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Journal Article

Citation

Pina-Camacho L, Vidal J, Picouto MD, Justo Ortiz E, de Montalvo Jääskeläinen F, Moreno C, Arango C, Hernández-Sampelayo T, Parellada M, grupo Conflpadres. An. Pediatr. 2020; ePub(ePub): ePub.

Copyright

(Copyright © 2020, Asociacion Espanola de Pediatria, Publisher Elsevier Publishing)

DOI

10.1016/j.anpedi.2020.09.007

PMID

33129748

Abstract

Among the main social and legislative changes as regards family matters that have taken place in Spain in the last few years, are included: (i) the gradual increase in legal disputes between parents, and (ii) the introduction of Law 26/2015 on Child Protection, which modified Law 41/2002 on the Freedom of the Patient. These searched for a balance between the rights of minors and the powers of the parents, particularly when the former had not reached 16 years or had sufficient maturity or, having reached it, the decision puts their life or health at severe risk. Likewise, it has led to a jurisprudence that determines that, for any minor, there are particularly sensitive, "special" or "important" health care actions, such as psychotherapy or surgical treatments, which require, with exceptions, the consent of both parents for it to be carried out. All this, however, subject to the discretion of the doctor responsible, who must always look after the best interests of the minor. For this reason, healthcare for minors, occasionally, lead to complex conflicts as regards information and consent by the parents, particularly when they do not agree. A review is presented on the current legislative framework and the main legal concepts that regulate the healthcare of minors as regards information and consent relative to health, as well a healthcare protocol for the care of minors in situations of conflict between parents, developed in the Gregorio Marañón Hospital of Madrid, and endorsed by the Official Medical Collegiate of Madrid.


Language: es

Keywords

Consent by representation; Consentimiento por representación; Derecho a la autonomía del paciente; Derecho a la información; Law on Freedom of the patient; Menor de edad; Minors; Parental authority; Patria potestad; Protocolos y vías clínicas asistenciales; Protocols and clinical care pathways; Right to information

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