La responsabilidad del estado colombiano, desde el derecho administrativo, por los daños ocasionados a los usuarios del servicio público de salud derivados de fallas administrativas, organizacionales y estructurales en las IPS públicas
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Fecha
2026
Autores
Quintero Camargo, Deiver Yardanni
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias Jurídicas y Sociales
Facultad de Ciencias Jurídicas y Sociales
Resumen
Este documento de investigación busca analizar la responsabilidad del Estado colombiano por los daños ocasionados a los usuarios del servicio público de salud cuando estos derivan de fallas administrativas y organizacionales en las Instituciones Prestadoras de Servicios de Salud (IPS) públicas, aun cuando el acto médico individual haya sido ejecutado conforme a la lex artis. La investigación parte de la problemática jurídica relacionada con la delimitación de la imputación estatal en los casos donde haya responsabilidad médica, en los que el daño no se origina en un error técnico del profesional de la salud, sino en deficiencias estructurales, de gestión o de organización atribuibles a la administración pública. Para la elaboración del estudio, se adopta una método de enfoque cualitativo, con un diseño documental, mediante la revisión y análisis sistemático de artículos de investigación, tesis académicas, normas jurídicas, antecedentes doctrinales y jurisprudencia relevante del Consejo de Estado en materia de responsabilidad patrimonial del Estado por la prestación del servicio público de salud. A partir de estas fuentes, se examina el marco jurisprudencial y normativo aplicable, se determinan las primordiales fallas administrativas que inciden en la generación del daño antijurídico y se analiza la posición de la jurisdicción contenciosoadministrativa frente a la configuración de la falla del servicio en estos casos.
This research paper seeks to analyze the responsibility of the Colombian State for damages caused to users of the public health service when these damages result from administrative and organizational failures in public Health Service Provider Institutions (IPS), even when the individual medical act was performed in accordance with accepted medical practice. The research stems from the legal problem related to defining the limits of state liability in cases of medical responsibility where the harm does not originate from a technical error by the healthcare professional, but rather from structural, managerial, or organizational deficiencies attributable to the public administration. For this study, a qualitative approach with a documentary design was adopted, involving the systematic review and analysis of research articles, academic theses, legal norms, doctrinal precedents, and relevant jurisprudence from the Council of State regarding the State's liability for the provision of public health services. Based on these sources, the applicable jurisprudential and regulatory framework was examined, the primary administrative failures that contribute to the generation of unlawful harm were identified, and the position of the administrative courts regarding the establishment of service failures in these cases was analyzed.
This research paper seeks to analyze the responsibility of the Colombian State for damages caused to users of the public health service when these damages result from administrative and organizational failures in public Health Service Provider Institutions (IPS), even when the individual medical act was performed in accordance with accepted medical practice. The research stems from the legal problem related to defining the limits of state liability in cases of medical responsibility where the harm does not originate from a technical error by the healthcare professional, but rather from structural, managerial, or organizational deficiencies attributable to the public administration. For this study, a qualitative approach with a documentary design was adopted, involving the systematic review and analysis of research articles, academic theses, legal norms, doctrinal precedents, and relevant jurisprudence from the Council of State regarding the State's liability for the provision of public health services. Based on these sources, the applicable jurisprudential and regulatory framework was examined, the primary administrative failures that contribute to the generation of unlawful harm were identified, and the position of the administrative courts regarding the establishment of service failures in these cases was analyzed.
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Palabras clave
Responsabilidad médica, Responsabilidad del Estado, Falla del servicio, Derecho administrativo
