Yanovska Oleksandra H, Horodovenko Viktor V, Bitsai Anna V
Supreme Court, Constitutional Court of Ukraine, Kyiv, Ukraine.
Wiad Lek. 2019;72(12 cz 2):2399-2403.
Introduction: Human life and health are considered to be of the highest social value, with particular emphasis on health care. However, the patient's rights are pretty often violated by medical professionals. According to statistics, a medical error is recognized as one of the most common causes of patient's rights violations in Europe and the United States. That's why the research of jurisdictional mechanisms of patients' rights protection in the context of medical error, seems particularly relevant. The aim: To propose the effective jurisdictional mechanisms of the patients' rights affected by medical error protection and to summarize scientific approaches for understanding the essence of medical error.
Materials and methods: The research used a set of general scientific and special methods of scientific cognition, in particular, dialectical; comparative legal; analysis and synthesis; formal-logical (dogmatic); statistical and generalization. The empirical base of the study is the statistics of the Prosecutor General's Office of Ukraine and the State Judicial Administration of Ukraine within 2014-2018, generalization of the practice of the Constitutional Court of Ukraine, as well as statistics in the field of protection of patients' rights of some countries of Europe, USA and Japan, as well as the authors' own experience who serve as a judge and a judge assistant of the Supreme Court, a judge of the Constitutional Court of Ukraine.
Results: It is argued that the most effective jurisdictional mechanisms for protecting the patients' rights affected by a medical error include: criminal, civil and constitutional ones. Summarizing national and foreign positions of scholars and practitioners, four main approaches to the interpretation of the "medical error" concept are highlighted.
Conclusions: In order to protect the patients' rights adequately, including those affected by a medical error, the state must guarantee the right of access to jurisdictional protection mechanisms, as well as establish a system of non-jurisdictional mechanisms for the protection of health rights.
引言:人的生命和健康被视为具有最高的社会价值,尤其强调医疗保健。然而,患者权利经常受到医疗专业人员的侵犯。据统计,医疗差错被认为是欧美患者权利受到侵犯的最常见原因之一。因此,研究医疗差错背景下患者权利保护的司法机制显得尤为重要。目标:提出受医疗差错影响的患者权利保护的有效司法机制,并总结理解医疗差错本质的科学方法。
材料与方法:本研究采用了一系列一般科学和特殊的科学认知方法,特别是辩证的方法;比较法学的方法;分析与综合的方法;形式逻辑(教义学)的方法;统计与归纳的方法。本研究的实证基础是乌克兰总检察长办公室和乌克兰国家司法行政部门2014 - 2018年的统计数据、乌克兰宪法法院实践的归纳、以及欧洲、美国和日本一些国家患者权利保护领域的统计数据,以及作者作为最高法院法官和法官助理、乌克兰宪法法院法官的自身经验。
结果:有人认为,保护受医疗差错影响的患者权利最有效的司法机制包括:刑事、民事和宪法机制。总结国内外学者和从业者的立场,突出了对“医疗差错”概念解释的四种主要方法。
结论:为了充分保护患者权利,包括受医疗差错影响的患者权利,国家必须保障诉诸司法保护机制的权利,并建立保护健康权利的非司法机制体系。