El derecho a una segunda opinión. Ventajas, barreras y recomendaciones para su ejercicio responsable

Abstract

Introduction To identify the most important advantages of and obstacles against the right to a second opinion, as well as the most effective new proposals for establishing this right. Material and method The following issues were analyzed through various qualitative methods: the advantages of a second opinion, ways to provide the right to a second opinion, obstacles against establishing this right, expected changes in the doctor-patient relationship, and ways to improve patient access to health information. Twenty-six experts from diverse second opinion-related fields took part in the working groups. Results All the experts agreed that the main advantages of a second opinion were that this option increases the quality, reliability and credibility of the health system. The principal obstacle to a second opinion was loss of reputation and patient distrust when a medical mistake occurs. Conclusions The right to a second opinion provides a positive response to patients and helps to improve the quality of healthcare. This right must be accompanied by an intense information campaign aimed at both patients and health professionals. Such a campaign should clearly explain the limits of this right and the procedures to be followed.