Control de convencionalidad en el marco de la garantía de los servicios de salud de los niños, niñas y adolescentes (NNA) en condición de discapacidad
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Fecha
2022
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias Jurídicas y Sociales
Facultad de Ciencias Jurídicas y Sociales
Resumen
Antecedentes:
• La discapacidad desde los enfoques de derechos y capacidades y su relación con la salud pública; por Natalia Eugenia Gómez Rúa, Diego Alveiro Restrepo Ochoa, Jaime Gañan Echavarría, Doris Cardona Arango (2018)
• La acción de tutela: ¿un mecanismo de protección del derecho a la salud y un proceso alterno para acceder a servicios de salud? por Alba Lucía Vélez (2005)
• Condiciones para el acceso universal a la salud en América Latina: derechos sociales, protección social y restricciones financieras y políticas por Ana Sojo (2011)
Objetivos:
General: Analizar la aplicación del Control de Convencionalidad por el Estado Colombiano, en cuanto a la garantía de la prestación de los servicios de salud a los niños, niñas y adolescentes (NNA) en condición de discapacidad.
Específicos:
• Determinar los fundamentos del control de convencionalidad a partir de las decisiones adoptadas por la Corte Interamericana de Derechos Humanos.
• Establecer las subreglas fijadas por la Corte Constitucional en materia de prestación de servicios de salud a favor de los niños, niñas y adolescentes (NNA) en condición de discapacidad.
• Identificar los estándares de prestación de servicios de salud en favor de niños, niñas y adolescentes (NNA) en condición de discapacidad a partir de las decisiones adoptadas por la Corte Interamericana de Derechos Humanos.
Materiales y Métodos:
• Paradigma: socio jurídico
• Enfoque: cualitativo- autor Roberto Hernández Sampieri
• Diseño metodológico: explicativo y documental
• Técnica de recolección de la información: análisis de contenido
• Instrumento de recolección de la información: matriz de análisis documental
• Análisis y procesamiento de la información: categorización
Resultados:
Se divide en 4 resultados, relacionados con los objetivos específicos de la investigación, y, uno destinado para la respectiva discusión.
Primer Resultado: sobre los fundamentos del control de convencionalidad a partir de las decisiones adoptadas por la Corte IDH.
Segundo resultado: hace relación a las subreglas fijadas por la Corte Constitucional en materia de protección del derecho a la salud de los NNA en condición de discapacidad.
Tercer resultado: señala los estándares de prestación del servicio de salud en favor de los NNA en condición de discapacidad que fue fijado por la Jurisprudencia de la Corte IDH.
Cuarto Resultado: esto es, el de la discusión, hace referencia a que las decisiones de la Corte IDH tienen fuerza vinculante en Colombia, por ende, las decisiones de protección de los derechos de los NNA en condición de discapacidad, deben ser entendidas como normatividad interna.
Conclusiones:
• La protección convencional y constitucional del derecho a la salud, particularmente al acceso efectivo de los servicios de salud de Niños, Niñas y Adolescentes NNA en condición de discapacidad, en el sistema jurídico colombiano ofrece un camino que todavía debe construirse toda vez que, a pesar de que ya existe reconocimiento de derechos, reglamentación jurídica en el marco nacional e internacional y, que existe el interés superior de dichos derechos, al día de hoy hay falencias que se observan inclusive con la cantidad de acciones legales y administrativa que los entes gubernamentales y no gubernamentales, conoce todos los días. Dichas situaciones demuestran el panorama de violación de derechos humanos y fundamentales de los usuarios del sistema general de seguridad social en salud, y, la falta de seriedad, con respecto a las obligaciones que tienen el Estado Social de Derecho, y la sociedad en la protección de los derechos de NNA.
• La jurisprudencia de la Corte IDH indica que el Control de convencionalidad es hibrido, por ende, las todas las autoridades públicas deben adoptar decisiones que se ajusten a la Convención IDH y a la Jurisprudencia de la Corte IDH, es así que la CIDH ha emitido sentencias donde ha establecido responsabilidad internacional del Estado ante la falla en sus funciones de inspección, vigilancia y control como parte de la garantía del derecho adquirido en la prestación de servicios de salud para Niños, Niñas y Adolescentes NNA.
• Las subreglas fijadas por la Corte Constitucional colombiana para la prestación del servicio de salud a favor de NNA en condición de discapacidad, indican que a esta población se le debe dar una protección constitucional reforzada, lo que implica que se debe garantizar el acceso y la calidad del servicio de salud.
• Los estándares de prestación del servicio de salud que la Corte IDH ha señalado para los NNA en condición de discapacidad implican el respeto de la dignidad humana en cada procedimiento médico, la vigilancia y control del Estado en el servicio de salud, y, la preferencia por prestar este servicio a los NNA en condición de discapacidad.
