Publication: La responsabilidad del estado colombiano frente a la negligencia médica: un estudio ampliado sobre el derecho y la humanización
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Corporación Universitaria Remington
Abstract
Este estudio se centra en la protección del ciudadano ante la negligencia médica en instituciones públicas. El Artículo 90 Constitucional es un mandato ético que exige al Estado responder por el daño antijurídico. La clave de la reparación es la "falla del servicio" desarrollada por el Consejo de Estado: un quiebre de confianza cuando la atención se aparta de la diligencia esperada y la lex artis ad hoc, vulnerando la dignidad del paciente.
Analizamos la responsabilidad contractual y extracontractual, priorizando la víctima. La indemnización busca una justicia integral, cubriendo pérdidas patrimoniales y el sufrimiento extrapatrimonial: perjuicio moral, daño a la salud y alteración de existencia. La responsabilidad estatal es el motor para restaurar la confianza, impulsar una cultura de calidad en salud y reafirmar el compromiso irrenunciable con los derechos fundamentales. La acción de reparación directa es un clamor por la justicia.
This study moves beyond legal doctrine to focus on citizen protection against medical negligence in public institutions. Article 90 of the Constitution is an ethical mandate compelling the State to account for unlawful harm. The core of this accountability is the "service failure" (falla del servicio) developed by the Council of State: a trust breach when medical care deviates from expected diligence and the lex artis ad hoc, violating patient dignity. We analyze this liability in both contractual and extracontractual spheres, prioritizing the victim. Compensation aims for integral justice, covering pecuniary losses and profound non-pecuniary suffering: moral harm, health damage, and severe alteration of existence. State liability serves as the engine to restore trust, foster a continuous quality culture in health, and reaffirm the State's unwavering commitment to fundamental rights. The direct reparation action is, in this context, a demand for justice.
This study moves beyond legal doctrine to focus on citizen protection against medical negligence in public institutions. Article 90 of the Constitution is an ethical mandate compelling the State to account for unlawful harm. The core of this accountability is the "service failure" (falla del servicio) developed by the Council of State: a trust breach when medical care deviates from expected diligence and the lex artis ad hoc, violating patient dignity. We analyze this liability in both contractual and extracontractual spheres, prioritizing the victim. Compensation aims for integral justice, covering pecuniary losses and profound non-pecuniary suffering: moral harm, health damage, and severe alteration of existence. State liability serves as the engine to restore trust, foster a continuous quality culture in health, and reaffirm the State's unwavering commitment to fundamental rights. The direct reparation action is, in this context, a demand for justice.