[Disciplinary responsibility of medical workers in medical organizations].

Bringing to disciplinary responsibility of medical workers in the context of reforming the system of personnel training for the medical field, the introduction of digital technologies into the daily activities of a doctor, acquires pronounced specific features. The purpose of the study is to review the current labor legislation regulating labor discipline and identify the grounds for bringing medical workers to disciplinary responsibility in medical organizations.

[Medical and legal aspects of the responsibility of medical workers in cases of improper provision of medical care].

The article considers the concept of medical incidents of «improper provision of medical care¼, implying the action or inaction of a medical worker who violates the procedure for providing medical care established by regulatory legal acts and standards. The relevance of the study of issues related to the medical and legal norms of holding medical workers accountable when medical care is of inadequate quality is due to the importance of understanding offenses in the medical field and assessing the responsibility of medical workers, who act as criteria for the presence of problems in the medical field and the impetus for reforming the health system.

[Civil, administrative and criminal liability of medical workers].

From the point of view of legislation, medical care refers to the provision of services, however, the issues of legal responsibility of a medical worker, which is imposed in case of violation of the rights of a patient, are quite difficult and are characterized by controversial points for assessment. Today, a large number of complaints from patients are filed against doctors, requiring consideration by the competent authorities. The article considers the features of civil, administrative and criminal liability applied to medical workers.

Assessment of Knowledge of Legal Provisions on Organ Donation and Transplantation amongst Healthcare Workers in Nigeria: A Cross-sectional Study.

BACKGROUND: Advancements in the medical field have made organ transplantation an attractive treatment option for patients when indicated. Shortage of organs and commodification of organs are major challenges encountered in organ donation and transplantation. These could potentially breed unethical practices, if the process is not well regulated. AIM: The aim of this study was to assess the knowledge of healthcare workers (HCWs) on the legal provisions regulating organ donation and transplantation in Nigeria. METHODOLOGY: This cross-sectional study was conducted amongst physicians and nurses across Nigeria. Knowledge of legal provisions on organ donation and transplantation was assessed using a validated questionnaire that had 21 questions derived from the National Health Act. Each correctly answered question was given 1 point with a total obtainable score of 21 points. A score of ≥14 points was classified as good knowledge. P <0.05 was considered significant. RESULTS: A total of 836 physicians and nurses with a mean age of 37.61 ± 9.78 years participated in the study. Females and physicians constituted 53.3% and 62.9% of the respondents, respectively. The mean knowledge score of the respondents was 9.70 ± 2.91 points. Eighty-three (9.9%) respondents had a good knowledge score. There was a significantly higher proportion of male HCWs (P < 0.037) and older HCWs (P = 0.017) with good knowledge of legal provisions. On logistic regression, age was the only factor found to be associated with good knowledge of legal provision (adjusted odds ratio: 3.92; confidence interval: 1.33-11.59; P = 0.01). CONCLUSION: The overall knowledge of legal provisions on organ donation and transplant was very poor amongst HCWs in Nigeria. There is a need to educate them on these provisions to curb unethical practices.

When is a Health Practitioner Not "a Fit and Proper Person" to Practise Their Health Profession in Australia?

Prior to implementation of the Health Practitioner Regulation National Law Act 2009 (Qld) (National Law) the term "good character" was used in the statutory regulation of health practitioners in Australia. "Good character" has been jettisoned in the National Law and replaced with the concept of "fit and proper person". The term "fit and proper person" plays an important role in the regulation of health practitioners under the National Law. "Fit and proper person" is not defined in the National Law but case law has narrowed the term to refer to "moral integrity" and "rectitude of character". These considerations can be applied in the context of application for registration, immediate action, and disciplinary proceedings in relevant tribunals. Application of the "fit and proper person" test serves to enhance public confidence in the integrity of the health professions and the integrity of the regulatory regime, as distinct from protecting the public from unsafe and incompetent health professionals.

Investigating Investigation Powers under the Health Practitioner Regulation National Law.

