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ARTIFICIAL INTELLIGENCE IN HEALTH CARE AND THE OVIEDO CONVENTION 医疗保健中的人工智能与《奥维多公约》
Pub Date : 2022-10-13 DOI: 10.25040/medicallaw2022.02.009
A. Exter
Applications of AI technology are being developed in healthcare. The prospects for the deployment of targeted AI applications in medical treatment, clinical trials, drug research, and public health are promising and groundbreaking. But the deployment of these new technologies in healthcare also raises legal questions, especially from a human rights perspective. This contribution therefore focuses on the human rights analysis of AI applications in healthcare and how these applications relate to the Oviedo Convention.
正在开发人工智能技术在医疗保健领域的应用。在医疗、临床试验、药物研究和公共卫生领域部署有针对性的人工智能应用的前景是充满希望和开创性的。但是,这些新技术在医疗保健领域的应用也引发了法律问题,尤其是从人权的角度来看。因此,本报告侧重于对医疗保健领域人工智能应用的人权分析,以及这些应用与《奥维耶多公约》的关系。
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引用次数: 0
The Practice of Lviv District Court and the Lviv Court of Appeals in Cases on Medical Practitioner’s Malpractice in 1919–1939 1919-1939年利沃夫地区法院和利沃夫上诉法院在医生渎职案件中的做法
Pub Date : 2022-10-13 DOI: 10.25040/medicallaw2022.02.049
A. Lytvynenko
The legal aspects of healthcare in the Lviv oblast during the time it was under the reign of Second Rzeczpospolita Polska (1919–1939) remain underinvestigated. Alongside with the rise of lawyers’ and scholars’ attention to the aspects of history of medical law and the protection of patients’ rights, the question of disputes in the sphere of healthcare in various time periods (i.e. medical practitioners’ malpractice, lawsuits against hospital sickness funds, as legal entities because of negligence of the hospital sickness fund physicians, occurring within the provision of medical treatment, or conducting medical treatment without the patient’s consent etc.) has undoubtedly risen. The history of medical law of Ukraine remains underinvestigated. The practice of the courts operating in the Lviv oblast in 1919–1939 in cases on medical practitioners’ malpractice has yet not become the object of the research of Ukrainian scholars to date, analogically to the period, when the Lviv oblast was under the reign of the Austrian-Hungarian Empire in 1867–1918, or even in earlier times. The practice of the courts of the Lviv oblast in cases on medical practitioners’ malpractice in the period of 1919–1939 illustratively displays that civil lawsuits relating to medical malpractice were not rare ones. What is more, the court practice of those days featured criminal trials against medical practitioners for committing severe negligence, or illegitimate abortions. For a more complex understanding of medical practitioners in Austrian-Hungarian law by the reader, we will provide a brief explanation relating to it as well, in particular, on basis of those-days case law.
在第二代波兰共和国(1919-1939)统治时期,利沃夫州医疗保健的法律方面仍未得到充分调查。随着律师和学者越来越关注医疗法的历史和保护病人权利,各个时期医疗保健领域的纠纷问题(即医生的渎职,因医院疾病基金医生的疏忽而对作为法律实体的医院疾病基金提起的诉讼,在提供医疗服务的过程中发生的问题,(或未经病人同意而进行治疗等)无疑有所上升。乌克兰医疗法的历史仍未得到充分调查。与利沃夫州在1867-1918年奥匈帝国统治时期甚至更早的时期相比,1919-1939年利沃夫州法院在医疗从业人员渎职案件中的做法迄今尚未成为乌克兰学者的研究对象。利沃夫州法院在1919年至1939年期间医疗从业人员渎职案件中的做法说明,与医疗事故有关的民事诉讼并不罕见。更重要的是,当时的法庭惯例是对犯有严重过失或非法堕胎的医务人员进行刑事审判。为了让读者对奥匈法律中的医疗从业者有更复杂的理解,我们也将提供一个简短的解释,特别是在当时判例法的基础上。
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引用次数: 0
Peculiarities of the Business of Medical Practice in Ukraine During the Period of Marital Status 乌克兰婚姻状况时期医疗业务的特点
Pub Date : 2022-10-13 DOI: 10.25040/medicallaw2022.02.075
O. V. Khudoshyna
The peculiarities of the implementation of economic activity of medical practice in Ukraine during the period of a military situation were analysed. It has been proved that the economic activity of medical practice in the martial law is a separate special treatment of management which establishes a particular order for the organisation and carries out of business activity in a certain territory or in a definite industry of the economy, which differs from the general mode of economic activity that is provided by the legislation. It is emphasized the need to create a permanent communication platform that will allow taking into account state requirements and numerous proposals and remarks of the medical community, lawyers, organizations and experts regarding the conduct of economic activity from medical practice during the period of martial law.
