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Q2 LAW Pub Date : 2023-02-15 DOI: 10.1163/15718093-03001000
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引用次数: 0
A Blanket That Leaves the Feet Cold: Exploring the AI Act Safety Framework for Medical AI. 一床让人脚发凉的毯子:探索医疗人工智能的人工智能法案安全框架。
IF 0.8 Q2 LAW Pub Date : 2023-02-07 DOI: 10.1163/15718093-bja10104
Sofia Palmieri, Tom Goffin

The AI Act is based on, and at the same time aims to protect fundamental rights, implying their protection, while fulfilling the safety requirement prescribed by the AI Act within the whole lifecycle of AI systems. Based on a risk classification, the AI Act provides a set of requirements that each risk class must meet in order for AI to be legitimately offered on the EU market and be considered safe. However, despite their classification, some minimal risk AI systems may still be prone to cause risks to fundamental rights and user safety, and therefore require attention. In this paper we explore the assumption that despite the fact that the AI Act can find broad ex litteris coverage, the significance of this applicability is limited.

人工智能法》以保护基本权利为基础,同时也旨在保护基本权利,这意味着在人工智能系统的整个生命周期内,都要满足《人工智能法》规定的安全要求。根据风险分类,《人工智能法》规定了一系列要求,每个风险类别都必须满足这些要求,人工智能才能在欧盟市场上合法销售,并被视为安全。然而,尽管进行了分类,一些风险极低的人工智能系统仍可能容易对基本权利和用户安全造成风险,因此需要引起注意。在本文中,我们将探讨这样一个假设,即尽管《人工智能法》的适用范围很广,但其适用性的意义是有限的。
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引用次数: 0
Administrative Liability for Vaccination with an Age-Inappropriate SARS-CoV-2 Vaccine: Latvian Experience. 接种年龄不合适的SARS-CoV-2疫苗的行政责任:拉脱维亚的经验。
IF 0.8 Q2 LAW Pub Date : 2022-11-09 DOI: 10.1163/15718093-bja10103
Laura Šāberte, Karina Palkova

The duty of ensuring epidemiological safety, including the duty to ensure vaccination against SARS-CoV-2 to people, is included in the framework of the national constitutional rights. The healthcare institutions providing vaccination and medical practitioners performing vaccination are one of the key assets of the national health care system, to whom the duty in the field of public health and protection of lives that is a part of human rights have been delegated. Violation of the epidemiological safety requirements in the Republic of Latvia, if it may cause a risk to human health, is subject to a fine. In this study, the authors have analysed the administrative offence cases, in which administrative liability has been imposed on medical institutions for performing vaccination with age-inappropriate vaccine, explain separation of administrative liability from criminal liability in such cases, reveal compensation mechanisms in the event of consequences, when inappropriate vaccination has caused harm to persons' life or health. The results of the research show that no appropriate security measures have been introduced in the medical institutions to prevent or avoid administrative offences in particular cases, as the result medical institutions were subject to first-time application of administrative liability. Besides, there are lack sufficiently secure system for the examination and registration of patients in the medical institutions. The minor patients were unsecured and have been vaccinated with an inappropriate vaccine, because a specific (non appropriate) vaccine has been requested by the minors' parents or the minors themselves.

