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Informed consent in dentistry and medicine in Spain:practical considerations and legality

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Informed consent in dentistry and medicine in Spain:practical considerations and legality

dc.contributor.author	Otero, María	es
dc.contributor.author	Oishi, N.	es
dc.contributor.author	Martínez, Fernando	es
dc.contributor.author	Ballester, Maria Teresa	es
dc.contributor.author	Basterra Alegría, Jorge	es
dc.date.accessioned	2023-06-16T08:36:49Z
dc.date.available	2023-06-16T08:36:49Z
dc.date.issued	2022	es
dc.identifier.citation	Otero, M., Oishi, N., Martínez, F., Ballester, MT., & Basterra, J. (2022). Informed consent in dentistry and medicine in Spain: Practical considerations and legality. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e294-e300). Medicina Oral, S.L. https://doi.org/10.4317/medoral.25265	es
dc.identifier.uri	https://hdl.handle.net/10550/88128
dc.description.abstract	The healthcare practice of dentistry, as well as medicine, is framed within a legal environment. Patients have the right to know all the information related to any action performed on them and dental or medical doctors are obliged to obtain their patient?s prior written informed consent (IC) before undertaking any healthcare procedures. Here we reviewed the legality and jurisprudence in Spain regarding IC. We also used INFLESZ text readability analysis software to analyse a sample of official Spanish informed consent documents (ICDs) from different surgical and interventional procedures related to dentistry and oral cavity interventions. It is a mistake to confound IC with ICDs. This error prevents physicians from considering the former as a care process in which the patient?s authorisation signature is the last link in a chain formed, almost in its entirety, by the informative process and deliberation alongside the patient. Multiple factors can influence communication between practitioners and their patients. Importantly, treatment adherence is greater when patients feel involved and autonomous in shared decision-making and when the circumstances of their lives are adequately considered. We concluded that although the ICDs we analysed conformed to the requirements set out in international law, they were somewhat difficult to read according to the reading habits of the general Spanish population. Knowledge about the legality of IC helps professionals to understand the problems that may arise from their non-compliance. This is because the omission or defective fulfilment of IC obligations is the origin of legal responsibility for medical practitioners. In this sense, to date, there have been more convictions for defective ICs than for malpractice. The information provided in ICs should include the risks, benefits, and treatment alternatives and must be tailored to the needs and capabilities of the patient to enable autonomous decision-making.	es
dc.subject	head and neck cancer	es
dc.subject	squamous cell carcinoma	es
dc.subject	grade prognosis	es
dc.subject	tumor-stroma ratio	es
dc.title	Informed consent in dentistry and medicine in Spain:practical considerations and legality	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.25265	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9054172/