MEDICINE AND LAW最新文献_第6页

RATIONALIZATION IN HEALTH: A LEGAL-CONSTITUTIONAL PERSPECTIVE. 健康方面的合理化:法律-宪法的观点。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Maria do Ceu Rueff

{"title":"RATIONALIZATION IN HEALTH: A LEGAL-CONSTITUTIONAL PERSPECTIVE.","authors":"Maria do Ceu Rueff","doi":"","DOIUrl":"","url":null,"abstract":"Following Portugal's bailout, several measures concerning the rationalization of resources of the national health system have been recommended, aiming to improve the efficiency of services and generate additional savings. Our purpose is to approach this issue by asking for its conformity with the Constitution of the Portuguese Republic, and by further characterizing and discussing the right to health as a typical social right, the implementation of which presupposes the \"reserve of what is possible\" (including its dependence on existing economic resources). By taking into account a critical overview of the legal / constitutional doctrine, our analysis will focus on the relevant constitutional precept (art. 64, d), No. 3,) - which remits to the principle of economy in the provision of public services - and on the methodological challenges concerning the sustainability of the welfare state. We arrive at the doctrine of the \"essential core\" of social rights, followed by the discussion of how to determine the \"essential core\" of the right to health. As an example, we will discuss the sensitive issue of drugs prescription, clinical guidelines and governance, and forms by which prescribing patterns may be built. According to our approach, the essential core of the right to health for all (protected by the Constitution) presupposes the improvement of efficiency and the principle of economy in the National Health System.","PeriodicalId":54182,"journal":{"name":"MEDICINE AND LAW","volume":"34 1","pages":"321-333"},"PeriodicalIF":0.2,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36554636","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}

引用次数: 0

TRANSDISCIPLINARITY IN STRATEGIC DECISIONS FOR ONCOLOGICAL TREATMENTS. 肿瘤治疗策略决策的跨学科性。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

I Fernandes, M C Rueff, S Portela

引用次数: 0

DIFERENCES IN THE INTERPRETATION OF "DNR" AMONG PHYSICIANS AND NURSES ON INTERNAL MEDICINE WARDS. 内科病房医师和护士对“dnr”解释的差异。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Tal Ilsar

{"title":"DIFERENCES IN THE INTERPRETATION OF \"DNR\" AMONG PHYSICIANS AND NURSES ON INTERNAL MEDICINE WARDS.","authors":"Tal Ilsar","doi":"","DOIUrl":"","url":null,"abstract":"In 2005, in an attempt to regulate care for patients expected to live no longer than six months, Israel enacted the Dying Patient Law. The law sets forth in detail actions that should be performed to respect the patient's wishes, and also defines treatment to be given to patients who have directed that there be no heroic measures taken to prolong life. In some terminal cases, such as a patient who stops breathing or has a cardiac arrest, health care providers are instructed not to perform cardiopulmonary resuscitation (CPR). However, most healthcare providers are unsure of exactly what the definition of the Do-Not-Resuscitate order (DNR) means. The research goal was to identify opinions held by nurses and physicians as to the meaning of the DNR directive. The study was of a descriptive correlational design, based on a convenience sample of 61 physicians and nurses. The research instrument comprised a structured self administrative questionnaire. The results showed differences in the opinions of the health care staff as to which actions should be performed on patients who signed DNR directives, and which should not. While a majority of the respondents agreed that heart massage and ventilation were considered actions that should not be performed on DNR patients, other actions were found to be the subject of differences of opinion. For example, about half the respondents considered imaging tests and other tests as actions that should not be performed if a DNR order is in place. The study emphasizes the need to set multiple parameters and not only a single-dimension definition of DNR. Nurses and physicians should have regularly scheduled meetings to discuss the DNR order of specific patients.","PeriodicalId":54182,"journal":{"name":"MEDICINE AND LAW","volume":"34 1","pages":"121-133"},"PeriodicalIF":0.2,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36554632","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}

引用次数: 0

LEGAL AND ORGANIZATIONAL BARRIERS TO THE DEVELOPMENT OF eHEALTH IN FRANCE. 法国电子健康发展的法律和组织障碍。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Renaud Bouvet, Pierre Desmarais, Etienne Minvielle

引用次数: 0

ACADEMIC DISHONESTY AMONG NURSING COLLEGE STUDENTS: ATTITUDES, PERCEPTIONS AND DISHONEST ACTIVITIES. 护理大学生学术不诚实:态度、认知与不诚实行为。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Riabia Khalaila

引用次数: 0

MENTAL INSTABILITIES & ACCOUNTABILITY: A CONTEXTUAL EXAMINATION OF AN ALCOHOL WITHDRAWAL-INDUCED CRIME. 精神不稳定和责任:酒精戒断诱发的犯罪的语境检查。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Michael Olusegun Afolabi