分析了军事局势期间乌克兰医疗实践经济活动实施的特点。事实证明,戒严时期的医疗经济活动是对管理的一种单独的特殊处理,它为组织和开展某一地区或某一经济行业的商业活动确立了特定的秩序,不同于立法规定的一般经济活动模式。强调有必要建立一个永久性的交流平台,以便考虑到国家的要求以及医学界、律师、组织和专家就戒严期间从事医疗活动的经济活动提出的众多建议和意见。
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引用次数: 0
The Principle of the Rule of Law Is An Attribute of the Modern Legislation Reform 法治原则是现代立法改革的一个属性
Pub Date : 2022-10-13 DOI: 10.25040/medicallaw2022.02.064
Y. О. Trynyova
The author depicted the problem of discrepancy of the acting Ukrainian legislation in the sphere of the legal regulation of scientific research in one of the heading principles and standards of the EU law-making, namely the principle of the rule of law. The author has conducted an analysis of the national legislation and compared it with the international law in the afore-mentioned sphere, and has found out a number of divergences. Hence, the author has proposed the methods of solving the said legal problem, namely the author has chosen the most sufficient and actionable method of fulfilling the unification of legal terminology in the acting national legislation, and as a result, its adaptation to international law. The author finds it concordant to perform a number of changes to a chain of laws and bylaws, which are acting in Ukraine. Similar changes testify that the Ukrainian legislator fulfills the principle of the rule of law, especially one of its’ key features – namely, the legal certainty, clarity and non-ambiguity of the legal norm.
笔者从欧盟立法的主导原则和标准之一,即法治原则出发,阐述了乌克兰现行立法在科学研究法律规制领域存在的矛盾问题。笔者对上述领域的国家立法进行了分析,并将其与国际法进行了比较,发现了一些差异。因此,笔者提出了解决上述法律问题的方法,即选择最充分、最可操作的方法,在代理国家立法中实现法律术语的统一,从而使其与国际法相适应。作者认为,对乌克兰正在执行的一系列法律和细则进行一些修改是一致的。类似的变化证明,乌克兰立法者符合法治原则,特别是其关键特征之一,即法律规范的法律确定性、明确性和无歧义性。
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引用次数: 0
Peculiarities of the Dynamics of Medical Relations in Medical Law: Certain Aspects 医学法学中医学关系动态的特殊性:若干方面
Pub Date : 2022-04-15 DOI: 10.25040/medicallaw2022.01.026
I. Senyuta
The peculiarities of the implementation of the constitutional right to health care, medical assistance and medical insurance in martial law are clarified and the limits of its implementation are highlighted. It is established that accor­ding to the legislation of Ukraine in the conditions of the imposed martial law, the right guaranteed in Art. 49 of the Constitution of Ukraine, is not subject to restriction due to the absence in the list of constitutional rights that are subject to restriction in Presidential Decree № 64/2022. The normative regulation of the procedure for involvement of the doctors and other foreign health workers and stateless persons in the provision of assistance to victims who come to health care facilities, which is full of regulatory conflicts and controversies, has been studied. It is established that only those health care institutions whose organizational and legal form is communal institutions have the right to involve foreign or stateless medical workers in volunte­ering. The responsibilities of the municipal institutions that involved medical volunteers in their activities have been crystallized, namely: a) to inform the National Social Service of Ukraine in written form within five working days from the moment of involving foreigners and stateless persons in volunteering; b) to inform the Ministry of Health of Ukraine about the involvement of doctors and other foreign and stateless persons in providing assistance to the victims; c) to notify the State Migration Service of Ukraine within five working days in case of termination of volunteering by a foreigner or a stateless person. It has been established that the victims who come to health care facilities are patients by their legal status, so they retain all the guarantees provided by the legislation of Ukraine. In addition, patients under the Law of Ukraine «On Volunteering» in extrapolation to the field of medical care have the right for: a) respectful and humane treatment by volunteers and organizations and institutions that involve volunteers in their activities; b) receiving information about their rights, responsibilities and conditions for providing volunteer assistance; c) observance of the legal regime of information with limited access, i.e. observance of the right to secrecy about the health status; d) selection of volunteers and organizations and institutions that involve volunteers in their activities, forms of volunteer assistance; e) protection of their rights and legitimate interests in accordance with the law.
