Medecine & Droit最新文献

{"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}

{"title":"Parcours de soins rénové, e-santé et maillage officinal : une réponse complexe à la pénurie de médecins","authors":"Marie-Catherine Concé Chemtob (Maître de conférences à l’UFR Santé, université Rouen Normandie)","doi":"10.1016/j.meddro.2024.07.003","DOIUrl":"10.1016/j.meddro.2024.07.003","url":null,"abstract":"<div><div>The number of doctors in France today is far too low to meet the growing demand for patient care. An ageing population, a growing number of chronic pathologies and inequalities in access to care across the country are just some of the issues to be considered. By optimizing the care pathway, and promoting interdisciplinarity; by integrating digital health developments, such as shared medical records, new digital tools and telehealth; and by relying on the territorial network of pharmacies, banking on the dispensing pharmacist as a local public health player, France is seeking to make its healthcare system more efficient in the regions, thereby making up for the shortage of doctors.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 189","pages":"Pages 122-128"},"PeriodicalIF":0.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707400","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":"La loi du 10 mai 2024 contre les dérives sectaires : application dans le domaine de la santé : séparer le bon grain scientifique de l’ivraie charlatanesque","authors":"Bruno Py (Professeur de droit privé et sciences criminelles)","doi":"10.1016/j.meddro.2024.08.001","DOIUrl":"10.1016/j.meddro.2024.08.001","url":null,"abstract":"<div><div>To combat toxic health messages the new law criminalizes provocation to therapeutic abandonment but also a new behavior, the provocation to a dangerous treatment presented as salutary. It also creates a new case of exemption from professional secrecy by allowing the reporting of information relating to placement in a state of psychological subjection.</div></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 189","pages":"Pages 112-115"},"PeriodicalIF":0.1,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707401","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":"The quest for the Benjamin Button effect in Silicon Valley: Bioethical and ecological issues posed by the longevity and immortality industry","authors":"","doi":"10.1016/j.meddro.2024.05.001","DOIUrl":"10.1016/j.meddro.2024.05.001","url":null,"abstract":"<div><p>The attainment of longevity and immortality, long a theme of fairy tales and myths, has now become a real-world quest. Scientists, innovators, and elite Silicon Valley entrepreneurs are engaged in an epic mission to transcend mortal limits and defeat death using innovative biomedical technologies. From cryonics and plasma infusion to genetic editing and mind uploading, the development of such technologies has been gaining momentum in recent years. Such biomedical advances in longevity and immortality, if successful, will have implications not only for individuals but also for society. Given their exponential growth as a target of commercial investment, it is crucial to address the potential bioethical and ecological issues these technologies pose within the ecosystem.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 187","pages":"Pages 73-76"},"PeriodicalIF":0.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141040","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 enjeux de la substitution des biosimilaires comparée à celle des génériques et des hybrides","authors":"","doi":"10.1016/j.meddro.2024.01.001","DOIUrl":"10.1016/j.meddro.2024.01.001","url":null,"abstract":"<div><p>The market of biological drugs is constantly expending, increasing healthcare costs. Facing the expensive cost of the high cost of these drugs, biosimilar drugs have gradually emerged. They are “similar” to the originator drug but less expensive, as they do not have to bear patent and R&amp;D costs. However, these treatments present a high risk of immunogenicity, and are subject to a strict marketing authorization. It also raises the question of their interchangeability, to ensure a high penetration rate. Nevertheless, the mechanism of permutation by the prescriber is well developed. Their substitution by the pharmacist continues to be debated. Legislative and regulatory developments have constantly fluctuated between authorizing substitution and rejecting it. The latest Social Security Financing Act 2024 of December 26th, 2023 should have marked a clear broadening of the conditions for substitution, but the legislator opted for an unambitious solution. These reversals demonstrate the tensions surrounding the issue of biosimilar substitution. On one hand, patients’ fears of any potential adverse effects needs to be acknowledge by healthcare professionals; on the other, the substantial economic stakes involved underline the need to speed up the process. The question of marketing and substituting biosimilar drugs is here addressed in a comparative approach with generic and hybrid drugs. Because biosimilars, like generics and hybrids, are a fantastic opportunity to save funds and reinvest in research, while maintaining the same therapeutic excellence.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 187","pages":"Pages 67-72"},"PeriodicalIF":0.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271017","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":"Fractures anciennes du scaphoïde. La difficile question de l’imputabilité","authors":"Clotilde Rougé-Maillart (Professeur de médecine légale et droit de la santé, expert près la cour d’appel d’Angers) ,&nbsp;Florence Mallard (Chirurgien de la main)","doi":"10.1016/j.meddro.2024.02.002","DOIUrl":"10.1016/j.meddro.2024.02.002","url":null,"abstract":"<div><p>Scaphoid fractures are difficult fractures to diagnose. They are often revealed at a late stage, or even at a very early stage of pseudarthrosis. Pseudarthroses may be asymptomatic and the fracture will be revealed when a new, more recent trauma occurs. For the expert physician, the question of a previous condition or pathological predisposition must be posed. Using two clinical cases of an old scaphoid fracture revealed by a recent trauma, the authors propose to study clinical and radiological elements in order to analyze imputability and discuss a possible previous condition or pathological predisposition.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 187","pages":"Pages 77-82"},"PeriodicalIF":0.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963390","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}