引用次数: 0

RESEARCH MISCONDUCT POLICIES AT HIGHER EDUCATION INSTITUTIONS IN PUERTO RICO. 波多黎各高等教育机构的研究不端行为政策。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Ana L Mulero Portela, Carmen L Colon Santaella, Ivette Bonet Rivera

引用次数: 0

MEDICALLY ASSISTED PROCREATION, A DISCUSSION STILL OPEN IN ITALY. 医疗辅助生育，在意大利仍在进行讨论。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Giovanna Ricci, Nunzia Cannovo, Ascanio Sirignano

引用次数: 0

HEALTH PROFESSIONALS OF EMERGENCY SERVICE: AN EVALUATiON OF DISASTER MEDICINE AND ETHICALVALUES. 急救卫生专业人员:灾难医学与伦理价值的评估。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Sukran Sevimli, Recep Dursun, Sevdegul Karadas

{"title":"HEALTH PROFESSIONALS OF EMERGENCY SERVICE: AN EVALUATiON OF DISASTER MEDICINE AND ETHICALVALUES.","authors":"Sukran Sevimli, Recep Dursun, Sevdegul Karadas","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To obtain the opinions of health professionals' who work in emergency medical services on the application of basic attitudes like triage,ethics, legal rules; to popularize problems they have encountered or may experience while giving health services after natural disasters; and to develop further suggestions.Material and method: In order to evaluate health service problems, laws, triage and ethics applications, a questionnaire tool was formulated. The poll that was taken included 133 emergency service workers, with and without earthquake experiences. Data were analyzed using descriptive statistics with statistical significance set at p<0.001. The frequency distributions taken into account and chi square test were applied to understand the difference between the employees who experienced an earthquake and the employees who did not.Findings: 57.7% of participants in the survey were males and 42.3% females. Their average age was 29.8 %. 16.8% of them worked in the university hospital, 77.4 % in a state hospital and 5.8% in private hospitals. 51.1% of the participants were doctors, 43.1% nurses and 5.8% emergency medical technicians. 48.2% of the participants had experienced earthquakes, 52.6% had not. 27% of them were consulted on triage, 372% on both triage and legal rules, 31.4% on triage, laws and ethics and 4.4% on triage and ethical principles.Conclusion: Results show that while ethical principles are less considered in medical services after natural disasters, triage and legal regulations play an essential role in resource allocation and medical service presentation. The results show that the inclusion of ethical training in natural disaster medicine education and its enhancement through regular rehearsals is essential.","PeriodicalId":54182,"journal":{"name":"MEDICINE AND LAW","volume":"34 1","pages":"39-54"},"PeriodicalIF":0.2,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36962499","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}

引用次数: 0

ADOPTION LAW, DILEMMAS, ATTITUDES AND BARRIERS TO ADOPTION AMONG INFERTILITY PATIENTS IN ISRAEL. 以色列不孕症患者收养的法律、困境、态度和障碍。

IF 0.2

MEDICINE AND LAW Pub Date : 2015-09-01

Amira Daher, Yaakov Rosenfeld, Lital Keinan-Boker

{"title":"ADOPTION LAW, DILEMMAS, ATTITUDES AND BARRIERS TO ADOPTION AMONG INFERTILITY PATIENTS IN ISRAEL.","authors":"Amira Daher, Yaakov Rosenfeld, Lital Keinan-Boker","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Israel Adoption Law requires absolute confidentiality. This type of adoption is basically prohibited by Islamic laws and thus creates a conflict between the State's Law and the Qur'an's directives.Objective: (1) to study the attitudes and barriers with respect to adoption among Jewish and Muslim couples undergoing fertility treatments. (2) To describe adoption rates of children in Israel's sectors.Method: A cross-sectional survey was conducted in fertility clinics among 204 Muslims and Jews treated for infertility. The participants were asked about their attitudes & knowledge concerning adoption. Additionally, national adoption rates, by sector, were retrieved from the Ministry of Welfare.Results: Adoption rates among Jews were higher than among Muslims'. A prolonged period of fertility treatment was more common among Muslims than among Jews. A quarter of the Muslim couples pointed at the conflict between Quran Law and State law as a potential specific barrier.Conclusions: It is important to deepen the understanding of the barriers against adoption among Muslims who failed fertility treatments, as well as to examine whether the change in State Law will encourage adoption of children among Muslims in Israel.","PeriodicalId":54182,"journal":{"name":"MEDICINE AND LAW","volume":"34 1","pages":"55-68"},"PeriodicalIF":0.2,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36962500","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}

引用次数: 0