Medecine & Droit最新文献

{"title":"La Haute Autorité de santé et la participation des usagers aux instances institutionnelles","authors":"Stéphanie Rabiller (Maître de conférences, HDR)","doi":"10.1016/j.meddro.2025.01.008","DOIUrl":"10.1016/j.meddro.2025.01.008","url":null,"abstract":"<div><div>The active participation of users in the healthcare system, although widely proclaimed, is struggling to be fully in practice. Despite the 2002 laws instituting bodies such as the CDU such as the CDU and CVS, there are still obstacles to involving people in decision-making. The HAS, which is endeavouring to improve this situation by activating a number of levers, will have to ensure that it goes beyond organisational issues to make the right to participation a concrete and effective reality, a real issue of political freedom and citizenship.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 191","pages":"Pages 37-41"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Déprescription et responsabilité médicale","authors":"Francis Megerlin ,&nbsp;Gilles Bouvenot ,&nbsp;Patrice Queneau","doi":"10.1016/j.meddro.2024.09.001","DOIUrl":"10.1016/j.meddro.2024.09.001","url":null,"abstract":"<div><div>Deprescribing aim to improve the clinical condition of patients, through progressively reducing and/or discontinuing certain drug treatments. This paper reports its conceptual genesis and gradual diffusion, the dynamics of practitioners/healthcare insurer agreements in France, and medical liability. Irrespective of any incentive agreement, consideration of the advisability of de-prescribing has become mandatory in situations where iatrogenic risks are well established – particularly in the case of multi-medication treatments: as knowledge grows, failure to deprescribe (or to consider the advisability of doing so) could be considered a fault. However, de-prescribing is not a quantitative approach, due to its clinical purpose and consequences: it requires gathering scattered data, prioritizing treatments, planning, and sometimes arbitrating between therapeutic intentions. Interprofessional collaboration is then served by new tools and informed by experience-sharing: they alone can meet the clinical and societal challenge of deprescribing, while dedicated algorithms and AI are coming.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 191","pages":"Pages 46-52"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repenser la prise en charge de la santé mentale à l’ère de l’IA","authors":"Amandine Cayol (Maître de conférences en droit privé, Codirectrice du Master Droit des assurances, Codirectrice de la Clinique juridique de Normandie, Membre de l’Institut Caennais de Recherche Juridique – ICReJ (UR 967), Membre associée du LexFEIM, Le Havre (UR 1013))","doi":"10.1016/j.meddro.2024.10.003","DOIUrl":"10.1016/j.meddro.2024.10.003","url":null,"abstract":"<div><div>The growing use of artificial intelligence systems in the field of mental health is not without consequences for patient care and the medical relationship. It influences both the role of the doctor and the place of the patient.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 191","pages":"Pages 53-55"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stratégie et certification des établissements de santé","authors":"Arnaud Lami (Maître de conférences HDR)","doi":"10.1016/j.meddro.2024.11.004","DOIUrl":"10.1016/j.meddro.2024.11.004","url":null,"abstract":"<div><div>Established for several decades, the certification of healthcare establishments has continued to grow. Having become an essential element of healthcare system governance, certification has led to many innovations. As a result, healthcare establishments have had to develop strategies to best appropriate this approach.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 191","pages":"Pages 42-45"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"De la transparence au data mining : 14 ans d’évolution de la pharmacovigilance européenne","authors":"Marie-Catherine Concé Chemtob (maître de conférences)","doi":"10.1016/j.meddro.2024.10.004","DOIUrl":"10.1016/j.meddro.2024.10.004","url":null,"abstract":"<div><div>Once a drug is on the market, pharmacovigilance measures are essential to guarantee maximum safety. The last major reform of the European Union's pharmacovigilance system dates back to 2010. In France, the transposition of European texts took place against a backdrop of health scandals and a loss of patient trust in the healthcare system. More than ten years on, a review of pharmacovigilance activities highlights three areas of improvement during this period of time. The health authorities have stepped up their communication and transparency in order to gain the support of patients; signal management has been improved and optimized with the arrival of data mining and AI; and pharmacovigilance activity has been enriched by proactive measures to anticipate the arrival of new drugs on the market.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 191","pages":"Pages 56-62"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical errors across specialties: A systematic review and meta-analysis of global incidence and contributing factors","authors":"Mohamed S. Hemeda ,&nbsp;Heba Youssef Sayed ,&nbsp;Amany A. Mostafa ,&nbsp;Almaza Ali Salem ,&nbsp;Ibrahim Arafa Reyad Arafa ,&nbsp;Hesham Hafez Abdelkhalek Mosa ,&nbsp;Mohamed Hafez Mohamed Younes ,&nbsp;Samar S. Ahmed ,&nbsp;Yasser M. Saqr ,&nbsp;Amir Bastawisy ,&nbsp;Hytham Abdalla ,&nbsp;Yahia Mohammed Ahmed Dawood ,&nbsp;Mahmoud Ibrahim Elawamry ,&nbsp;Gaber Eid ,&nbsp;Mohamed Mohamed Aly Ibrahim ,&nbsp;Emadeldeen Ali ,&nbsp;Abd Elaziz Shokry Abd Elaziz ,&nbsp;Aldosoky Abd Elaziz Alsaid ,&nbsp;Ahmed A. Elhagary ,&nbsp;Nashwa Ahmed ,&nbsp;Emad Ahmed Abdelmooty","doi":"10.1016/j.meddro.2024.10.001","DOIUrl":"10.1016/j.meddro.