id	metarevistapublica_asoneumocito_revistacolombianadeneumologia_28_article_612
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spelling	The health system in Colombia is part of the General Social Security System (GSSS) created by Law 100 of 1993. Prepaid medicine exists as a Personal Insurance Commercial Contract since before the SGSS, to improve comfort, luxury, with freedom of choice of professionals, without bureaucratic procedures for authorizations, opportunity for appointments, decisiveness, efficiency due to savings in time, money, effectiveness, and quality of care. The nature of the commercial relationship allows users to take illegitimate advantage of the contract and change the power relationships and lines of authority protected by the right they feel the purchase confers on them to see their investment in results. Inappropriate relationships are thus generated, which transform the doctor-patient relationship, giving rise to all kinds of conflicts, perversions, and vices with disastrous consequences from the clinical, bioethical and legal point of view. The case, analyzed from Diego Gracia's clinical ethics analysis methodology to resolve bioethical dilemmas, is applied to make evident the conflicts and bioethical problems that arose in this context. Prada Martínez, Gonzalo David Severiche Bueno, Diego Fernando Prepaid medicine General Social Security System Colombia Conflict Autonomy Charity Maleficence Distributive justice medicina prepagada Sistema General de Seguridad Social en Salud Colombia conflicto autonomía beneficencia maleficencia justicia distributiva 34 2 Artículo de revista Journal article 2022-11-30T00:00:00Z 2022-11-30T00:00:00Z 2022-11-30 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/612 10.30789/rcneumologia.v34.n2.2022.612 https://doi.org/10.30789/rcneumologia.v34.n2.2022.612 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ 107 116 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/612/527 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	The health system in Colombia is part of the General Social Security System (GSSS) created by Law 100 of 1993. Prepaid medicine exists as a Personal Insurance Commercial Contract since before the SGSS, to improve comfort, luxury, with freedom of choice of professionals, without bureaucratic procedures for authorizations, opportunity for appointments, decisiveness, efficiency due to savings in time, money, effectiveness, and quality of care. The nature of the commercial relationship allows users to take illegitimate advantage of the contract and change the power relationships and lines of authority protected by the right they feel the purchase confers on them to see their investment in results. Inappropriate relationships are thus generated, which transform the doctor-patient relationship, giving rise to all kinds of conflicts, perversions, and vices with disastrous consequences from the clinical, bioethical and legal point of view. The case, analyzed from Diego Gracia's clinical ethics analysis methodology to resolve bioethical dilemmas, is applied to make evident the conflicts and bioethical problems that arose in this context.
author	Prada Martínez, Gonzalo David Severiche Bueno, Diego Fernando
spellingShingle	Prada Martínez, Gonzalo David Severiche Bueno, Diego Fernando Prepaid medicine General Social Security System Colombia Conflict Autonomy Charity Maleficence Distributive justice medicina prepagada Sistema General de Seguridad Social en Salud Colombia conflicto autonomía beneficencia maleficencia justicia distributiva
author_facet	Prada Martínez, Gonzalo David Severiche Bueno, Diego Fernando
topic	Prepaid medicine General Social Security System Colombia Conflict Autonomy Charity Maleficence Distributive justice medicina prepagada Sistema General de Seguridad Social en Salud Colombia conflicto autonomía beneficencia maleficencia justicia distributiva
topic_facet	Prepaid medicine General Social Security System Colombia Conflict Autonomy Charity Maleficence Distributive justice medicina prepagada Sistema General de Seguridad Social en Salud Colombia conflicto autonomía beneficencia maleficencia justicia distributiva
topicspa_str_mv	medicina prepagada Sistema General de Seguridad Social en Salud Colombia conflicto autonomía beneficencia maleficencia justicia distributiva
citationvolume	34
citationissue	2
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/612
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-sa/4.0/ info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2022-11-30
date_accessioned	2022-11-30T00:00:00Z
date_available	2022-11-30T00:00:00Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/612
url_doi	https://doi.org/10.30789/rcneumologia.v34.n2.2022.612
issn	0121-5426
eissn	2538-9513
doi	10.30789/rcneumologia.v34.n2.2022.612
citationstartpage	107
citationendpage	116
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/612/527
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