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3.
Orthop Clin North Am ; 52(1): 77-82, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33222987

RESUMO

Over the past century, governmental involvement in the delivery of health care has grown steadily through health policy initiatives and increased regulations. Traditionally, the involvement in this process for the orthopedic surgeon was minimal because they were focused primarily on direct patient care. These two pathways have met a crossroads, however, where it has now become necessary for the orthopedic surgeon to advocate on behalf of themselves and their patients to guide and influence the legislative and regulatory processes. This article reviews the background of orthopedic advocacy and discusses ways in which the interested surgeon can become involved.


Assuntos
Assistência à Saúde/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Cirurgiões Ortopédicos , Papel do Médico , Política , Humanos , Estados Unidos
5.
Tex Med ; 116(10): 40-43, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-33126268

RESUMO

Each election, TEXPAC, the Texas Medical Association's nonpartisan political arm, throws its support behind candidates who have demonstrated their support for a medicine-friendly agenda.


Assuntos
Assistência à Saúde/legislação & jurisprudência , Legislação como Assunto , Medicina , Política , Sociedades Médicas/organização & administração , Humanos , Texas
6.
Rev Lat Am Enfermagem ; 28: e3354, 2020.
Artigo em Espanhol, Português, Inglês | MEDLINE | ID: mdl-32785564

RESUMO

Objective to identify the reasons that led to the judicialization of health care in the context of the COVID-19 pandemic; describe the outcomes of lawsuits concerning health care involving the COVID-19; and analyze the cases of health care judicialization intended to ensure the population's right to health. Method qualitative, explanatory case study. Data were collected from the websites of the Federal Prosecution Service, Regional Labor Court (1st Region), and the Court of Justice of Rio de Janeiro. The inclusion criterion was public civil actions that concerned health care and situations involving the COVID-19 pandemic. Two categories emerged from data analysis. Results four cases were identified. Conclusion the judicialization of health care consists of obtaining assets and rights in the courts. These assets and rights are essential to ensure the health of citizens but have been denied in various instances, often due to the omission of the executive and legislative powers. Analyzing the judicialization of health care amidst the pandemic brings focus and highlights the importance of giving voice and visibility to the enormous contingent of the Brazilian society unassisted by public authorities.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência à Saúde/legislação & jurisprudência , Pandemias/legislação & jurisprudência , Pneumonia Viral/epidemiologia , Betacoronavirus , Brasil/epidemiologia , Humanos , Direito à Saúde
11.
PLoS One ; 15(6): e0233802, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32555648

RESUMO

BACKGROUND: Saudi Arabia is considering increasing the role of the private sector's participation in financing and delivering healthcare services through the adoption of Public-Private Partnerships (PPPs). However, the adoption and successful implementation of PPPs in the Saudi healthcare sector requires careful attention to overcome potential obstacles. OBJECTIVES: This study investigates and identifies potential barriers to the successful implementation of PPPs in the Saudi healthcare sector. METHODS: A pre-tested interviewer-administered questionnaire was used to collect data from 72 respondents over a two-month period. Respondents were asked to rate the degree of influence of potential key barriers using a five-point Likert scale. The collected data was analysed using descriptive and inferential statistics. RESULTS: The evidence showed that the top three barriers, as rated by the respondents, were legal barriers, including delays in receiving approval and permits and law and regulation changes, environmental barriers, including lack of transparency and accountability and technological barriers, including a shortage of professionals qualified to handle PPP projects. CONCLUSIONS: The barriers identified suggested that the government should ensure that PPPs are implemented in a timely manner to ensure that private sector involvement yields the intended benefits. Furthermore, a stable legal and regulatory framework must be established that is properly and easily enforced to avoid confusing stakeholders with too many changes. It is also important to ensure that transparency and accountability measures are strengthened.


Assuntos
Implementação de Plano de Saúde , Parcerias Público-Privadas/organização & administração , Assistência à Saúde/legislação & jurisprudência , Assistência à Saúde/organização & administração , Parcerias Público-Privadas/legislação & jurisprudência , Arábia Saudita
13.
Farm Hosp ; 44(7): 57-60, 2020 06 13.
Artigo em Inglês | MEDLINE | ID: mdl-32533673