澄清了宪法规定的保健、医疗援助和医疗保险权利在戒严期间的执行特点,并强调了其执行的局限性。根据乌克兰立法,在实施戒严令的情况下,乌克兰宪法第49条所保障的权利不受限制,因为第64/2022号总统令所限制的宪法权利清单中不存在。对医生和其他外国保健工作人员以及无国籍人士参与向来到保健设施的受害者提供援助的程序的规范性规定进行了研究,这一程序充满了监管方面的冲突和争议。规定,只有组织和法律形式为社区机构的保健机构才有权让外国或无国籍医务人员参与志愿服务。对有医疗志愿人员参与其活动的市政机构的责任进行了明确规定,即:a)在有外国人和无国籍人参与志愿活动之日起5个工作日内以书面形式通知乌克兰国家社会服务机构;(b)向乌克兰卫生部通报医生和其他外国人及无国籍人参与向受害者提供援助的情况;c)外国人或无国籍人终止志愿服务的,在五个工作日内通知乌克兰国家移民局。根据法律地位,来到保健设施的受害者是病人,因此他们享有乌克兰立法提供的所有保障。此外,根据乌克兰《志愿服务法》,病人在医疗保健领域有权得到:a)志愿者以及让志愿者参与其活动的组织和机构给予尊重和人道的待遇;B)接受有关他们提供志愿援助的权利、责任和条件的信息;(C)遵守限制获取信息的法律制度,即遵守对健康状况保密的权利;D)志愿者的选择、志愿者参与活动的组织和机构、志愿援助的形式;E)依法保护自己的权利和合法利益。
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引用次数: 0
ACTIVITIES OF INTERNATIONAL ORGANIZATIONS IN THE DEVELOPMENT AND IMPLEMENTATION OF UNIVERSAL BIOETHICAL PRINCIPLES IN HEALTH 国际组织在制定和实施卫生领域的普遍生物伦理原则方面的活动
Pub Date : 2022-04-15 DOI: 10.25040/medicallaw2022.01.019
L. Jafarova
Bioethical principles are considered in the prism of the UNESCO Universal Declaration on Bioethics and Human rights in the paper. Analyzing the modern activities of global organizations, the author comes to the conclusion about the internationalization of principles as a tool in shaping the activities of international structures such as UNESCO, the EU, etc. Considering the similarities and differences in profile structures, the author comes to the conclusion about the significance of the universal bioethical principles of UNESCO from the point of view of unification of health care systems around the world.
该文件从联合国教科文组织《世界生物伦理与人权宣言》的角度考虑了生物伦理原则。通过分析全球组织的现代活动,作者得出了原则国际化作为塑造联合国教科文组织、欧盟等国际结构活动的工具的结论,作者从世界卫生保健系统统一的角度,得出了联合国教科文组织普遍生物伦理原则的重要意义。
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引用次数: 0
On the Implementation of the WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation 关于实施世界卫生组织《人体细胞、组织和器官移植指导原则》
Pub Date : 2022-04-15 DOI: 10.25040/medicallaw2022.01.009
I. O. Bogomazova
Consideration of the Law of Ukraine «On the use of transplantation of anatomical materials to humans» № 2427-VIII through the prism of the Guidelines allows to demonstrate their genetic links, and thus opens the logic of the historical development of transplantation legislation in Ukraine. A comparative analysis of the text of the Guiding Principles and the Law gives grounds to claim that a set of legal means was used for the implementation of the former by the legislator, namely various forms of transformation and reception. It should be noted that the implementation of the Guidelines has not been fully implemented due to the national legislator's rejection of the idea of emotional connection between donor and recipient as a basis that legitimizes medical intervention. The rest of the provisions of the Law provide a level of guarantees that meet, and in part exceed, that set out in the Guidelines.
