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Resolución 039 de 2025: Niños tendrán mayor autonomía en decisiones médicas
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El Ministerio de Salud y Protección Social ha expedido la Resolución 039 de 2025, un nuevo marco normativo que garantiza la participación activa de niños, niñas y adolescentes en la toma de decisiones sobre su atención médica. La medida establece lineamientos sobre el asentimiento pediátrico y el consentimiento informado, permitiendo que los menores tengan un rol más participativo en la determinación de sus tratamientos médicos, según su edad y nivel de madurez.
Esta normativa está basada en varias decisiones de la Corte Constitucional, que han reconocido el derecho de los menores a ser escuchados y a decidir sobre su salud en función de su desarrollo cognitivo. Según la resolución, los adolescentes entre 12 y 18 años tendrán mayor autonomía en la toma de decisiones médicas, siempre bajo un equilibrio entre su derecho a la autodeterminación y la protección de su bienestar.
Uno de los puntos clave de la resolución es la diferenciación entre capacidad legal y autonomía personal en el ámbito sanitario. Mientras la capacidad legal está determinada por la mayoría de edad, la autonomía depende del grado de madurez del menor y su comprensión de las implicaciones de los procedimientos médicos. De este modo, se busca respetar su dignidad y fomentar su participación activa en decisiones que impacten su vida y salud.
El documento también establece el papel de los prestadores de servicios de salud y los representantes legales en la aplicación de estos criterios. Además, precisa que las entidades del sistema de salud deben garantizar que la información proporcionada sea clara y comprensible para el menor, permitiendo que tome decisiones informadas con el acompañamiento de un equipo médico.
Esta resolución será de cumplimiento obligatorio para todas las entidades de salud, incluidas las EPS, IPS y demás instituciones responsables de la atención sanitaria en el país. Con este marco normativo, el Ministerio de Salud busca fortalecer el enfoque de derechos humanos, equidad de género y diversidad étnica, asegurando que la atención médica en menores respete su autonomía progresiva sin comprometer su bienestar integral.
¿Qué se entiende como consentimiento informado pediátrico?
“Se comprende como la manifestación informada, libre, y voluntaria e informada para que dé lugar un acto asistencial por parte del adolescente de 14 años o más, tras la adecuada provisión de información incluyendo la naturaleza de la enfermedad o la condición, la naturaleza de los pasos del diagnóstico y tratamiento propuestos, y las probabilidades de éxito. Así como los riesgos involucrados y la existencia de los potenciales beneficios de los tratamientos alternativos recomendados, incluyendo la opción de no tratamiento”.
En la Resolución 039 de 2025, el Ministerio de Salud también introduce el concepto de asentimiento pediátrico. Este se refiere a la expresión libre, informada y voluntaria que realizan niños, niñas y adolescentes para aceptar la realización de un acto asistencial. Este proceso se basa en la transmisión clara de información acorde con su nivel de desarrollo, permitiéndoles comprender la naturaleza de su condición de salud. Su propósito es fomentar la autonomía progresiva y contextual, garantizando su participación activa en la toma de decisiones médicas que los afectan, al tiempo que se respeta su capacidad de discernimiento y su desarrollo emocional.
Reglas clave del Ministerio de Salud para garantizar el consentimiento informado de niños, niñas y adolescentes:
De acuerdo con la normativa expedida, los profesionales de salud deberán evaluar cada caso considerando la madurez del menor, la naturaleza del procedimiento, los riesgos asociados y el impacto en su bienestar. Dependiendo de estos factores, la toma de decisiones podrá recaer en el menor o en sus representantes legales.
Para procedimientos de bajo riesgo, los menores podrán decidir sin necesidad de aprobación externa. En actos de mediano riesgo, su autonomía será evaluada en función de su desarrollo cognitivo y emocional, mientras que en intervenciones de alto riesgo, los adolescentes de 14 años o más podrán otorgar su consentimiento informado, con la validación de sus padres o tutores cuando corresponda. En situaciones de emergencia que requieran una intervención inmediata, los profesionales de salud podrán actuar sin necesidad de consentimiento previo, priorizando siempre el bienestar del paciente.
En el caso de procedimientos experimentales o de carácter extraordinario, los menores de 14 años deberán otorgar su asentimiento, mientras que los mayores de esta edad podrán asumir la responsabilidad plena de su decisión mediante el consentimiento informado. Asimismo, para actos asistenciales complejos con múltiples riesgos, se fomenta un proceso de toma de decisiones compartidas entre el menor, su familia y el equipo médico, garantizando un equilibrio entre su derecho a la autonomía y la necesidad de proteger su salud.
Socialización de la Resolución 039 de 2025: ejes del Ministerio de Salud para implementar el consentimiento informado
Conozca la Resolución 039 de 2025 con las directrices para el consentimiento informado de niños, niñas y adolescentes:
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