitário; v. 10 n. 2 (2021): (ABR./JUN. 2021); 151-1822358-18242317-839610.17566/ciads.v10i2reponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/769/812Copyright (c) 2021 Nelson Rosenvald, André Gonçalo Dias Pereira, Javier Barceló Doménechhttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessRosenvald, Nelson Pereira, André Gonçalo Dias Doménech, Javier Barceló Rosenvald, Nelson Pereira, André Gonçalo Dias Doménech, Javier Barceló Rosenvald, Nelson Pereira, André Gonçalo Dias Doménech, Javier Barceló 2022-06-22T14:53:09Zoai:ojs.cadernos.prodisa.fiocruz.br:article/769Revistahttp://www.cadernos.prodisa.fiocruz.brPUBhttp://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/oaicadernos.direitosanitario@fiocruz.br2358-18242317-8396opendoar:2022-06-22T14:53:09Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
Protección jurídica de los profesionales sanitarios involucrados en la atención en el contexto de la pandemia COVID-19
Proteção jurídica dos profissionais de saúde envolvidos no atendimento em contexto da pandemia da COVID-19
title Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
spellingShingle Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
Rosenvald, Nelson
COVID-19
Direito da Saúde
Relações Médico-Paciente
Responsabilidade Legal
COVID-19
Derecho Sanitário
Relaciones Médico-Paciente
Responsabilidad Legal
COVID-19
Health Law
Physician-Patient Relations
Legal liability
title_short Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
title_full Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
title_fullStr Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
title_full_unstemmed Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
title_sort Legal protection of health professionals involved in care in the context of the COVID-19 pandemic
author Rosenvald, Nelson
author_facet Rosenvald, Nelson
Pereira, André Gonçalo Dias
Doménech, Javier Barceló
author_role author
author2 Pereira, André Gonçalo Dias
Doménech, Javier Barceló
author2_role author
author
dc.contributor.author.fl_str_mv Rosenvald, Nelson
Pereira, André Gonçalo Dias
Doménech, Javier Barceló
Rosenvald, Nelson
Pereira, André Gonçalo Dias
Doménech, Javier Barceló
Rosenvald, Nelson
Pereira, André Gonçalo Dias
Doménech, Javier Barceló
dc.subject.por.fl_str_mv COVID-19
Direito da Saúde
Relações Médico-Paciente
Responsabilidade Legal
COVID-19
Derecho Sanitário
Relaciones Médico-Paciente
Responsabilidad Legal
COVID-19
Health Law
Physician-Patient Relations
Legal liability
topic COVID-19
Direito da Saúde
Relações Médico-Paciente
Responsabilidade Legal
COVID-19
Derecho Sanitário
Relaciones Médico-Paciente
Responsabilidad Legal
COVID-19
Health Law
Physician-Patient Relations
Legal liability
description COVID-19 is the first contemporary public health crisis with the potential to overwhelm the public health system worldwide. Health care is a resource of the shared society and, therefore, the ethical principles that guide its rationing require that services, medicines and equipment be applied where they are most effective, which prioritizes patients most likely to benefit from treatment. Health service providers make rational decisions with scarce resources, and deserve considerable freedom for their deliberations in good faith guided by established ethical structures. The standard of care properly applied is modulated in its application, which requires a mitigation of medical liability within certain objective parameters. The normative logic is based on the principle of reciprocity. When society asks some of its members to take great personal risks in serving the interests of the public, it is reasonable to expect society to take some responsibility for them in exchange for the risks taken. It is appropriate for public policy makers to articulate special care standards for mass disasters, such as COVID-19. The objective of the article is to identify how in Brazil, Portugal and Spain, the change in circumstances imposed the adequacy of the judicial analysis of professional standards of conduct to a panorama of calamity.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-24
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/769
10.17566/ciads.v10i2.769
url https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/769
identifier_str_mv 10.17566/ciads.v10i2.769
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/769/812
dc.rights.driver.fl_str_mv Copyright (c) 2021 Nelson Rosenvald, André Gonçalo Dias Pereira, Javier Barceló Doménech
https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Nelson Rosenvald, André Gonçalo Dias Pereira, Javier Barceló Doménech
https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
dc.source.none.fl_str_mv Iberoamerican Journal of Health Law; Vol. 10 No. 2 (2021): (APR./JUN. 2021); 151-182
Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 10 Núm. 2 (2021): (APR./JUN. 2021); 151-182
Cadernos Ibero-Americanos de Direito Sanitário; v. 10 n. 2 (2021): (ABR./JUN. 2021); 151-182
2358-1824
2317-8396
10.17566/ciads.v10i2
reponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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reponame_str Cadernos Ibero-Americanos de Direito Sanitário (Online)
collection Cadernos Ibero-Americanos de Direito Sanitário (Online)
repository.name.fl_str_mv Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos.direitosanitario@fiocruz.br
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