Background: • Disability from the rights and capabilities approaches and its relationship with public health; by Natalia Eugenia Gómez Rúa, Diego Alveiro Restrepo Ochoa, Jaime Gañan Echavarría, Doris Cardona Arango (2018). • The tutela action: ¿A mechanism to protect the right to health and an alternative process to access health services? by Alba Lucía Vélez (2005). • Conditions for universal access to health in Latin America: social rights, social protection and financial and political constraints by Ana Sojo (2011). Objective: General: To analyze the application of the Conventionality Control by Colombia to guarantee the provision of health services to children and adolescents with disabilities. Specific: • To determine the foundations of conventionality control based on the decisions adopted by the Inter-American Court of Human Rights. • To establish the sub-rules established by the Constitutional Court regarding the provision of health services for children and adolescents with disabilities. • To identify the standards for the provision of health services for children and adolescents with disabilities based on the decisions adopted by the Inter-American Court of Human Rights. Materials and Methods: • Paradigm: socio-legal • Approach: qualitative - author Roberto Hernández Sampieri • Methodological design: explanatory and documentary • Data collection technique: content analysis. • Data collection instrument: documentary analysis matrix. • Analysis and processing of information: categorization Results: It is divided into 4 results, related to the specific objectives of the research, and one for the respective discussion. First result: on the foundations of conventionality control based on the decisions adopted by the IACHR Court. Second result: it relates to the sub-rules established by the Constitutional Court regarding the protection of the right to health of children and adolescents with disabilities. Third result: it points out the standards for the provision of health services in favor of children and adolescents with disabilities, as established by the jurisprudence of the Inter-American Court of Human Rights. Fourth Result: this is, the one of the discussion, refers to the fact that the decisions of the IACHR Court have binding force in Colombia, therefore, the decisions for the protection of the rights of children and adolescents with disabilities must be understood as internal regulations. Conclusions: • The conventional and constitutional protection of the right to health, particularly the effective access to health services for children and adolescents with disabilities, in the Colombian legal system offers a path that still needs to be built since, despite the fact that there is already recognition of rights, legal regulation in the national and international framework and that the best interest of such rights exists, today there are shortcomings that are observed even with the number of legal and administrative actions that governmental and non-governmental entities are aware of every day. These situations demonstrate the panorama of violation of human and fundamental rights of the users of the general social security health system, and the lack of seriousness with respect to the obligations of the Social State of Law and society in the protection of the rights of children and adolescents. • The jurisprudence of the IACHR Court indicates that the control of conventionality is hybrid, therefore, all public authorities must adopt decisions that comply with the IACHR Convention and the jurisprudence of the IACHR Court, thus, the IACHR has issued judgments where it has established international responsibility of the State for the failure in its functions of inspection, monitoring and control as part of the guarantee of the acquired right in the provision of health services for children and adolescents of children and adolescents. • The sub-rules established by the Colombian Constitutional Court for the provision of health services for children and adolescents with disabilities indicate that this population should be given reinforced constitutional protection, which implies that access to and quality of health services should be guaranteed. • The standards of health service provision that the IACHR Court has indicated for children and adolescents with disabilities imply respect for human dignity in each medical procedure, the State's vigilance and control of the health service, and the preference for providing this service to children and adolescents with disabilities.
Background: • Disability from the rights and capabilities approaches and its relationship with public health; by Natalia Eugenia Gómez Rúa, Diego Alveiro Restrepo Ochoa, Jaime Gañan Echavarría, Doris Cardona Arango (2018). • The tutela action: ¿A mechanism to protect the right to health and an alternative process to access health services? by Alba Lucía Vélez (2005). • Conditions for universal access to health in Latin America: social rights, social protection and financial and political constraints by Ana Sojo (2011). Objective: General: To analyze the application of the Conventionality Control by Colombia to guarantee the provision of health services to children and adolescents with disabilities. Specific: • To determine the foundations of conventionality control based on the decisions adopted by the Inter-American Court of Human Rights. • To establish the sub-rules established by the Constitutional Court regarding the provision of health services for children and adolescents with disabilities. • To identify the standards for the provision of health services for children and adolescents with disabilities based on the decisions adopted by the Inter-American Court of Human Rights. Materials and Methods: • Paradigm: socio-legal • Approach: qualitative - author Roberto Hernández Sampieri • Methodological design: explanatory and documentary • Data collection technique: content analysis. • Data collection instrument: documentary analysis matrix. • Analysis and processing of information: categorization Results: It is divided into 4 results, related to the specific objectives of the research, and one for the respective discussion. First result: on the foundations of conventionality control based on the decisions adopted by the IACHR Court. Second result: it relates to the sub-rules established by the Constitutional Court regarding the protection of the right to health of children and adolescents with disabilities. Third result: it points out the standards for the provision of health services in favor of children and adolescents with disabilities, as established by the jurisprudence of the Inter-American Court of Human Rights. Fourth Result: this is, the one of the discussion, refers to the fact that the decisions of the IACHR Court have binding force in Colombia, therefore, the decisions for the protection of the rights of children and adolescents with disabilities must be understood as internal regulations. Conclusions: • The conventional and constitutional protection of the right to health, particularly the effective access to health services for children and adolescents with disabilities, in the Colombian legal system offers a path that still needs to be built since, despite the fact that there is already recognition of rights, legal regulation in the national and international framework and that the best interest of such rights exists, today there are shortcomings that are observed even with the number of legal and administrative actions that governmental and non-governmental entities are aware of every day. These situations demonstrate the panorama of violation of human and fundamental rights of the users of the general social security health system, and the lack of seriousness with respect to the obligations of the Social State of Law and society in the protection of the rights of children and adolescents. • The jurisprudence of the IACHR Court indicates that the control of conventionality is hybrid, therefore, all public authorities must adopt decisions that comply with the IACHR Convention and the jurisprudence of the IACHR Court, thus, the IACHR has issued judgments where it has established international responsibility of the State for the failure in its functions of inspection, monitoring and control as part of the guarantee of the acquired right in the provision of health services for children and adolescents of children and adolescents. • The sub-rules established by the Colombian Constitutional Court for the provision of health services for children and adolescents with disabilities indicate that this population should be given reinforced constitutional protection, which implies that access to and quality of health services should be guaranteed. • The standards of health service provision that the IACHR Court has indicated for children and adolescents with disabilities imply respect for human dignity in each medical procedure, the State's vigilance and control of the health service, and the preference for providing this service to children and adolescents with disabilities.
Descripción
Palabras clave
Control de convencionalidad, Derechos humanos, NNA (Niños, Niñas y Adolescentes), Protección especial, Sujetos de especial protección, Conventionality control, Human rights, Children and adolescents, Special protection, Subjects of special protection
