Resumen

GOMEZ ROJAS, Eduardo; SALAZAR TOSTADO, Angel; SALAZAR TOSTADO, Vida  y  BABUN CASTILLEJA, Tania. Governance and Ethics in health institutions. Med. ética [online]. 2022, vol.33, n.4, pp.1005-1038.  Epub 31-Jul-2023. ISSN 2594-2166.  https://doi.org/10.36105/mye.2022v33n4.02.

Governance refers to a horizontal management model based on co-responsibility between government and institutions. It requires a radical ethical, social, cultural and economic change that demands new public spaces for participation in decision-making processes. Such a model is also based on autonomy, informational self-determination and co-responsibility in health matters. However, it is difficult to apply in societies with structural and cultural inequalities. Ethical principles should govern governance and health systems as a responsibility of professionals and as a practice of the whole system, since ethics in organizations has fundamental bases such as life, the common good and solidarity. Accordingly, it is important to provide a health service to the population with timeliness, current medical and ethical knowledge with a predominance of beneficence, quality of care, distributive justice and equity.

Palabras llave : health system; ethical principles; organizational ethics; model; governance.

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