Investigators and inspectors appointed under the Australia Health Practitioner Regulation National Law play important roles by gathering and assessing evidence used in disciplinary proceedings and/or criminal prosecutions. In performing these roles, investigators and inspectors exercise "police-like" powers including coercive questioning and entry onto private property with or without a search warrant. The investigation process can add additional stress and anxiety for health practitioners who are subject to disciplinary proceedings. It is difficult for an aggrieved party to challenge the lawfulness of the exercise of an investigation power in a tribunal as tribunals lack jurisdiction to rule on the legality of an investigation power or the admissibility of evidence. This article explores the range of powers possessed by investigators and inspectors under the National Law and a number of issues relating to the exercise of those powers.

WebPalestra: insalubridade e periculosidade, quem tem direito?

Tem dúvidas sobre o tema desta WebPalestra? Usuários cadastrados no Telessaúde ES podem tirar dúvidas sobre os assuntos dos nossos vídeos fazendo teleconsultorias. https://telessaude.ifes.edu.br/salus Se não possuir cadastro no Telessaúde ES, cadastre-se no link abaixo: https://telessaude.ifes.edu.br/autoca... Gostaria de assistir às nossas WebPalestras ao vivo? Acompanhe a agenda do nosso site para saber de novas webpalestras. Ao assistir ao vivo você poderá tirar suas dúvidas diretamente com o palestrante. http://telessaude.ifes.edu.br/webpale...

Confidencialidad de datos, secreto profesional y búsqueda de contactos en infecciones de transmisión sexual / Data confidentiality, professional secret and contact research in sexually transmitted infections

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Los títulos, la ley de educación superior y los posgrados en medicina / TITLES, THE SUPERIOR EDUCATION LAW , AND POSTGRADUATE COURSES IN MEDICINE

Actualmente la oferta académica que disponen los profesionales de la salud es considerable y en muchos casos resulta engañosa dado que se publicitan múltiples formatos tales como diplomaturas, cursos superiores, etc que sugieren una supuesta especialización que en realidad no es tal. Por ello surge la intención de analizar este tema y revisar de manera clara y sustentada lo que significan cada uno de los títulos, que dice la la ley de educación superior y cuales son los posgrados en medicina así como su validez y eventual correspondencia con una especialización.

Currently the academic offer available to health professionals is considerable and in many cases it is misleading given that multiple formats such as postgraduate diplomas, higher courses, etc. suggesting a supposed specialization that is not really such. Therefore the intention arises to analyze this issue and review in a clear and sustained way what each of the titles mean, which says the law of higher education and what are the postgraduate courses in medicine as well as their validity and ventual correspondence with a specialization.

El principio de veracidad biologica y la eleccion del sexo de los hijos segun la Ley espanola de reproduccion humana asistida / The principle of biological veracity and the choice of the sex of the children according to the Spanish Law on Assisted Human Reproduction

Las técnicas de gestación asistida requieren una investigación exhaustiva, buscando proporcionar criterios y argumentos para evaluar los problemas relativos al impacto de la investigación y la práctica de la reproducción humana asistida. La sociedad de nuestros días plantea problemas muy diversos en el campo de la reproducción humana, como el de la elección del sexo de los hijos, sobre los cuales conviene concretar sus posibilidades e inconvenientes. Por ello la Ley 14/2006, sobre Técnicas de Reproducción Humana Asistida (LRHA), tiene como principal objetivo facilitar la descendencia por medio de la manipulación de los gametos y preembriones humanos. Esta norma regula también la aplicación de las técnicas de reproducción asistida en la prevención y tratamiento de enfermedades de origen genético o hereditario y las condiciones en las que podrá autorizarse la utilización de gametos y preembriones humanos con fines de investigación. En tal sentido, comenzaremos exponiendo las técnicas de reproducción asistida, para continuar describiendo el principio de la veracidad biológica paternal y la elección del sexo de los hijos

Assisted gestation techniques require a multidisciplinary research line, seeking to provide criteria and arguments for assessing the problems related to the impact of research and practice in the framework of assisted human reproduction. For today's society poses very diverse problems in the field of human reproduction, on which a fair and current legal regulation will have to be pronounced. Therefore Law 14/2006, on Techniques of Assisted Human Reproduction (LRHA), has as main objective to facilitate the offspring through the therapeutic use of human gametes and preembrions. This standard also regulates the application of assisted reproduction techniques in the prevention and treatment of diseases of genetic origin or hereditary origin and the conditions under which the use of human gametes and preembrions may be authorised for research purposes. To structure our exhibition we will begin by exposing the techniques of assisted reproduction, to continue commenting on the biological truthfulness of the paternal and the choice of the sex of the children

Aspectos médico-legales derivados de la pandemia de la COVID-19 / Medico-legal issues regarding from the COVID-19 pandemic

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COVID-19: May healthcare practitioners ethically and legally refuse to work at hospitals and health establishments where frontline employees are not provided with personal protective equipment?

