An approach to Defensive Medicine in Ecuador

Authors

  • Xavier Maldonado

Keywords:

Ecuador, defensive medicine, health, medical practice, health judicialization

Abstract

This article begins by conceptualizing health, then makes a first approach to defensive medicine in Ecuador, a phenomenon that has been little analyzed. It seeks to establish the milestones that have marked defensive medicine in the country and its effects. A mixed methodology is used in which information from a third level of complexity facility is used with information from 2007 to 2017. It is concluded that it is important for medical practice to think more about the welfare of the patient and the entire system before possible legal claims.

Author Biography

Xavier Maldonado

Docente - investigador de la Facultad de Ciencias Médicas de la Universidad Central del Ecuador.

References

Constitución del Ecuador, (2008). http://www.asambleanacional.gob.ec/sites/default/files/documents/old/constitucion_de_bolsillo.pdf

Código Orgánico Integral Penal, Registro Oficial Suplemento 180 del 10-Feb-2014 (2014). http://www.lexis.com.ec/wp-content/uploads/2020/01/LI-Codigo-Integral-Penal-COIP.pdf

Bal, S. B. (2009). An Introduction to Medical Malpractice in the United States. Clinical Orthopaedics & Related Research, 467(2), 339-347. https://doi.org/10.1007/s11999-008-0636-2

Bellón Saameño, J. Á. (2006). Demanda inducida por el profesional: Aplicaciones de la teoría económica a la práctica clínica. Atención Primaria, 38(5), 293-298. https://doi.org/10.1157/13092989

Carlsen, F., & Grytten, J. (2000). Consumer satisfaction and supplier induced demand. Journal of Health Economics, 19(5), 731-753. https://doi.org/10.1016/S0167-6296(00)00044-8

Caso Albán Cornejo y otros VS. Ecuador, (Corte Interamericana de Derechos Humanos 22 de noviembre de 2007). http://www.corteidh.or.cr/CF/jurisprudencia2/ficha_tecnica.cfm?nId_Ficha=280

Clínica Universitaria de Navarra. (s. f.). Diccionario Médico.

Dávila Rodríguez, A. A. (2018). Medicina defensiva. ¿Evitable? Cirujano General, 40(1), 54-60.

Evans, R. G. (1974). Supplier-Induced Demand: Some Empirical Evidence and Implications. En M. Perlman (Ed.), The Economics of Health and Medical Care (pp. 162-173). Palgrave Macmillan UK. https://doi.org/10.1007/978-1-349-63660-0_10

Guzman Mejía, J. I. G., Klincovstein, J. S., Acosta, J. M. P., Valdez, R. Z., & Navarrete, R. Z. (2011). ¿Medicina defensiva o medicina asertiva? Cirujano General, 33(2), 151-156.

Kopitowski, K. S. (2013). Prevención cuaternaria: Se pueden y se deben limitar los daños por la actividad sanitaria. 33(3), 90-95.

Makary, M. A., & Daniel, M. (2016). Medical error—The third leading cause of death in the US. BMJ, i2139. https://doi.org/10.1136/bmj.i2139

Minossi, J. G., & Silva, A. L. da. (2013). Medicina defensiva: Uma prática necessária? Revista do Colégio Brasileiro de Cirurgiões, 40(6), 494-501. https://doi.org/10.1590/S0100-69912013000600013

Relman, A. (1980). The new medical-industrial complex. The New England Journal of Medicine, 303(17), 963-970. https://doi.org/10.1056/NEJM198010233031703

Reyes Vaca, E. A., & León Asqui, J. C. (2016). La falta de tipificación de la Mala Práctica Médica en el Artículo 146 del COIP [Universidad Central del Ecuador]. http://www.dspace.uce.edu.ec/handle/25000/7725

Sekhar, Ms., & Vyas, N. (2013). Defensive medicine: A bane to healthcare. Annals of Medical and Health Sciences Research, 3(2), 295-296. https://doi.org/10.4103/2141-9248.113688

U.S. Congress, Office of Technology Assessment. (1994). Defensive Medicine and Medical Malpractice (Vol. 1). Government Printing Office.

Vargas Villagrán, D. A. (2017). Lo peligroso, ilegítimo e innecesario en la tipificación del delito de la mala práctica profesional en el caso de los médicos según el Código Orgánico Integral Penal. Pontificia Universidad Católica del Ecuador.

Wilensky, G. R., & Rossiter, L. F. (1983). The Relative Importance of Physician-Induced Demand in the Demand for Medical Care. The Milbank Memorial Fund Quarterly. Health and Society, 61(2), 252-277. https://doi.org/10.2307/3349907

Published

2023-08-30

Issue

Section

Artículos