考虑乌克兰法律“关于使用人体移植解剖材料”№2427-VIII通过该准则的棱镜允许展示其遗传联系,从而打开乌克兰移植立法历史发展的逻辑。通过对《指导原则》和《法律》文本的比较分析,我们有理由认为,立法者在实施《指导原则》时使用了一套法律手段,即各种形式的转化和接受。应该指出的是,由于国家立法者拒绝将捐赠者和接受者之间的情感联系作为医疗干预合法化的基础,《准则》的执行没有得到充分执行。该法的其他条款所提供的保证水平达到并部分超过了《准则》所规定的水平。
{"title":"On the Implementation of the WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation","authors":"I. O. Bogomazova","doi":"10.25040/medicallaw2022.01.009","DOIUrl":"https://doi.org/10.25040/medicallaw2022.01.009","url":null,"abstract":"Consideration of the Law of Ukraine «On the use of transplantation of anatomical materials to humans» № 2427-VIII through the prism of the Guidelines allows to demonstrate their genetic links, and thus opens the logic of the historical development of transplantation legislation in Ukraine. \u0000A comparative analysis of the text of the Guiding Principles and the Law gives grounds to claim that a set of legal means was used for the implementation of the former by the legislator, namely various forms of transformation and reception. It should be noted that the implementation of the Guidelines has not been fully implemented due to the national legislator's rejection of the idea of emotional connection between donor and recipient as a basis that legitimizes medical intervention. The rest of the provisions of the Law provide a level of guarantees that meet, and in part exceed, that set out in the Guidelines.","PeriodicalId":91928,"journal":{"name":"Medychne pravo","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42457336","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
THE DOCTRINE OF PATIENT’S INFORMED CONSENT IN THE LEGISLATION AND JURISPRUDENCE OF CZECH REPUBLIC, AUSTRIA AND THE LATVIAN REPUBLIC 捷克、奥地利和拉脱维亚三国立法和判例中的患者知情同意原则
Pub Date : 2022-04-15 DOI: 10.25040/medicallaw2022.01.049
Urkevich Tatjana Ivanivna, A. Lytvynenko
The article represents the history, emergence and the contemporary state of development of the legal doctrine of the patient’s informed consent to medical interventions in Czech Republic, Austria and the Latvian Republic. The authors focus on the vaults of the doctrine of the doctor’s obligation to abstain from conducting any medical interventions without the consent, or against the will of the patient, since the expression of the patient’s will is the central element of his right to self-determination. In order to discover the main features of informed consent in the civil law perspective, the authors discuss the historical and current legal developments of the legal institute of patient’s informed consent. The authors conclude that the formation of the institute owes to the right to body integrity and limitation of the exercise of medical profession by practitioners, and that the civil law doctrine of informed consent differs from Anglo-American tort law, relying on statutory-based civil liability for negligence, as well as minor penal liability for battery, an occasional interpretation of unauthorized medical intervention. The authors emphasize, that the existing bodies of Austrian, Czech and Latvian case law relating to informed consent, which span for over a century, are sufficient to become a branch of Continental medical malpractice case law alongside with aged and well-developed French or Belgian medical jurisprudence, whereas the Latvian medical jurisprudence, despite having a rich history of emergence since the 1920s, has developed a solid body of case law in regard with patient’s rights relatively recently.
本文介绍了捷克共和国、奥地利和拉脱维亚共和国患者知情同意医疗干预法律学说的历史、出现和当代发展状况。作者重点讨论了医生有义务在未经患者同意或违背患者意愿的情况下避免进行任何医疗干预的原则,因为患者意愿的表达是其自决权的核心要素。为了从民法的角度揭示知情同意的主要特征,作者讨论了患者知情同意法律研究所的历史和现状。作者得出的结论是,该研究所的成立归功于对身体完整性的权利和对执业医师行使医学专业的限制,知情同意的民法原则不同于英美侵权法,它依赖于基于法定的过失民事责任,以及殴打的轻微刑事责任,对未经授权的医疗干预的偶尔解释。提交人强调,奥地利、捷克和拉脱维亚与知情同意有关的现有判例法已经跨越了一个多世纪,足以与成熟的法国或比利时医学判例一起成为大陆医疗事故判例法的一个分支,而拉脱维亚医学判例法,尽管自20世纪20年代以来有着丰富的出现历史,但相对而言,它在最近发展了一套关于患者权利的判例法。
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引用次数: 1
Patient Funds and Their Legal Status Through the Prism of the Historical Experience of the Precarpathian Region (1919–1939) 从前卡帕西亚地区的历史经验看病人基金及其法律地位(1919–1939)
Pub Date : 2022-04-15 DOI: 10.25040/medicallaw2022.01.037
O. Soroka
Based on archival, published historical documents, as well as other available information sources, the peculiarities of the legal status of patient funds that had been operated in the Precarpathian region during the Polish period in 1919–1939 years (the ІІ Republic of Poland, in polish II Rzeczpospolita Polska), were discussed in light of a prototypical health insurance system. It was found that modern domestic experience, although small, shows that the peculiarities of the legal status of patient funds, which operated in the Precrpathian region during the Polish period in 1919–1939 as a prototype of health insurance, have the potential to use positive historical experience and understanding of the problem of state regulation of medical activities. It is established that the legal status of patient funds, ie their position in the legal reality, is reflected in the constituent documents, and, particularly, in the main of them – in the statute of these organizations. The analysis of these documents allows determining the features of the regulation of their activities in relation with society and the state, the set of rights and responsibilities of both the organization in general and its members in particular. The vision of the present through a kind of prism of the past contributes to a better understanding of management processes and decisions, helps to understand the inner life of a certain historical period with all its manifestations and ideas, and helps to better understand modern state policy to build an effective system of health care in general and health insurance in particular.
