ÉTICA DE LA PRESCRIPCIÓN MÉDICA EN UN PAÍS PAUPERIZADO

Jorge Luis Manzini

doi:10.4067/s1726-569x2005000200009

Abstract

This paper pretends to draw a brief review upon the ethical aspects of a prescription at a micro level, that is of the therapeutic relationship based on the Georgetown of principles and on the technical aspects of a correct prescription according to the lex artis, sustained on the so-called evidence based medicine and on the WHO's requests and publications. It then turns to the subject of the medical prescription as a problem of Public Health. It stops at its social impact and at the undue pressures that doctors must suffer in order to prescribe, especially those coming from the pharmaceutical industry. It also offers a juridical framework focused on the Human Rights' International Law. Universal access to medication should be reached -understood as a social good of fundamental importance- in order to attain the Right to Sanitary Assistance. Several ethical justifications that hold up this right are taken into account, especially Rawls' theory of justice

Highlights

This paper pretends to draw a brief review upon the ethical aspects of a prescription at a “micro” level, that is of the therapeutic relationship based on the Georgetown “theory of principles” and on the technical aspects of a correct prescription according to the lex artis, sustained on the so-called “evidence based medicine” and on the WHO’s requests and publications
Comenta seu impacto social e as pressões indevidas que sofrem os médicos para prescrever, especialmente da indústria farmacêutica
Por su condición de bien social, integra el derecho a la salud; la Provincia, a los fines de su seguridad, eficacia y disponibilidad asegura, en el ámbito de sus atribuciones, la participación de profesionales competentes en su proceso de producción y comercialización”

Summary

Introduction

This paper pretends to draw a brief review upon the ethical aspects of a prescription at a “micro” level, that is of the therapeutic relationship based on the Georgetown “theory of principles” and on the technical aspects of a correct prescription according to the lex artis, sustained on the so-called “evidence based medicine” and on the WHO’s requests and publications. Yendo a la ética de la prescripción médica en cuanto a su dimensión social, es decir, al impacto social de las recetas que todos los médicos extendemos día a día, quiero referirme especialmente a lo que ocurre hoy en Argentina (aunque pretenda extender luego mis observaciones al escenario de la globalización) haciendo para empezar dos preguntas: 1) ¿Nos damos cuenta de que ese impacto implica hoy casi la tercera parte del gasto en salud2?

Results

Conclusion