[论“医疗事故”、“过失”和“医疗缺陷”概念的界定问题:社会法律方面]。

A V Liadova, M V Liadova
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引用次数: 0

摘要

鉴于公众和专业社区对“医疗差错”、“医源性”、“医疗缺陷”等概念缺乏明确的定义和理解,本文考虑了这些概念的社会法律方面的问题。这些概念的使用具有时间连续性的特点,这种连续性受到不同阶段存在的方法的影响。在分析科学出版物和规范性法律基础的基础上,论证了其定义的起源和特点。揭示了影响其转型的社会因素。确立了最初对医疗工作中可能存在的缺陷的传统认识是由于对某些健康问题的现有医学知识不足而形成的医生的良心妄想。原始实证研究的结果证明了这种认识在执业医师专业社区的稳定性。然而,在以个体治疗为导向的新型诊疗工具的应用为基础的国民医疗保健新模式发展的条件下,在卫生领域的媒介化影响下,对医疗差错的传统认识变得有限,从而产生了“医疗缺陷”的概念。然而,由于法律学界对其缺乏明确的定义,其解释存在歧义,限制了其适用。为此,文章强调,由于患者申诉和医疗民事刑事案件数量的增加,有必要对相关定义进行法律充实,并建议在法律流通中引入“提供医疗的不作为”这一术语。
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[On the issue of determining notions "medical malpractice", "yatrogeny" and "defect of medical care": social legal aspects].

The article considers social legal aspects of concepts of "medical error", "iatrogenesis", "defect of medical care" in view of absence of their clear definition and understanding in public and professional communities. The usage of these concepts is distinguished by chronological continuity that is conditioned by influence of approaches existed at different stages. On the basis of analysis of scientific publications and normative legal base their genesis and peculiarities of definition are demonstrated. The social aspects affecting their transformation were revealed. It is established that initially traditional understanding of possible shortcomings in medical work was formed as conscientious delusion of physician because of insufficiency of existing medical knowledge about certain health problems. The results of original empirical study demonstrated stability of this understanding in professional community of practicing physicians. However, in conditions of development of new model of national health care based on application of new diagnostic and treatment tools oriented to individual approach to patient and under effect of mediatization of health sphere traditional understanding of medical errors became limited that resulted in occurrence of concept of "medical care defect". However, its application is limited due to ambiguity of interpretation because of absence of its definition in legal field. In this regard, the article emphasizes necessity of legal substantiation of relevant definitions due to increasing of both appeals from patients and the number of civil and criminal medical cases and proposes to introduce into legal circulation term "omission under provision of medical care".

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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
234
期刊最新文献
[The comparative analysis of correspondence of normative and factual number of stomatologists considering private medical organizations]. [G. A. Miterev, the director of the Erisman Central Research Sanitary Institute]. [On the issue of determining notions "medical malpractice", "yatrogeny" and "defect of medical care": social legal aspects]. [The analysis of medical demographic indicators of rural population]. [The attraction of medical workers to civil and administrative responsibility].
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