Consentimiento informado: su aplicación en la práctica clínica.

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Bibliographic Details
Title:	Consentimiento informado: su aplicación en la práctica clínica.
Alternate Title:	Informed Consent: Its Application in Clinical Practice.
Authors:	Jacobo Cruz Montoya, Mario¹ 0260334@up.edu.mx, Villanueva Sáenz, Sara Elena², Padilla García, Carla Melissa³
Source:	Revista de la Facultad de Medicina de la UNAM. May/Jun2025, Vol. 68 Issue 3, p40-45. 6p.
Subjects:	PHYSICIAN-patient relations, PROFESSIONAL ethics, PUBLIC health officers, PATIENT autonomy, MEDICAL ethics
Abstract (English):	Informed consent constitutes a fundamental pillar in clinical practice, as it represents the convergence between the physician's professional responsibility and respect for the patient's autonomy in making therapeutic decisions to maintain or restore their health. Therefore, the effective implementation of this instrument entails a series of ethical, legal, and medical implications that deserve analysis. In Mexico, the health legislation and official regulations (NOM-004 and NOM-012) govern its use, differentiating between research and clinical contexts. Its application spans the phases of prevention, diagnosis, treatment, and rehabilitation, fostering shared decisions based on truthful and comprehensible information. In clinical practice, its use requires a structured process that faces challenges to ensure a conducive environment that provides privacy, comfort, and sufficient time for the proper development of an ideal physician-patient relationship. Additionally, there are ethical-legal limitations in cases involving patients with mental or cognitive disabilities, minors without parents or guardians, or emergency scenarios. Informed consent embodies the physician's duty of beneficence and respect for the patient's autonomy to make decisions about their health and life. Its proper implementation not only provides legal protection to physicians but also enhances clinical practice by promoting ethical, transparent, and patient-centered practice. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	El consentimiento informado constituye un pilar fundamental en la práctica clínica, pues representa la convergencia entre la responsabilidad profesional del médico y el respeto a la autonomía del paciente en las decisiones terapéuticas que pueda tomar para mantener o restablecer su salud. Por ello, la implementación efectiva de este instrumento conlleva una serie de implicaciones éticas, jurídicas y médicas que merecen analizarse. En México, la Ley General de Salud y normas oficiales (NOM-004 y NOM-012) regulan su uso, diferenciando entre contextos de investigación y clínicos. Su aplicación abarca las fases de prevención, diagnóstico, tratamiento y rehabilitación, promoviendo decisiones compartidas basadas en información veraz y comprensible. En la práctica clínica, su uso requiere de un proceso estructurado que enfrenta desafíos para garantizar un ambiente propicio que brinde la privacidad, comodidad y tiempo suficiente para el correcto desarrollo de una relación médico-paciente idónea. Así como, limitantes de índole ético-legal, ante pacientes con discapacidad mental o cognitiva, menores de edad que no cuentan con padre, madre o tutor, o casos de urgencia. El consentimiento informado representa el deber médico de beneficencia y el respeto a la autonomía del paciente para tomar decisiones sobre su salud y vida. Su correcta implementación no solo brinda protección legal al médico, sino que también mejora la práctica clínica, promoviendo una medicina ética, transparente y centrada en el paciente. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Informed consent constitutes a fundamental pillar in clinical practice, as it represents the convergence between the physician's professional responsibility and respect for the patient's autonomy in making therapeutic decisions to maintain or restore their health. Therefore, the effective implementation of this instrument entails a series of ethical, legal, and medical implications that deserve analysis. In Mexico, the health legislation and official regulations (NOM-004 and NOM-012) govern its use, differentiating between research and clinical contexts. Its application spans the phases of prevention, diagnosis, treatment, and rehabilitation, fostering shared decisions based on truthful and comprehensible information. In clinical practice, its use requires a structured process that faces challenges to ensure a conducive environment that provides privacy, comfort, and sufficient time for the proper development of an ideal physician-patient relationship. Additionally, there are ethical-legal limitations in cases involving patients with mental or cognitive disabilities, minors without parents or guardians, or emergency scenarios. Informed consent embodies the physician's duty of beneficence and respect for the patient's autonomy to make decisions about their health and life. Its proper implementation not only provides legal protection to physicians but also enhances clinical practice by promoting ethical, transparent, and patient-centered practice. [ABSTRACT FROM AUTHOR]
ISSN:	00261742