Gutiérrez Rodríguez José, Valle Calonge Elena, Díaz García Elena, Gallego Riestra Sergio
Área de Gestión Clínica de Geriatría, Hospital Monte Naranco, Oviedo, España; Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, España.
Área de Gestión Clínica de Geriatría, Hospital Monte Naranco, Oviedo, España.
Rev Esp Geriatr Gerontol. 2021 Jul-Aug;56(4):241-243. doi: 10.1016/j.regg.2021.02.007. Epub 2021 Mar 6.
We had the opportunity to know a judicial decision in relation to a nonagenarian COVID-19 patient, which is clarifying regarding the complex issue of involuntary admission and involuntary treatment of the elderly. The judge authorized the involuntary admission but denied the possibility of imposing medical treatment against the will of the patient. This situation invites us to review the different types of involuntary admission that our legal system provides and how involuntary medical treatment is regulated according to its purpose and the patient's ability to decide. In the field of public health, the determining element to be able to impose any sanitary measure against the will of the patient is the risk to the health of the population. In the case presented, the judge rejects the possibility of authorizing medical treatment for not contributing anything from the point of view of public health. However, it does authorize involuntary admission as it is essential to guarantee isolation.
我们有机会了解一项关于一位九旬新冠肺炎患者的司法判决，该判决对老年人非自愿入院和非自愿治疗这一复杂问题具有澄清作用。法官批准了非自愿入院，但拒绝了违背患者意愿实施医疗治疗的可能性。这种情况促使我们审视我们的法律体系所提供的不同类型的非自愿入院情况，以及非自愿医疗治疗是如何根据其目的和患者的决策能力进行规范的。在公共卫生领域，能够违背患者意愿实施任何卫生措施的决定性因素是对人群健康的风险。在本案中，法官拒绝了批准医疗治疗的可能性，因为从公共卫生角度来看，这样做并无助益。然而，法官确实批准了非自愿入院，因为保证隔离至关重要。
