PROTECTION OF THE RIGHTS OF HEALTHCARE WORKERS IN THE LIGHT OF EUROPEAN INTEGRATION PROCESSES

O. Strelchenko, Ihor Pastukh, Oleksandr S. Dotsenko, Iryna G. Bukhtiyarova, S. Koshova
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Abstract

The aim of the article is to thoroughly characterize the rights of all health care workers in accordance with the current legislation of Ukraine, as well as to identify problems that arise in the process of protecting the rights of health care workers and to propose ways to eliminate them. Materials and methods. In the course of the research 1,000 healthcare workers were interviewed and surveyed regarding the violation of their fundamental rights in the city of Kyiv and medical and preventive institutions of the Kyiv region. Evaluating the violation of the rights of health care workers, it was found that every fifth medical worker notes the violation of his rights by patients, which is 70%, and by health care institutions – 25%; from colleagues – 3%; the other 2% refrained from answering. The results. As of January 1, 2024, according to the statistical data of the National Health Service of Ukraine, it is stated that from January 1, 2022 to December 31, 2023 in Ukraine: the number of specialist doctors increased by 5.2% (+4667), by 4.9% (+1280) – primary care physicians (PHC), by 6.7% (+9961) – secondary medical personnel [1]. Thus, the number of medical workers (doctors, middle and junior staff (without pharmacists)) in the Electronic Health Care System as of January 1, 2022 was more than 288000, as of January 1, 2024 – 345000, and medical institutions – 7,393. In July 2023, the number of medical workers was already 396000, and the number of medical institutions was 6559. Whereas in December, the number of medical workers increased to almost 520000, and medical institutions – to 8444 [2]. Conclusions. In order to improve the protection of the rights of healthcare workers, it is necessary to implement at the legislative level the concept of medical neutrality, which should apply in all democratic countries, regardless of the situations that arise in society. The authors formulated the main principles of medical neutrality, in particular: protection of medical workers, patients, health care institutions and other medical formations, medical vehicles from attacks or from illegal interference; free access to medical care, in particular treatment, as well as necessary medicines and medical devices; humane treatment of the entire civilian population; lack of discrimination in the treatment of the sick or injured; observance of the rights of patients, in particular, to keep a secret about the state of health, to refuse treatment.
根据欧洲一体化进程保护医疗工作者的权利
本文旨在根据乌克兰现行法律对所有医护人员的权利进行全面描述,同时找出在保护医护人员权利过程中出现的问题,并提出消除这些问题的方法。材料和方法在研究过程中,对基辅市、基辅州医疗和预防机构的 1000 名医护人员进行了关于其基本权利受侵犯情况的访谈和调查。在评估医护人员的权利受到侵犯的情况时发现,每五名医护人员中就有一名(70%)指出自己的权利受到患者的侵犯,25%指出自己的权利受到医疗机构的侵犯,3%指出自己的权利受到同事的侵犯,另外 2%拒绝回答。结果如何?截止 2024 年 1 月 1 日,根据乌克兰国家卫生服务统计数据显示,从 2022 年 1 月 1 日至 2023 年 12 月 31 日,乌克兰的专科医生人数增加了 5.2%(+4667 人),初级保健医生(PHC)增加了 4.9%(+1280 人),二级医务人员增加了 6.7%(+9961 人)[1]。因此,截至 2022 年 1 月 1 日,电子医疗系统中的医务人员(医生、中级和初级工作人员(不包括药剂师))人数超过 288 000 人,截至 2024 年 1 月 1 日为 345 000 人,医疗机构人数为 7393 人。2023 年 7 月,医务工作者人数已达 39.6 万,医疗机构数量为 6559 家。而到了 12 月,医务工作者人数增加到近 52 万,医疗机构增加到 8444 家[2]。结论。为了更好地保护医务工作者的权利,有必要在立法层面落实医疗中立的概念,这一概念应适用于所有民主国家,无论社会出现何种情况。作者制定了医疗中立的主要原则,特别是:保护医务工作者、患者、医疗机构和其他医疗组织、医疗车辆免受攻击或非法干涉;自由获得医疗服务,特别是治疗,以及必要的药品和医疗器械;人道地对待全体平民;在治疗病人或伤员时不歧视;尊重患者的权利,特别是保守健康状况秘密和拒绝治疗的权利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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