确保流行病学安全的义务,包括确保向人们接种SARS-CoV-2疫苗的义务,被纳入国家宪法权利的框架。提供疫苗接种的卫生保健机构和实施疫苗接种的医疗从业人员是国家卫生保健系统的关键资产之一,作为人权的一部分,公共卫生和保护生命领域的职责已被委托给他们。违反拉脱维亚共和国流行病安全规定,如果可能对人类健康造成危险,将处以罚款。在本研究中,作者分析了医疗机构因接种年龄不适宜的疫苗而被追究行政责任的行政违法案件,解释了此类案件中行政责任与刑事责任的分离,揭示了在接种年龄不适宜疫苗对人的生命或健康造成损害的情况下,发生后果时的赔偿机制。研究结果表明,医疗机构没有采取适当的安全措施,以防止或避免在特定情况下的行政违法行为,因此医疗机构是第一次适用行政责任。此外,医疗机构缺乏足够安全的病人检查和登记系统。未成年患者没有安全保障,接种了不适当的疫苗,因为未成年人的父母或未成年人自己要求接种特定(不适当)疫苗。
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引用次数: 0
Maintaining Compliance While Healing at a Distance: Telehealth Services within the Frame of Turkish Data Protection Regime. 在远程治疗的同时保持合规性:土耳其数据保护制度框架内的远程医疗服务。
IF 0.8 Q2 LAW Pub Date : 2022-10-28 DOI: 10.1163/15718093-bja10102
Elif Küzeci, Oğuzhan Yeşiltuna

Telehealth enables equal, high-quality, and efficient provision of health services, but it also poses serious risks in the absence of a legal basis. Despite its increasing use and promising potential, there has been no specific legal framework for telehealth in Turkey until recently. A new by-law governing the procedures and principles of telehealth services has been introduced by the Ministry of Health. As repeatedly referred to in the regulation, the most important issue is the positioning of telehealth in the data protection context. This article, therefore, aims to map telehealth services within the frame of the Turkish data protection regime. In this regard, we show how the category of personal data and the purpose of the processing should be determined. Thereafter we argue how relevant actors should be identified and present the rights and obligations of these actors in the light of basic principles regarding data processing, security, and transfer.

远程保健能够提供平等、高质量和高效的保健服务,但在缺乏法律依据的情况下也会带来严重风险。尽管远程医疗的使用越来越多,潜力巨大,但直到最近,土耳其还没有制定具体的远程医疗法律框架。卫生部出台了一项关于远程保健服务程序和原则的新细则。正如条例中反复提到的,最重要的问题是远程医疗在数据保护方面的定位。因此,本文旨在将远程医疗服务纳入土耳其数据保护制度的框架。在这方面,我们将说明应如何确定个人数据的类别和处理目的。此后,我们将讨论如何识别相关行为者,并根据有关数据处理、安全和传输的基本原则提出这些行为者的权利和义务。
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引用次数: 0
Compromises and Asymmetries in the European Health Data Space. 欧洲卫生数据空间中的妥协和不对称。
IF 0.8 Q2 LAW Pub Date : 2022-10-27 DOI: 10.1163/15718093-bja10099
Petros Terzis

In the post-pandemic world, the ability of researchers to reuse, for the purposes of scientific research, data that had been collected by others and for different purposes has rightfully become a policy priority. At the same time, new technologies with tremendous capacity in data aggregation and computation open new horizons and possibilities for scientific research. It is in this context that the European Commission published in May 2022 its proposal for a sector-specific regulation aiming at establishing the legal landscape and governance mechanisms for the secondary use of health data within the European Union. The ambitious project is centred on administrative efficiency and aspires to unleash the potential of new technologies. However, the quest for efficiency usually comes with privacy compromises and power asymmetries and the case of the European Health Data Space Regulation is no different. This paper draws attention to some of these compromises and suggests specific amendments.

