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将医疗法律干预作为拯救高危母婴生命的最后手段:来自印度哈里亚纳邦农村的案例研究

Leveraging Medico-Legal Interventions as a Last Resort to Save the Lives of High-Risk Mothers and Children: Case Studies From Rural Haryana, India.

作者信息

Chandra Ankit

机构信息

Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.

出版信息

Cureus. 2024 Nov 26;16(11):e74496. doi: 10.7759/cureus.74496. eCollection 2024 Nov.

DOI:10.7759/cureus.74496
PMID:39726508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11670738/
Abstract

Vulnerable groups, such as pregnant women and young children, can face barriers to timely and essential healthcare, primarily due to their dependence on caregivers. Medico-legal interventions are effective tools to protect high-risk populations when traditional methods fail. Based on my experience as a Medical Officer In-Charge of a Primary Health Center in rural Haryana, India, I present three case studies where legal assistance was used to ensure necessary medical care. The first case illustrates the role of culturally sensitive counseling and legal aid in overcoming resistance to neonatal care, while the second case highlights multi-agency support in addressing family instability and neglect. The third case demonstrates the efficacy of legal interventions to counteract familial reluctance in a maternal health crisis. These cases underscore the importance of incorporating legal support within healthcare frameworks to save the lives of high-risk mothers and children. Although medical professionals are traditionally taught to protect themselves from legal liability, the curriculum and training could also include guidance on using laws proactively to safeguard vulnerable patients in the community.

摘要

弱势群体,如孕妇和幼儿,在获得及时和必要的医疗保健方面可能面临障碍,主要原因是他们依赖照顾者。当传统方法失效时,医疗法律干预是保护高危人群的有效工具。基于我在印度哈里亚纳邦农村一家初级卫生中心担任主管医务人员的经验,我介绍三个使用法律援助确保必要医疗护理的案例研究。第一个案例说明了文化敏感咨询和法律援助在克服对新生儿护理的抵触情绪方面的作用,而第二个案例强调了多机构支持在解决家庭不稳定和忽视问题方面的作用。第三个案例展示了法律干预在应对孕产妇健康危机中家庭不情愿情况方面的功效。这些案例强调了在医疗保健框架内纳入法律支持以挽救高危母亲和儿童生命的重要性。尽管传统上教导医学专业人员保护自己免受法律责任,但课程和培训也可以包括关于积极利用法律保护社区中弱势患者的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69d/11670738/a37159db186a/cureus-0016-00000074496-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69d/11670738/62887de1c165/cureus-0016-00000074496-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69d/11670738/790743aac013/cureus-0016-00000074496-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69d/11670738/a37159db186a/cureus-0016-00000074496-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69d/11670738/62887de1c165/cureus-0016-00000074496-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69d/11670738/790743aac013/cureus-0016-00000074496-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69d/11670738/a37159db186a/cureus-0016-00000074496-i03.jpg

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J Rural Med. 2023 Apr;18(2):87-95. doi: 10.2185/jrm.2022-030. Epub 2023 Apr 5.
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The use of legal empowerment to improve access to quality health services: a scoping review.利用法律赋权增进获得优质卫生服务的机会:范围综述。
Int J Equity Health. 2022 Sep 16;21(1):136. doi: 10.1186/s12939-022-01731-3.
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A cross-sectional study on knowledge of registered medical practitioners, regarding management of medico-legal cases in Meghalaya.
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J Family Med Prim Care. 2022 Mar;11(3):904-907. doi: 10.4103/jfmpc.jfmpc_49_21. Epub 2022 Mar 10.
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Referral care for high-risk pregnant women in rural Rajasthan, India: a qualitative analysis of barriers and facilitators.印度拉贾斯坦邦农村高危孕妇的转诊护理:对障碍和促进因素的定性分析。
BMC Pregnancy Childbirth. 2022 Apr 11;22(1):310. doi: 10.1186/s12884-022-04601-6.
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