The purpose of this article is not to encourage health practitioners to refuse to assist COVID-19 patients if they are not provided with personal protective equipment (PPE) at the workplace. It is to encourage them to advocate for PPE by pointing out that in South Africa (SA), health establishments that fail to provide them with PPE will be held ethically and legally responsible for the deaths of any patients ­ not health practitioners ­ if as a last resort such health professionals have to withdraw their services to protect other patients, themselves, their families and their colleagues. The article refers to the World Medical Association, World Health Organization and Health Professions Council of SA guidelines regarding the use of PPE during the COVID-19 epidemic, especially in the case of shortages. All the guidelines state that the safety of healthcare workers is a priority if they are to care for their patients properly. Mitigation measures are suggested, but do not extend to failing to provide PPE to those healthcare workers who deal directly with patients. The law protects all workers, who have a constitutional and statutory right to a working environment that is not harmful and does not threaten their health and safety. The article concludes that as a last resort, if the international and national ethical guidelines and legal rules are not being followed regarding PPE and advocacy attempts to persuade health establishments to provide PPE fail, and healthcare workers are exposed to the COVID-19 virus, they may ethically and legally withhold their services. These points should be made when health practitioners are advocating for PPE

El Derecho Médico, vital en el ejercicio de la Cirugía Plástica de hoy / Medical Law, vital in the practice of Plastic Surgery today

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Proyecto de ley sobre Profesionales de la Salud

Nota de la Federación de Profesionales, en respuesta al proyecto de ley que modifica la Carrera Profesional del Ministerio de Salud del Gobierno de la Ciudad de Buenos Aires y excluye de la misma a diferentes profesionales de la salud. Se plantean distintas objeciones al proyecto, detallando la necesidad de replantear esta medida.

Los profesionales de la sanidad no son autoridad a efectos penales / Healthcare professionals are not authority in Spanish criminal law

La atribución de la condición de autoridad a efectos penales a los profesionales de la sanidad pública es un error que viene repitiéndose desde antes de la reforma del ordenamiento penal español del año 2015 (LO 1/2015, de 30 de marzo). Este trabajo recoge esta problemática y, en particular, cómo se repite en la actualidad en resoluciones judiciales, literatura científica, manifestaciones de colegios profesionales y medios de comunicación, generando una situación confusa, sobre todo por la diferencia en las consecuencias punitivas que esta apreciación supone. Incluso se reclama la posibilidad de que la consideración de autoridad se extienda al ámbito privado. Esto resulta inviable, puesto que ni es aplicable a la sanidad pública ni los profesionales de la sanidad privada detentan tan siquiera la condición de funcionario público

The attribution of the status of authority in Criminal Law to public health professionals is a mistake that is been repeated even before the reform of the Spanish penal system in 2015 (Organic Law 1/2015 of 30 March). This work describes this problem and, in particular, how it is repeated today in judgments, scientific literature, and demonstrations from professional associations and media. This creates a confusing situation, particularly due to the differences in the punitive consequences. The attribution of the status of authority is even expected to be extended to the private healthcare. This is unworkable, since it does not apply to public health workers, and private health professionals do not even have the status of public servants

Delito de atentado contra personal sanitario de centros privados con actividad pública concertada / Criminal offense against healthcare staff of private centers with concerted public activity

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Respuesta: Delito de atentado contra personal sanitario de centros privados con actividad pública concertada / Reply: Criminal offense against healthcare staff of private centers with concerted public activity

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EX-2018-24176661-MGEYA-MSGC s/ Proyecto de Ley Carrera Profesionales de Salud

Capítulos y anexos del proyecto de ley presentado en Septiembre de 2018 por el Ministerio de Salud al Cuerpo Legislativo de la Ciudad de Buenos Aires, con el objetivo de aprobar un nuevo marco normativo al empleo público de los profesionales del sistema de salud de esta ciudad.

