Sins of pediatric care: mistreatment and medical malpractice

Abstract

This article examines institutional mistreatment in pediatric care, with a focus on inappropriate practices
such as overmedication, excessive diagnostic testing, and the undervaluing of active listening — behaviors
that constitute forms of violence within healthcare settings. It underscores the importance of qualified
listening and respect for the autonomy of children and adolescents, in line with bioethical principles and
current legal frameworks. The discussion addresses the so-called “sins of medicine,” including professional
misconduct and the need for effective communication and health literacy to prevent harmful practices.
It also highlights the urgency of identifying and combating the intentional deprivation of adequate healthcare
for children and adolescents, a persistent form of violence rooted in negligence. The overemphasis on
productivity in modern management models is identified as a factor that creates tensions and undermines
the quality of care. In conclusion, reviewing institutional routines and strengthening professional
training are essential steps toward building ethical, patient-centered, and humanized pediatric care.