RESUMO

On the 20th of March 2020, triggered by the public health emergency declared,  the Health Authorities in Madrid reported a legal instruction (Orden 371/2020)  indicating the organization of a provisional hospital to admit patients with  COVID-19 at the Trade Fair Institution (IFEMA). Several pharmacists working in  the Pharmacy and Medical Devices Department of the Madrid Regional Health  Service were called to manage the Pharmacy Department of the  abovementioned hospital. Required permissions to set up a PD were here  authorized urgently. Tackling human and material resources, and computer  systems for drug purchase and electronic prescription, were some of the initial  issues that hindered the pharmaceutical provision required for patients from the  very day one. Once the purchase was assured, mainly by direct purchase from suppliers, drug dispensing up to 1,250 hospitalized patients (25 nursing units) and 8 ICU patients was taken on. Dispensing was carried out  through either drug stocks in the nursing units or individual patient dispensing  for certain drugs. Moreover, safety issues related to prescription were  considered, and as the electronic prescription was implemented we attained  100% prescriptions review and validation. The constitution of a multidisciplinary  Pharmacy and Therapeutics Committee let agree to a pharmacotherapy guide,  pres cription protocols, therapeutic equivalences, interactions, and drug  dispensing circuits. The Pharmacy Department strategy was to ensure a very  quick response to basic tasks keeping the aim to offer a pharmaceutical care of  the highest quality whenever possible. Working under a health emergency  situation, with many uncertainties and continuous pressure was a plight.  However, the spirit of collaboration in and out of the Pharmacy Department was  aligned with the whole hospital motivation to offer the highest quality of  healthcare. These were possibly the keys to allow caring for almost 4,000  patients during the 42 days that the hospital lasted.


Assuntos
Infecções por Coronavirus , Assistência à Saúde/organização & administração , Hospitais Urbanos/organização & administração , Modelos Teóricos , Pandemias , Serviço de Farmácia Hospitalar/organização & administração , Pneumonia Viral , Betacoronavirus , Assistência à Saúde/legislação & jurisprudência , Assistência à Saúde/métodos , Prescrição Eletrônica/normas , Fiscalização e Controle de Instalações/legislação & jurisprudência , Previsões , Planejamento de Instituições de Saúde , Necessidades e Demandas de Serviços de Saúde , Hospitalização , Hospitais Urbanos/legislação & jurisprudência , Humanos , Comunicação Interdisciplinar , Segurança do Paciente , Serviço de Farmácia Hospitalar/legislação & jurisprudência , Comitê de Farmácia e Terapêutica/organização & administração , Garantia da Qualidade dos Cuidados de Saúde , Espanha
14.
Rev. esp. med. legal ; 46(2): 71-74, abr.-jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193993

RESUMO

INTRODUCCIÓN: La implantación de un Servicio de medicina legal hospitalaria, como asesor y consultor en aspectos médico-legales, éticos y deontológicos de la práctica asistencial, se ha consolidado en el Hospital Clínico de San Carlos de Madrid. Una cartera de servicios sencilla basada en la prevención de riesgos legales, ha permitido que los profesionales, la administración sanitaria y los propios pacientes confíen en él. RESULTADOS: En el período 2007-2017 se gestionaron 1.213 expedientes, aumentando de forma progresiva y destacando los años 2009 y 2017 con un 13,8 y 12,3% de la actividad total, respectivamente. Las unidades que más consultaron fueron el equipo directivo 158 (13%), el Instituto de la Mujer 144 (11,9%) y el Servicio de Atención al Paciente 116 (9,6%). DISCUSIÓN Y CONCLUSIONES: El servicio participa en múltiples comisiones y grupos de trabajo elaborando guías, documentos y protocolos, abordando conflictos, dudas normativas, deficiencias formativas, recomendando cursos de acción, e intermediando con pacientes y familiares para disminuir la incertidumbre del profesional


INTRODUCTION: A hospital legal medicine department, to advice and consult on the legal, ethical and deontological aspects of healthcare practice, has been implemented in our centre, Hospital Clínico San Carlos (Madrid Spain). A simple service portfolio based on the prevention of legal risks, has allowed professionals, health service and patients to place their trust in it. RESULTS: The number of cases over the period 2007-2017 reflects major activity, and 2009 and 2017 are highlighted with 13.8% and 12.3% of the total activity respectively. The units that consulted the most were the management team 158 (13%), the Institute for Women's Affairs 144 (11.9%) and the Patient Care Service 116 (9.6%). DISCUSSION AND CONCLUSIONS: The department participates in multiple committees and working groups preparing guidelines, documents and protocols, addressing conflicts, regulatory doubts, training deficiencies, recommending courses of action, and mediating with patients and family members to reduce professional uncertainty


Assuntos
Humanos , Medicina Legal/organização & administração , Assistência à Saúde/legislação & jurisprudência , Ciências Forenses/educação , Unidades Hospitalares/organização & administração , Função Jurisdicional , Aconselhamento Diretivo
15.
Lancet Oncol ; 21(5): e280-e291, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32359503