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Medical errors (MEs) refers to the professional negligence or wrongdoing by healthcare providers that result in harm to patients, it can vary significantly across different specialities due to variations in patient populations, diagnostic challenges, treatment complexity, and procedural risks.</div></div><div><h3>Methods</h3><div>We conducted an electronic search of PubMed, Scopus, Web of Science, and Embase databases to identify all relevant published records till 11th August 2023. The analyses were carried out in R studio using the meta package. The mean difference (MD) was used to pool continuous outcomes, while the odds ratio (OR) was used to pool dichotomous outcomes, both with 95% confidence intervals (CI). We used the New Castle Ottawa (NOS) Scale for the observational studies.</div></div><div><h3>Results</h3><div>We included 63 studies encompassing a diverse range of specialities and involving 376,574 participants. The highest rates of MEs were found in neurosurgery, orthopaedic surgery, and cardiology. The lowest rates were seen in dramatology, vascular surgery, gastroenterology, endocrinology, and rheumatology. There is a huge gap in research investigations of MEs in Middle Eastern countries.</div></div><div><h3>Conclusion</h3><div>Medical malpractice is a complicated issue that varies by speciality within the healthcare profession. Errors and neglect can occur in any area of medicine, including surgery and obstetrics, as well as internal medicine and family medicine.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 190","pages":"Pages 14-36"},"PeriodicalIF":0.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les clauses de conscience des soignants","authors":"Xavier Bioy (Professeur de droit public, Vice-doyen, Co-directeur des masters « Libertés » et « Éthique, recherche et soin »)","doi":"10.1016/j.meddro.2024.08.002","DOIUrl":"10.1016/j.meddro.2024.08.002","url":null,"abstract":"<div><div>The conscience clause protected by the Constitution, implemented in certain sensitive laws, constitutes an exception to a rule of law. For a caregiver, it allows the resolution of an ethical conflict between a politically legitimate obligation and the freedom of the professional inspired by personal moral convictions. But their value remains vulnerable in the face of the need for medical access.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 190","pages":"Pages 1-4"},"PeriodicalIF":0.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La psychiatrie outre-mer","authors":"Léa Lepoix (doctorante contractuelle à l’Université de Lorraine)","doi":"10.1016/j.meddro.2024.07.004","DOIUrl":"10.1016/j.meddro.2024.07.004","url":null,"abstract":"<div><div>The French rate of good mental health differs depending on the territory. Two markers, namely the frequency of suicide occurrence and the level of use of toxic substances, allow us to present a comparison between mainland France and French Guiana. This territory is one of the five French overseas departments and presents many particularities (90% covered in primary forest, presence of original peoples, etc.). These differences partly explain the particularly contradictory situation of mental health care: if the number of suicides and the number of alcohol dependence situations is lower than in mainland France, some populations concentrate the risks and present an impressive excess mortality.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 190","pages":"Pages 5-6"},"PeriodicalIF":0.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Don du corps à la science","authors":"Marine Pettiti (MCU associée PH) ,&nbsp;Luisa Nogueira ,&nbsp;Gérald Maille ,&nbsp;Olivier Hamel","doi":"10.1016/j.meddro.2024.09.002","DOIUrl":"10.1016/j.meddro.2024.09.002","url":null,"abstract":"<div><div>In Nice, as in the other twenty-seven Body Donation Centers in France, the application of the 2022 decree on body donation (decree No. 2022-719 of April 27, 2022) has had a significant impact on its internal operations, in view of three major legislative changes: confirmation that donation and all related costs (transport, coffin, burial, serological samples where applicable) are free of charge, the choice of burial is left to donors, requiring the lifting of anonymity in the event of ashes being recovered, and the creation of a Scientific and Educational Ethics Committee which now monitors all research work and programs authorized in the structure receiving the deceased. Thanks to the annual activity report of the Centre des dons du corps (CDC) des Alpes Maritimes, it is possible to obtain a snapshot of its activity in terms of data relating to registrations and admissions carried out over the year 2023. Analysis of the information collected in the donation consent form has made it possible to extract donors’ preferences with regard to the fate of their body after completion of the anatomical work. The aim of this study was to measure the organizational and functional impact of the reform on the activities of the Nice body donor center, a few months after the publication of the implementing decree, and to raise the new ethical issues raised by this reform.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2025 190","pages":"Pages 7-13"},"PeriodicalIF":0.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le concept de race : serpent de mer de la pratique médicale","authors":"Dr Alexandre Geoffroy M.D.","doi":"10.1016/j.meddro.2024.07.002","DOIUrl":"10.1016/j.meddro.2024.07.002","url":null,"abstract":"<div><div>The Medical modernism pattern, eagerly promoting the fairest, the most personalized care, exploits the field of ethnicity and raciality. If assuming the utmost adapted care, as close as possible to the expectations of the patient and as close as possible to the ethical imperatives of conscientious, dedicated care based on data acquired from science dominates, it comes up against the main principles of non-discrimination assessed by the Constitution.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 189","pages":"Pages 116-121"},"PeriodicalIF":0.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}