Informed consent in the brazilian case law
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Direito Sanitário (Online) |
Texto Completo: | https://www.revistas.usp.br/rdisan/article/view/13197 |
Resumo: | Informed consent corresponds to the concretion of the respect for patient's autonomy in medical care practice, representing a deep change of paradigm to the doctor-patient relationship. Bioethics and American courts had concurred for its birth and development. However, the way informed consent has been delineated by the courts has restricted it to the fulfillment of the legal duties to obtain patient's consent and to disclose information. Moreover, the popularization of consent forms containing standardized information for the purpose of evidence of the fulfillment of such duties has moved informed consent away from its original foundation. In Brazil, informed consent was first developed by Bioethics and only recently the legal approach has started to emerge. Regarding its approach by the Brazilian courts, it was verified in a study of case law that informed consent is a reality in such courts, basically due to the questioning on the doctor's duty to disclose information. Such questioning is based on the application of the Consumer's Statute to the doctor-patient relationship. Thus, Consumer's Statute aspects - such as the use of an objective standard of information and the focus in the protection of the consumer - have delineate the understanding of the Brazilian courts on informed consent in medical care practice. The acceptance and even the requirement of the standardized forms utilization were mentioned in many of the obtained decisions. Therefore, there are indications, that the judicial approach of informed consent in Brazil is following the path trod by the American case law. |
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Informed consent in the brazilian case law O consentimento livre e esclarecido na jurisprudência dos tribunais brasileiros BioéticaÉtica MédicaRelação Médico-PacienteBioethicsDoctor-patient RelationshipMedical Ethics Informed consent corresponds to the concretion of the respect for patient's autonomy in medical care practice, representing a deep change of paradigm to the doctor-patient relationship. Bioethics and American courts had concurred for its birth and development. However, the way informed consent has been delineated by the courts has restricted it to the fulfillment of the legal duties to obtain patient's consent and to disclose information. Moreover, the popularization of consent forms containing standardized information for the purpose of evidence of the fulfillment of such duties has moved informed consent away from its original foundation. In Brazil, informed consent was first developed by Bioethics and only recently the legal approach has started to emerge. Regarding its approach by the Brazilian courts, it was verified in a study of case law that informed consent is a reality in such courts, basically due to the questioning on the doctor's duty to disclose information. Such questioning is based on the application of the Consumer's Statute to the doctor-patient relationship. Thus, Consumer's Statute aspects - such as the use of an objective standard of information and the focus in the protection of the consumer - have delineate the understanding of the Brazilian courts on informed consent in medical care practice. The acceptance and even the requirement of the standardized forms utilization were mentioned in many of the obtained decisions. Therefore, there are indications, that the judicial approach of informed consent in Brazil is following the path trod by the American case law. O consentimento livre e esclarecido corresponde à concretização do respeito à autonomia do paciente na prática de assistência médica, representando profunda mudança de paradigma para a relação médico-paciente. A bioética e os tribunais estadunidenses concorreram para o seu nascimento e desenvolvimento. Entretanto, a maneira como os tribunais delinearam o tema acabou por reduzi-lo ao cumprimento dos deveres de obter o consentimento do paciente e de informá-lo. Além disso, a popularização dos formulários com informações padronizadas para fins de prova documental distanciou o tema de seu originário fundamento. No Brasil, o consentimento livre e esclarecido foi primeiramente desenvolvido pela Bioética e, apenas recentemente, passou a se esboçar a abordagem jurídica do tema. No que se refere a sua abordagem pelos tribunais brasileiros, verificou-se em levantamento jurisprudencial que a temática do consentimento livre e esclarecido faz-se presente nos tribunais fundamentalmente em função do questionamento sobre o dever de informar do médico. Tal questionamento, por sua vez, mostra-se impulsionado pela aplicação do Código de Defesa do Consumidor à relação médico-paciente. Assim, são aspectos da legislação consumerista, como a utilização de um padrão objetivo de informação, que vão delinear a abordagem dos tribunais brasileiros sobre o consentimento livre e esclarecido na prática de assistência médica. A aceitação e até mesmo a exigência da utilização de formulários padronizados foram verificadas em diversas decisões obtidas. Há indícios, portanto, de que a abordagem judicial do consentimento livre e esclarecido no Brasil está seguindo o caminho trilhado pela jurisprudência estadunidense. Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAVALIADOS PELOS PARESapplication/pdfhttps://www.revistas.usp.br/rdisan/article/view/1319710.11606/issn.2316-9044.v11i1p95-122Revista de Direito Sanitário; v. 11 n. 1 (2010); 95-122Journal of Health Law; Vol. 11 No. 1 (2010); 95-122Revista de Direito Sanitário; Vol. 11 Núm. 1 (2010); 95-1222316-9044reponame:Revista de Direito Sanitário (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rdisan/article/view/13197/15008Guz, Gabrielainfo:eu-repo/semantics/openAccess2015-03-03T15:20:23Zoai:revistas.usp.br:article/13197Revistahttps://www.revistas.usp.br/rdisanPUBhttp://www.revistas.usp.br/rdisan/oaisdallari@usp.br||revdisan@usp.br2316-90441516-4179opendoar:2015-03-03T15:20:23Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Informed consent in the brazilian case law O consentimento livre e esclarecido na jurisprudência dos tribunais brasileiros |
title |
Informed consent in the brazilian case law |
spellingShingle |
Informed consent in the brazilian case law Guz, Gabriela Bioética Ética Médica Relação Médico-Paciente Bioethics Doctor-patient Relationship Medical Ethics |
title_short |
Informed consent in the brazilian case law |
title_full |
Informed consent in the brazilian case law |
title_fullStr |
Informed consent in the brazilian case law |
title_full_unstemmed |
Informed consent in the brazilian case law |
title_sort |
Informed consent in the brazilian case law |
author |
Guz, Gabriela |
author_facet |
Guz, Gabriela |
author_role |
author |
dc.contributor.author.fl_str_mv |
Guz, Gabriela |
dc.subject.por.fl_str_mv |
Bioética Ética Médica Relação Médico-Paciente Bioethics Doctor-patient Relationship Medical Ethics |
topic |
Bioética Ética Médica Relação Médico-Paciente Bioethics Doctor-patient Relationship Medical Ethics |
description |
Informed consent corresponds to the concretion of the respect for patient's autonomy in medical care practice, representing a deep change of paradigm to the doctor-patient relationship. Bioethics and American courts had concurred for its birth and development. However, the way informed consent has been delineated by the courts has restricted it to the fulfillment of the legal duties to obtain patient's consent and to disclose information. Moreover, the popularization of consent forms containing standardized information for the purpose of evidence of the fulfillment of such duties has moved informed consent away from its original foundation. In Brazil, informed consent was first developed by Bioethics and only recently the legal approach has started to emerge. Regarding its approach by the Brazilian courts, it was verified in a study of case law that informed consent is a reality in such courts, basically due to the questioning on the doctor's duty to disclose information. Such questioning is based on the application of the Consumer's Statute to the doctor-patient relationship. Thus, Consumer's Statute aspects - such as the use of an objective standard of information and the focus in the protection of the consumer - have delineate the understanding of the Brazilian courts on informed consent in medical care practice. The acceptance and even the requirement of the standardized forms utilization were mentioned in many of the obtained decisions. Therefore, there are indications, that the judicial approach of informed consent in Brazil is following the path trod by the American case law. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article AVALIADOS PELOS PARES |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rdisan/article/view/13197 10.11606/issn.2316-9044.v11i1p95-122 |
url |
https://www.revistas.usp.br/rdisan/article/view/13197 |
identifier_str_mv |
10.11606/issn.2316-9044.v11i1p95-122 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rdisan/article/view/13197/15008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário |
publisher.none.fl_str_mv |
Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário |
dc.source.none.fl_str_mv |
Revista de Direito Sanitário; v. 11 n. 1 (2010); 95-122 Journal of Health Law; Vol. 11 No. 1 (2010); 95-122 Revista de Direito Sanitário; Vol. 11 Núm. 1 (2010); 95-122 2316-9044 reponame:Revista de Direito Sanitário (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Direito Sanitário (Online) |
collection |
Revista de Direito Sanitário (Online) |
repository.name.fl_str_mv |
Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
sdallari@usp.br||revdisan@usp.br |
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1787713912117919744 |