The rights and duties of medical relations subjects . MEDICAL CARE AND MEDICAL SERVICE

1. Therightsanddutiesof medicalrelationssubjects. MEDICAL CARE AND MEDICAL SERVICE Medical Law Department

2. 1. Patient and his rights 2. Patient`s rights in certain healthcare relations 3. Patient`s duties 4. Juridical regulation of professional medics` rights and duties 5. Medical care and medical service 6. Free medical care 7. Paid medical service

3. Human moral rights is the most important institute in any human society. It regulates juridical status of a person, defines methods and instruments of impact on it, juridical guarantees for realization and protection of human rights and freedoms. Knowing the rights and duties of patients and medics is also a guarantee of its compliance. THE AIM

4. The terms Juridical status Patient`s rights Patient`s duties Medic`s rights Medic`s duties Medical care Medical service Medical activity Health care

5. 1. Patient and his rights

6. A PATIENT is any recipient of health care services. The patient is most often illor injuredand in need of treatment by a physician, physician assistant, registered nurse, or other health care provider.

7. An outpatient (or out-patient) is a patient who is not hospitalized for 24 hours or more but who visits a hospital, clinic, or associated facility for diagnosis or treatment. Treatment provided in this fashion is called ambulatory care. Sometimes surgery is performed without the need for a formal hospital admission or an overnight stay. This is called outpatient surgery. Outpatient surgery has many benefits, including reducing the amount of medication prescribed and using the physician's or surgeon's time more efficiently. More procedures are now being performed in a surgeon`s office, termed office-based surgery, rather than in a hospital-based operating room. Outpatient surgery is suited best for healthy patients undergoing minor or intermediate procedures (limited urologic, ophthalmologic, or ear, nose, and throat procedures and procedures involving the extremities).

8. An inpatient (or in-patient) is "admitted" to the hospital and stays overnight or for an indeterminate time, usually several days or weeks (though some cases, such as coma patients, have been in hospitals for years). Treatment provided in this fashion is called inpatient care. The admission to the hospital involves the production of an admission note. The leaving of the hospital is officially termed discharge, and involves a corresponding discharge note.

9. A day patient or (day-patient) is a patient who is using the full range of services of a hospital or clinic but is not expected to stay the night. The term was originally used by psychiatric hospital services using of this patient type to care for people needing support to make the transition from in-patient to out-patient care. However, the term is now also heavily used for people attending hospitals for day surgery.

10. Ukrainian regulations on the rights of the patient:

11. The Rights of patient The Right to Life (art. 27 C, art. 281 CC) The Right to Free Choice (art. 284 CC, art. 34, 38 BHCL) The Right to Medical Care (art. 49 C, art. 284 CC, art. 78 BHCL, cl. 1 sect. 1 Oath) The Right to Security (art. 29 C, ст. 289 CC, art. 42, 43 BHCL) The Right to Medical Information (art. 32, 34 C, art. 285 CC, art. 6, 39 BHCL) The Right to Medical Secret (art. 32,34 C, art. 286 CC, art. 39-1,40, cl. "г" art. 78 BHCL, cl. 3sect. 1 Oath) The Right to a responsive attitude, actions and thoughts from the medical and pharmaceutical workers that are based on the principles of morality (art. 78 BHCL, cl. 2 sect. 1 Oath)

12. The Right to access of other health professionals (cl. 1 art. 287 CC, art. 6 BHCL) The Right to access of a lawyer and notary (cl. 1 art. 287 CC, art. 6 BHCL) The Right of admission of family members, guardians (cl. 1 art. 287 CC, art. 6 BHCL) The Right of access to patient priest to send prayers and religious ceremonies (cl. 2 art. 287 CC, art. 6 BHCL) The Right to full awareness and voluntary consent to medical and biological experiments (cl. 3art. 28 C, cl. 3art. 281 CC, art. 45 BHCL) The Right on transplantation of organs and other anatomical materials as the special treatment (art. 47 BHCL) The Right to artificial insemination and embryo implantation (cl. 7 art. 281 CC, art. 48 BHCL) The Right to use methods of sterilization (cl. 5 art. 281 CC, art. 49 BHCL)

13. The Right to voluntary abortion (cl. 6 art. 281 CC, art. 50 BHCL) The Right to an independent medical examination (art. 6, Part9 BHCL) The Right to change (correction) sex (art. 51 BHCL) The Right to compensation for damages to health (art. 6 BHCL) The right to legal protection against any unlawful discrimination related to health (art. 6 BHCL) The Right to appeal unlawful decisions and actions of officials, institutions and health authorities (art. 40, 55, 56 C, art. 6 BHCL)

14. International acts for the rights of patient • Council of Europe Recommendation 779 on the rights of sick and dying (1976) • Charter of the Hospital patient, (Luxembourg, 9 May 1979) • Patients' rights in Europe (WHO, 1993) • European Charter of Patients’ Rights (Rome, November 2002) • Declaration of Policy on the Rights of Patients in Europe (1994) • The Lisbon Declaration on the Rights of the patient (1981)

15. 2. The rights of patients in some areas of medical activity

16. The rights of patients in some areas of medical activity Areas of medical activity

17. 3. Juridical regulation of patient`s duties

18. Patient duties: • To take care of their health and the health of children; • Do not harm; • To identify communication with health workers; • To report to the doctor all the necessary information for the diagnosis and treatment of disease; • After giving consent to medical intervention to comply strictly all physician`s prescription; • To perform all the rules of the hospital; • To inform the doctor immediately about their health status changes in the process of diagnosis and treatment.

19. 4. Juridical status of medical workers

20. Professional rights of medical workers:

21. Doctor`s rights

23. Doctor`s duties

24. 5. Medical care and medical service

25. Medical care - is the professional activity of health workers, aimed on the prevention, diagnosis, treatment and rehabilitation due to illness, injury, poisoning and other pathological conditions, as well as in connection with pregnancy and childbirth (art. 3 BHCL)

26. Types of medical care

27. Emergent medical care — isthe system of urgent organizational, management, diagnostic, treatment measurements of medical care under emergency conditions of sick and injured patients at prehospital and hospital stages

28. 6. Free medical care

29. 7. Paid medical service

30. Thank you for attention!