Institutional conscientious objection
DOI:
https://doi.org/10.29176/2590843X.1899Keywords:
Institución de salud, Moral particular, Objeción de conciencia, Superintendencia de SaludAbstract
A young patient with 3 children presents to a private and denominational health institution and requests a tubectomy to prevent future pregnancies. The doctor who treats her tells her that, although he does not have problems from his worldview, value scale and particular morals, he cannot perform the procedure because it is prohibited in the institution that, due to its Catholic nature, considers that it is not correct to perform it as it is opposed to the morality and Catholic thoughts of the institution. Therefore, due to this situation, the institution has declared that it is carrying out an institutional conscientious objection as a consequence of which the procedure not only is not performed in the institution, but the doctors are also prohibited from performing it institutionally, even if it is for their private patients. Likewise, the institution considers that its doctors should not perform this procedure in other institutions because this is contrary to the profile and values that the institution considers all its personnel should have. The patient expresses her annoyance at the institutional refusal to perform the requested procedure, considers that there is a violation of her autonomy and requests the case to be analyzed by an independent ethics committee.
Author Biography
José María Maya, Universidad EIA, Medellín, Colombia.
Médico, magister en Salud Pública, magister en Dirección Universitaria y magister en Dirección y Gestión de la Seguridad Social, máster en bioética; profesor titular, Universidad CES; decano general, Escuela de Ciencias de la Vida. Universidad EIA, Medellín, Colombia.
References
Grupo Interdisciplinario de Bioética. Consideraciones sobre la objeción de conciencia. Bioética &debat. 2012;18(66):3-19.
Engelhard T. The Foundations of bioethics. 2.a edición. Nueva York: Oxford University Press; 1996.
Casado M, Corcoy M. Documento sobre objeción de conciencia en sanidad. Grupo de opinión del Observatorio de Bioética y derecho de la Universidad de Barcelona. Barcelona: Editorial UB; 2004.
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