Peculiarities of the Dynamics of Medical Relations in Medical Law: Certain Aspects

I. Senyuta
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Abstract

The peculiarities of the implementation of the constitutional right to health care, medical assistance and medical insurance in martial law are clarified and the limits of its implementation are highlighted. It is established that accor­ding to the legislation of Ukraine in the conditions of the imposed martial law, the right guaranteed in Art. 49 of the Constitution of Ukraine, is not subject to restriction due to the absence in the list of constitutional rights that are subject to restriction in Presidential Decree № 64/2022. The normative regulation of the procedure for involvement of the doctors and other foreign health workers and stateless persons in the provision of assistance to victims who come to health care facilities, which is full of regulatory conflicts and controversies, has been studied. It is established that only those health care institutions whose organizational and legal form is communal institutions have the right to involve foreign or stateless medical workers in volunte­ering. The responsibilities of the municipal institutions that involved medical volunteers in their activities have been crystallized, namely: a) to inform the National Social Service of Ukraine in written form within five working days from the moment of involving foreigners and stateless persons in volunteering; b) to inform the Ministry of Health of Ukraine about the involvement of doctors and other foreign and stateless persons in providing assistance to the victims; c) to notify the State Migration Service of Ukraine within five working days in case of termination of volunteering by a foreigner or a stateless person. It has been established that the victims who come to health care facilities are patients by their legal status, so they retain all the guarantees provided by the legislation of Ukraine. In addition, patients under the Law of Ukraine «On Volunteering» in extrapolation to the field of medical care have the right for: a) respectful and humane treatment by volunteers and organizations and institutions that involve volunteers in their activities; b) receiving information about their rights, responsibilities and conditions for providing volunteer assistance; c) observance of the legal regime of information with limited access, i.e. observance of the right to secrecy about the health status; d) selection of volunteers and organizations and institutions that involve volunteers in their activities, forms of volunteer assistance; e) protection of their rights and legitimate interests in accordance with the law.
医学法学中医学关系动态的特殊性:若干方面
澄清了宪法规定的保健、医疗援助和医疗保险权利在戒严期间的执行特点,并强调了其执行的局限性。根据乌克兰立法,在实施戒严令的情况下,乌克兰宪法第49条所保障的权利不受限制,因为第64/2022号总统令所限制的宪法权利清单中不存在。对医生和其他外国保健工作人员以及无国籍人士参与向来到保健设施的受害者提供援助的程序的规范性规定进行了研究,这一程序充满了监管方面的冲突和争议。规定,只有组织和法律形式为社区机构的保健机构才有权让外国或无国籍医务人员参与志愿服务。对有医疗志愿人员参与其活动的市政机构的责任进行了明确规定,即:a)在有外国人和无国籍人参与志愿活动之日起5个工作日内以书面形式通知乌克兰国家社会服务机构;(b)向乌克兰卫生部通报医生和其他外国人及无国籍人参与向受害者提供援助的情况;c)外国人或无国籍人终止志愿服务的,在五个工作日内通知乌克兰国家移民局。根据法律地位,来到保健设施的受害者是病人,因此他们享有乌克兰立法提供的所有保障。此外,根据乌克兰《志愿服务法》,病人在医疗保健领域有权得到:a)志愿者以及让志愿者参与其活动的组织和机构给予尊重和人道的待遇;B)接受有关他们提供志愿援助的权利、责任和条件的信息;(C)遵守限制获取信息的法律制度,即遵守对健康状况保密的权利;D)志愿者的选择、志愿者参与活动的组织和机构、志愿援助的形式;E)依法保护自己的权利和合法利益。
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