根据档案、出版的历史文件以及其他可用的信息来源,根据一个典型的健康保险制度,讨论了1919-1939年波兰时期(ІІ波兰共和国,波兰语II Rzeczpospolita Polska)在不稳定巴阡地区运作的病人基金的法律地位的特点。据发现,现代国内经验虽然很少,但表明,1919年至1939年波兰时期作为健康保险原型在Precrpathian地区运作的患者基金的法律地位的特殊性,有可能利用积极的历史经验和对国家监管医疗活动问题的理解。可以确定的是,耐心基金的法律地位,即它们在法律现实中的地位,反映在组成文件中,特别是主要反映在这些组织的规约中。通过对这些文件的分析,可以确定其与社会和国家有关的活动的监管特征,以及组织及其成员的权利和责任。通过一种过去的棱镜来看待现在,有助于更好地理解管理过程和决策,有助于理解某一历史时期的内在生活及其所有表现形式和思想,有助于更好地理解现代国家政策,以建立一个有效的一般医疗保健系统,特别是健康保险。
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引用次数: 0
PROTECTING PATIENT’S RIGHTS IN A POST-TRADITIONAL LEGAL SYSTEM: COMPARING LATVIAN AND JAPANESE MEDICAL JURISPRUDENCE 在后传统法律体系中保护病人权利:比较拉脱维亚和日本的医学法学
Pub Date : 2021-10-07 DOI: 10.25040/medicallaw2021.02.018
Anatoliy A. Lytvynenko
Litigation concerning the violation of patient’s rights, which are associated with informed consent, confidentiality, right to information and medical records, as well as occasionally with end-of-life decision- making are quite frequent in common law and civil law jurisdictions, and has lasted for over a century in issues concerning malpractice, or unauthorized medical interventions and breaches of medical confidentiality. However, what could we say about medical law-related litigation in Japan? Technically, the legal system of Japan is a civil law one, but is practically post-traditional, which is reflected in extreme paternalism in healthcare and patient-physician relationships, which could be observed before the recent decades and which still has some impact on the modern Japanese medical law, despite the number of medical law-related litigation is becoming more frequent nowadays. The Japanese legislation does not have a specific “patient’s rights law” in contrast to European states, and most of the principles relating to medical malpractice derive from case law – the practice of the Supreme Court and of the lower courts. Each of the decisions strongly depends upon the factual circumstances, and the post-traditional features of the legal system may have some impact on it.
关于侵犯患者权利的诉讼,涉及知情同意、保密、信息权和医疗记录权,偶尔也涉及临终决策,在普通法和民法管辖区相当频繁,在渎职问题上已经持续了一个多世纪,或未经授权的医疗干预和违反医疗保密规定。然而,我们对日本的医疗法相关诉讼有什么看法呢?从技术上讲,日本的法律体系是民法体系,但实际上是后传统的,这反映在医疗保健和医患关系中的极端家长主义,这在近几十年之前就可以观察到,尽管如今与医疗法相关的诉讼越来越频繁,但这仍然对现代日本医疗法产生了一些影响。与欧洲国家相比,日本立法没有具体的“患者权利法”,与医疗事故有关的大多数原则都源于判例法——最高法院和下级法院的做法。每一项决定都在很大程度上取决于实际情况,法律制度的后传统特征可能会对其产生一些影响。
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引用次数: 0
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Medychne pravo
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