在大流行后的世界,研究人员为了科学研究的目的重新利用他人为不同目的收集的数据的能力理所当然地成为一项政策优先事项。与此同时,具有巨大数据聚合和计算能力的新技术为科学研究开辟了新的视野和可能性。正是在这种背景下,欧洲委员会于2022年5月公布了一项针对特定部门的条例提案,旨在为欧洲联盟内卫生数据的二次使用建立法律环境和治理机制。这个雄心勃勃的项目以行政效率为中心,并渴望释放新技术的潜力。然而,追求效率通常伴随着隐私妥协和权力不对称,欧洲健康数据空间条例也不例外。本文提请注意其中的一些妥协,并提出具体的修正建议。
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引用次数: 2
HIV and Access to Private Insurance in Spain 艾滋病毒和获得私人保险在西班牙
IF 0.8 Q2 LAW Pub Date : 2022-10-27 DOI: 10.1163/15718093-bja10098
M. A. Ramiro Avilés, María del Val Bolívar Oñoro
In 2018, the Spanish Insurance Contract Act was amended to guarantee that people living with HIV could access to private insurance, such as, health, life, and burial insurances. The number of inquiries received at the HIV Legal Clinic of the University of Alcalá from 1 January 2019 to 31 December 2021 shows that the legal reform is not being effective because insurance companies continue to practice a class exclusion towards people living with HIV, who are ‘persons with disabilities’ according to the social model of the UN Convention of the Rights of Persons with Disabilities.
2018年,《西班牙保险合同法》进行了修订,以保证艾滋病毒感染者能够获得私人保险,如健康、人寿和丧葬保险。2019年1月1日至2021年12月31日,阿尔卡拉大学艾滋病毒法律诊所收到的咨询数量表明,法律改革并不有效,因为保险公司继续对艾滋病毒感染者实行阶级排斥,根据《联合国残疾人权利公约》的社会模式,他们是“残疾人”。
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引用次数: 0
Tobacco Control and The Council of Europe: the Potential and Limits of the Collective Complaints Procedure of the European Social Charter. 烟草控制和欧洲委员会:欧洲社会宪章集体投诉程序的潜力和限制。
IF 0.8 Q2 LAW Pub Date : 2022-10-27 DOI: 10.1163/15718093-bja10095
Giulia Bosi

The role of the Council of Europe (CoE) in tobacco control remains largely unexplored. This paper aims to fill this gap, focusing on the CoE's European Social Charter. Article 11 of the Charter protects the right to health, and adequate tobacco control measures are necessary to respect this article. This paper examines the potential and limits of the Collective Complaints procedure, one of the two monitoring mechanisms of the Charter, as a means to evaluate the compliance of national tobacco control measures with Article 11. It demonstrates that, so far, this mechanism has never been used in this way. However, although the Collective Complaints procedure presents several drawbacks, it should not be underestimated. Indeed, it possesses certain features, such as the collective nature of the complaint and the lack of the requirement of the exhaustion of domestic remedies, which might make it a particularly suitable tool for the abovementioned purpose.

欧洲委员会(CoE)在烟草控制方面的作用在很大程度上仍未得到探索。本文旨在填补这一空白,重点关注CoE的《欧洲社会宪章》。《宪章》第11条保护健康权,为尊重该条,必须采取适当的烟草控制措施。作为《宪章》的两个监测机制之一,本文探讨了集体投诉程序作为评估国家烟草控制措施是否遵守第11条的一种手段的潜力和局限性。它表明,到目前为止,这种机制从未以这种方式使用过。然而,尽管集体投诉程序存在一些缺点,但不应低估它。事实上,它具有某些特点,例如控诉的集体性质和不要求用尽国内补救办法,这可能使它成为实现上述目的的特别合适的工具。
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引用次数: 0
Information Privacy in Healthcare - The Vital Role of Informed Consent. 医疗保健中的信息隐私——知情同意的重要作用。
IF 0.8 Q2 LAW Pub Date : 2022-10-27 DOI: 10.1163/15718093-bja10097
Roy McClelland, Colin M Harper

The use and disclosure of patient information is subject to multiple legal and ethical obligations. Within European human rights law the differences relating to consent are reflected in the separate requirements of data protection law, the common law, and professional ethics. The GDPR requires explicit consent. This contrasts with the ethical and common law availability of reliance on implied consent for the use of patient information for that patient's care and treatment. For any proposed use of patient information for healthcare purposes other than direct care, even where GDPR may be satisfied if the patient refuses to consent to disclosure, the information should not normally be disclosed. For any proposed use or disclosure outside healthcare the justification should normally be consent. However, consent is often not possible or appropriate and an overriding public interest can be relied upon to justify the use or disclosure, both legally and ethically.