RESUMO

Protracted conflicts in the Middle East have led to successive waves of refugees crossing borders. Chronic, non-communicable diseases are now recognised as diseases that need to be addressed in such crises. Cancer, in particular, with its costly, multidisciplinary care, poses considerable financial and ethical challenges for policy makers. In 2014 and with funding from the United Nations High Commissioner for Refugees, we reported on cancer cases among Iraqi refugees in Jordan (2010-12) and Syria (2009-11). In this Policy Review, we provide data on 733 refugees referred to the United Nations High Commissioner for Refugees in Lebanon (2015-17) and Jordan (2016-17), analysed by cancer type, demographic risk factors, treatment coverage status, and cost. Results show the need for increased funding and evidence-based standard operating procedures across countries to ensure that patients have equitable access to care. We recommend a holistic response to humanitarian crises that includes education, screening, treatment, and palliative care for refugees and nationals and prioritises breast cancer and childhood cancers.


Assuntos
Assistência à Saúde/organização & administração , Política de Saúde , Oncologia/organização & administração , Neoplasias/terapia , Refugiados , Socorro em Desastres/organização & administração , Adolescente , Adulto , Assistência à Saúde/economia , Assistência à Saúde/legislação & jurisprudência , Feminino , Custos de Cuidados de Saúde , Política de Saúde/economia , Política de Saúde/legislação & jurisprudência , Humanos , Jordânia/epidemiologia , Líbano/epidemiologia , Masculino , Oncologia/economia , Oncologia/legislação & jurisprudência , Pessoa de Meia-Idade , Neoplasias/diagnóstico , Neoplasias/economia , Neoplasias/etnologia , Formulação de Políticas , Refugiados/legislação & jurisprudência , Socorro em Desastres/economia , Socorro em Desastres/legislação & jurisprudência , Síria/etnologia , Adulto Jovem
18.
Emerg Med Australas ; 32(4): 703-705, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32386246

RESUMO

COVID-19 has massively changed the health landscape around the world. Wide-ranging changes to healthcare delivery have occurred, especially in hospitals and EDs. Health services have made local decisions about care pathways, in some cases deviating from what would, until recently, have been considered widely accepted care. These changes bring with them new medicolegal risk for clinicians. In Australia, civil liability Acts provide protection for professionals when the criterion of having undertaken 'competent' practice that would be 'widely accepted' 'in the circumstances' is met. There is doubt how courts, and the medical experts who advise them, will evaluate clinical care provided during the pandemic when health services have developed local care pathways and there is no nationally accepted standard.


Assuntos
Imperícia/legislação & jurisprudência , Pandemias/legislação & jurisprudência , Austrália , Infecções por Coronavirus/terapia , Procedimentos Clínicos/legislação & jurisprudência , Assistência à Saúde/legislação & jurisprudência , Assistência à Saúde/normas , Humanos , Pneumonia Viral/terapia , Padrão de Cuidado/legislação & jurisprudência
19.
Artigo em Inglês | MEDLINE | ID: mdl-32429123

RESUMO

The coronavirus disease (COVID-19) has spread quickly across the globe with devastating effects on the global economy as well as the regional and societies' socio-economic fabrics and the way of life for vast populations. The nonhomogeneous continent faces local contextual complexities that require locally relevant and culturally appropriate COVID-19 interventions. This paper examines demographic, economic, political, health, and socio-cultural differentials in COVID-19 morbidity and mortality. The health systems need to be strengthened through extending the health workforce by mobilizing and engaging the diaspora, and implementing the International Health Regulations (2005) core capacities. In the absence of adequate social protection and welfare programs targeting the poor during the pandemic, sub-Saharan African countries need to put in place flexible but effective policies and legislation approaches that harness and formalise the informal trade and remove supply chain barriers. This could include strengthening cross-border trade facilities such as adequate pro-poor, gender-sensitive, and streamlined cross-border customs, tax regimes, and information flow. The emphasis should be on cross-border infrastructure that not only facilitates trade through efficient border administration but can also effectively manage cross-border health threats. There is an urgent need to strengthen social protection systems to make them responsive to crises, and embed them within human rights-based approaches to better support vulnerable populations and enact health and social security benefits. The COVI-19 response needs to adhere to the well-established 'do no harm' principle to prevent further damage or suffering as a result of the pandemic and examined through local lenses to inform peace-building initiatives that may yield long-term gains in the post-COVID-19 recovery efforts.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Fatores Socioeconômicos , África ao Sul do Saara/epidemiologia , Betacoronavirus , Infecções por Coronavirus/mortalidade , Cultura , Assistência à Saúde/legislação & jurisprudência , Assistência à Saúde/organização & administração , Mão de Obra em Saúde , Humanos , Pandemias , Pneumonia Viral/mortalidade
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