Políticas públicas de aborto en transición: de las consejerías pre y post aborto a las interrupciones legales del embarazo en el Área Metropolitana de Buenos Aires / Abortion policy in transition: from pre and post abortion counseling to legal interruptions of pregnancy at Metropolitan Area of Buenos Aires / Polítiques públiques d'avortament en transició: de les conselleries pre i post avortament a la interrupció legal de l'embaràs a l'Àrea Metropolitana de Buenos Aires

En este artículo, analizamos la transición desde el modelo de consejerías pre y post aborto hacia la implementación de las interrupciones legales del embarazo (ILE) en el Área Metropolitana de Buenos Aires. Mientras el primer modelo se enmarca en el paradigma de la reducción de riesgos y daños, la implementación de las interrupciones legales del embarazo resignifica como un derecho las causales de no punibilidad contempladas en el Código Penal argentino de 1921, a saber: la causal violación y la causal salud. En este trabajo, analizamos en qué contexto se produce esta transición, cuáles han sido los factores que han contribuido y qué diferencias supone este cambio de modelo

In this paper, we analyze the transition from pre and post abortion-counseling model to the implementation of legal interruptions of pregnancy (ILE, for its Spanish initials) in the Metropolitan Area of Buenos Aires. Whereas the first model is framed in the paradigm of risk and harm reduction, the implementation of legal interruptions of pregnancy resignifies as a right the cases of non-punishable abortion included at the Argentine Penal Code of 1921, namely: cases of rape and cases of maternal health or life risk. In this paper, we analyze in which context this transition takes place, which factors have contributed and what differences this change of model implies

En aquest article analitzem la transició des del model de conselleries pre i post avortament cap a la implementació de la interrupció legal de l'embaràs (ILE) a l'Àrea Metropolitana de Buenos Aires. Mentre el primer model s'emmarca en el paradigma de la reducció de riscos i danys, la implementació de la interrupció legal de l'embaràs estableix com un dret els supòsits de no punibilitat contemplades en el Codi Penal argentí de 1921, a saber: el supòsit de violació i el supòsit de salut. En aquest treball, analitzem en quin context es produeix aquesta transició, quins han estat els factors que hi han contribuït i quines diferències suposa aquest canvi de model

Políticas de saúde do Sul da Europa e desregulação das relações de trabalho: um olhar sobre Portugal / Health policies in Southern Europe and deregulation of labour relations: a glimpse of Portugal

Resumo Sob o efeito do Memorando da Troika (2011-2015), as políticas de saúde em Portugal conhecem uma agenda política, empresarial e organizacional orientada por princípios de privatização, desregulação e subfinanciamento dos serviços públicos por parte do Estado. Neste artigo, faz-se uma revisão da literatura sobre os sistemas de saúde dos países do Sul, destacando-se a situação portuguesa quanto aos processos de reforma e principais desigualdades de saúde antes e durante a crise econômica. Complementarmente, convocam-se os testemunhos de diferentes profissionais do setor da saúde (médico, enfermeiro, técnico de terapêutica, sindicatos e dirigentes de unidades de cuidados). Baseado num estudo exploratório, discutem-se as transformações político-organizacionais e suas consequências na desregulação e precarização das relações de trabalho no setor da saúde. Reduções salariais, congelamento de carreira, instabilidade contratual, desmotivação profissional, intensificação do ritmo de trabalho e desqualificação dos serviços são alguns dos sinais mais visíveis de uma agenda gestionária que conflitua com as missões de um Sistema de Saúde Pública (SNS) universal ao serviço da sociedade portuguesa.

Abstract Under the Troika Memorandum (2011-2015), health policies in Portugal know a political agenda, business and organizational schedule guided by the principles of privatisation, deregulation and underfinancing of public services by the State. In this article, the authors provide a review of the literature on health systems in the countries of the Southern European countries, highlighting the Portuguese situation regarding reform processes and major health inequalities before and during the economic crisis. Complementarily, the testimonies of different professionals of the health sector (doctor, nurse, therapeutics technician, unions and heads of care units) are summoned. Based on an exploratory study, it is our purpose to discuss political-organisational transformations and their consequences in the deregulation and precariousness of labour relations in the health sector. Wage reductions, career freeze, contractual instability, professional demotivation, intensification of the work pace and disqualification of services are some of the most visible signs of a management agenda that conflicts with the missions of a universal National Health System (NHS) at the service of Portuguese society.