患者信息的使用和披露受到多重法律和道德义务的约束。在欧洲人权法中,与同意有关的差异反映在数据保护法、普通法和职业道德的单独要求中。GDPR要求明确同意。这与道德和普通法的可用性形成对比,依赖于隐含同意使用患者信息进行患者的护理和治疗。对于建议将患者信息用于直接护理以外的医疗保健目的的任何情况,即使在患者拒绝同意披露的情况下可以满足GDPR要求,通常也不应披露这些信息。对于医疗保健以外的任何拟议使用或披露,理由通常应是同意。然而,同意往往是不可能的或不合适的,可以依靠压倒一切的公共利益来证明使用或披露的合理性,无论是在法律上还是在道德上。
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引用次数: 0
Health Care Complaints and Professional Legal Responsibility - A Cross-Country Comparative Review. 医疗保健投诉与职业法律责任——跨国比较综述。
IF 0.8 Q2 LAW Pub Date : 2022-10-26 DOI: 10.1163/15718093-bja10100
Søren Fryd Birkeland

One approach to stimulating patient safety and health care quality is through holding health care professionals legally responsible for their performance. Law and health care variation across countries, however, makes it difficult to get an overview and make comparisons of the personal legal responsibility of health care providers. This article describes health care professional liability and complaint measures in some European countries (UK, The Netherlands, Sweden and Denmark) and US. Countries all have established a public authority to assess complaints about health professional performance and opportunities for economic compensation. The assessment of health professional legal responsibility generally relies on comparisons to supposedly "objective" standards predominantly dictated by the health profession. In line with the aim of ensuring acceptable care for all, health ethics principles on justice, respect for patients' autonomy, and the duty to do good and prevent harm may provide an attractive supplement in the description of legal responsibility in the health professions.

促进患者安全和保健质量的一种方法是让保健专业人员对其表现承担法律责任。然而,各国法律和卫生保健的差异使得很难对卫生保健提供者的个人法律责任进行概述和比较。本文描述了一些欧洲国家(英国、荷兰、瑞典和丹麦)和美国的医疗保健专业责任和投诉措施。各国都建立了一个公共机构,以评估对卫生专业人员绩效和获得经济补偿机会的投诉。对卫生专业人员法律责任的评估通常依赖于与主要由卫生专业人员规定的所谓“客观”标准的比较。根据确保人人享有可接受的护理的目标,关于正义、尊重病人的自主权以及行善和预防伤害的义务的卫生伦理原则可作为描述卫生专业人员法律责任的一个有吸引力的补充。
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引用次数: 1
Comparing the Decriminalisation of Assisted Dying in Europe. 比较欧洲协助死亡的非刑事化。
IF 0.8 Q2 LAW Pub Date : 2022-10-26 DOI: 10.1163/15718093-bja10101
Jessica Maureen Krüger

Assisted dying is subject to markedly different laws in different European countries, and the legislation is rapidly changing in many of them. This article seeks to enhance our understanding of how public and health-care professionals' opinions shape assisted dying legislation in Europe. To that end, data on the attitudes of the general public as well as health-care professionals was systematically collected, analysed and compared to the legal situation in seven European countries, covering the period from 1990 until 2021.

协助死亡在不同的欧洲国家受到明显不同的法律管辖,其中许多国家的立法正在迅速变化。本文旨在增进我们对公众和卫生保健专业人员的意见如何影响欧洲协助死亡立法的理解。为此目的,系统地收集、分析了有关公众和保健专业人员态度的数据,并与七个欧洲国家1990年至2021年期间的法律状况进行了比较。
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引用次数: 1
期刊
EUROPEAN JOURNAL OF HEALTH LAW
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