Percepción de algunos actores del sistema de salud y de justicia sobre los efectos de las reformas constitucional y sanitaria en la práctica médica en Medellín-Colombia

objective: describe and analyze the perception of some stakeholders in the health systems of justice on the effects of constitutional reforms, 1991 and health reform 1993 in the course of medical practice in the city of medellin. methodology: qualitative descriptive study, we used tools of ethnography as a research method. we used semi-structured interview technique with a guide of questions. were selected as key informants: six presidents of medical associations. presidents from nine scientific unions and guilds. seven trial lawyers. six judges of the administrative tribunal. results: the current colombian constitutional development, led to greater awareness to citizens about their fundamental rights, the respondents perceived increase in medical liability lawsuits and even frivolous claims, both institutions and professionals in medicine. the doctors feel disenchanted and fear to practice and receive enrichment course for lawyers; is generated distrust in the physician-patient relationship, there is room for "defensive medicine". conclusions: in medellin, the perception of some stakeholders about the effects of constitutional reforms and health in medical practice depends on the disciplinary look and the type of regulatory reform to be investigated. doctors discovered more demands; they are afraid to practice and observe enrichment course possible lawsuits. in turn, the positive conceive because they imply greater responsibility for the medical treatment.