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乌克兰患者权利立法监管的进一步改进领域。

Areas for further improvement of legislative regulation of patients' rights in Ukraine.

作者信息

Vilchyk Tetyana В, Sokolova Alla K

机构信息

Yaroslav Mudryi National Law University, Kharkiv, Ukraine.

出版信息

Wiad Lek. 2019;72(7):1324-1330.

Abstract

OBJECTIVE

Introduction: The article reviews issues of legal regulation of patients' rights in Ukraine, analyzes the patient-doctor relationship, proposes the legislative approval of new patients' rights and the need of adoption of a single legislation of these rights. The aim of this work is to conduct a detailed study of legal regulation of patients' rights in Ukraine and the EU countries, to identify the areas for further improvement of the legislative regulation of patients 'rights in Ukraine, ways of harmonization of national legislation with international standards, which regulate patients' rights.

PATIENTS AND METHODS

Materials and methods: we analyzed national and international regulation of patients' rights, case law of the European Court of Human Rights (ECHR), national court judgments. We also used historical, comparative-legal methods, and instruments of analytical research and empirical study.

CONCLUSION

Conclusions: In Ukrainian law many patient rights are not defined, but are applied in medical practice, therefore, they require legal regulation. In particular, they include: the right to convene a consilium; the right to refuse medical interference; the right to terminate treatment, etc. In addition, with the development of medicine, scientific and technological progress, there are some issues, which arise and need to be legally defined, among them: the rights and responsibilities of the patient during transplantation, artificial insemination, medical research, etc. When making health policy, the concept of trust and respect for patients, their autonomy or constructive partnership with them should be taken into account. Doctors need to take a more active part in discussions and debates with patients. Independence of patients in decision making processes must be provided by law, and the rights and obligations of all parties must be clearly reflected in the relevant documents.

摘要

目的

引言:本文回顾了乌克兰患者权利的法律监管问题,分析了医患关系,提议通过立法批准新的患者权利以及采用统一的患者权利立法。这项工作的目的是详细研究乌克兰和欧盟国家患者权利的法律监管情况,确定乌克兰患者权利立法监管有待进一步完善的领域、使国家立法与规范患者权利的国际标准相协调的方式。

患者与方法

材料与方法:我们分析了患者权利的国内和国际监管、欧洲人权法院的判例法以及国内法院的判决。我们还运用了历史、比较法方法以及分析研究和实证研究手段。

结论

结论:在乌克兰法律中,许多患者权利未作界定,但在医疗实践中却得以应用,因此,这些权利需要法律规范。具体而言,这些权利包括:召集会诊的权利;拒绝医疗干预的权利;终止治疗的权利等。此外,随着医学的发展、科技的进步,出现了一些需要从法律上予以界定的问题,其中包括:患者在移植、人工授精、医学研究等过程中的权利和责任。在制定卫生政策时,应考虑信任和尊重患者的理念、患者的自主权或与患者建立建设性伙伴关系。医生需要更积极地参与与患者的讨论和辩论。法律必须保障患者在决策过程中的独立性,所有各方的权利和义务必须在相关文件中明确体现。

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