Justicia y racionamiento sanitario en el Plan AUGE: dilemas bioéticos asociados a la distribución de recursos escasos

Alejandra Zúñiga Fajuri

doi:10.4067/s1726-569x2011000100009

Abstract

Rationing criteria in health care establish by AUGE, in Chile, are based, mainly, in maxi- mum efficiency, contrary to the equity principle, which should sustain health care policies in demo - cratic societies. For the application and justification of health care rationing techniques is required not only a medical science and health care economy reflection, but a moral philosophy and bioethical reflection as well. The study of health care distributive justice theories allows to value critically health care rationing criteria used by Clinical Guidelines for each GES/AUGE pathology, which operate contrary to the equity principle.

Highlights

Rationing criteria in health care establish by Acceso Universal con Garantías Explícitas (AUGE), in Chile, are based, mainly, in maximum efficiency, contrary to the equity principle, which should sustain health care policies in democratic societies
O estudo das teorias da justiça distributiva sanitária permite valorar criticamente os critérios de racionamento sanitário utilizados pelas Guias Clínicas de cada uma das patologias Garantías Explícitas en Salud (GES)/AUGE que resultam contrários ao princípio da equidade
Teniendo presente las condiciones de escasez y la demanda por recursos sanitarios siempre en expansión —lo que hace inevitable aplicar alguna forma de racionamiento compatible con la doctrina del suficientismo sanitario, la autoridad debía, una vez definido un “mínimo sanitario decente”, garantizarlo por igual a todo aquel que lo necesitase, esto es, de modo universal

Summary

Introduction

Rationing criteria in health care establish by AUGE, in Chile, are based, mainly, in maximum efficiency, contrary to the equity principle, which should sustain health care policies in democratic societies. Una correcta comprensión del derecho a la protección de la salud debe considerar los problemas relacionados con la distribución equitativa de los recursos sanitarios y su necesario racionamiento, generando respuestas a los principales problemas de justicia asociados, sobre la base de fundamentos teóricos que, desde la idea de derechos humanos e igualdad moral de las personas, justifiquen el uso de criterios de adjudicación compatibles con dichos principios.

Results

Conclusion