Aspectos legales

  • 文章类型: Journal Article
    本文回顾了与传染病相关的医学法律方面,强调它们的复杂性和它们带来的挑战。传染病不仅导致医疗保健环境中发病率和死亡率的增加,而且还涉及复杂的法律问题。随着侵入性程序的增加,医疗保健相关感染(HAIs)的风险越来越大,并可能导致患者并发症和针对医疗保健专业人员和机构的法律索赔。讨论了在这种情况下医疗事故的后果,例如诊断延迟,不当使用治疗,缺乏足够的测试,这可能会有严重的后遗症,甚至导致患者死亡。审查的重点是强调预防的重要性,考虑到医疗保健相关的感染可能很难避免,带来复杂的法律挑战。结论是,管理传染病及其法律后果需要仔细考虑临床实践指南,预防和控制策略,与患者进行有效沟通。提倡采取综合和循证的方法来应对这些挑战,强调继续教育,使用先进的诊断技术,跨学科合作。
    This article reviews the medico-legal aspects associated with infectious diseases, highlighting their complexity and the challenges they pose. Infectious diseases cause not only an increase in morbidity and mortality in the healthcare setting but also involve complex legal issues. Healthcare-Associated Infections (HAIs) represent a growing risk with the increase in invasive procedures and can lead to patient complications and legal claims against healthcare professionals and institutions. The consequences of medical malpractice in this context are discussed, such as diagnostic delays, inappropriate use of treatments, and lack of adequate testing, which can have serious sequelae or even result in the patient\'s death. The review focuses on highlighting the importance of prevention, considering that healthcare-associated infections can be difficult to avoid, posing complex legal challenges. It concludes that managing infectious diseases and their legal consequences requires careful consideration of clinical practice guidelines, prevention and control strategies, and effective communication with patients. An integrated and evidence-based approach is advocated to address these challenges, emphasizing continuous education, the use of advanced diagnostic technologies, and interdisciplinary collaboration.
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  • 文章类型: Practice Guideline
    几十年来,性传播疾病的发病率在我们的环境中一直在上升。这些感染不仅代表个人问题,但也是公共卫生问题。因此,性病的管理涉及减少社区发病率,这意味着临床实践中的常见问题,如未能出席可能成为一个更复杂的问题,这增加了定位性接触者的困难和微妙的任务,这些接触者将受益于筛查和适当的治疗。另一方面,性病对未成年患者有直接的法律影响,或者涉嫌性侵犯.因此,正确处理这些情况需要了解规范这些情况的法律框架。皮肤科医生经过临床培训,并准备应对这些疾病。尽管如此,涉及的法律问题往往难以解决。本文件是一个简单的参考指南,有助于解决我们在处理性传播疾病时可能遇到的主要法律问题。
    The incidence of sexually transmitted diseases has been on the rise in our setting for decades. These infections represent not only an individual problem, but also a problem of public health. Therefore, the management of STDs involves reducing community incidence, which means that common issues in the clinical practice such as failure to attend may become a more complex problem, which adds to the difficult and delicate task of locating sexual contacts that would benefit from screening and the appropriate treatment. On the other hand, STDs have direct legal implications in cases of underage patients, or suspected sexual assault. Therefore, the correct handling of these scenarios requires knowledge of the legal framework that regulates them. Dermatologists are clinically trained and prepared to deal with these conditions. Nonetheless, the legal issues involved are often difficult to solve. This document stands as a simple reference guide to help solve the main legal issues we may encounter in a consultation when dealing with STDs.
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  • 文章类型: English Abstract
    由于生物伦理学的基本原则之间存在冲突,因此照顾暴力的女性受害者会给卫生专业人员带来需要仔细考虑的情况。在这个过程中,应采取中间行动,其中不完全损害受影响的原则,但始终考虑到适当遵守法律和道义法规。在这些冲突中,必须考虑到对受害者自主权的可能影响,以相对于侵略者的支配关系为条件,性别暴力的基本特征。然而,有法律义务发布伤害报告或传达有充分理由的虐待嫌疑的事实不足以忽视这一事实,在这种情况下,受害者,必须是这个过程的参与者。因此,医生有义务告知他或她的病人这一法律要求,投入所有必要的时间和注意力,以确保受害者了解遵守这一点的目的和好处。无论如何,除了专业行为对当前戒律的适当适应之外,必须坚持护理的道德原则,专业人士能做的最好的事情就是为受害者提供避免新攻击重复的手段,实施预防措施,这些措施的起源是对暴力局势的准确诊断,并将其传达给当局。
    Caring for female victims of violence presents health professionals with situations that require careful consideration due to the conflicts raised between the fundamental principles of bioethics. During this process, intermediate courses of action should be adopted in which none of the affected principles is totally compromised, yet always take into account due compliance with legal and deontological regulations. Within these conflicts, the possible impact on the autonomy of the victim must be taken into consideration, conditioned by the relationship of dominance with respect to their aggressor, a fundamental characteristic of gender violence. However, the fact that there is a legal obligation to issue an injury report or to communicate a well-founded suspicion of abuse is not enough to ignore the fact that the person, in this case the victim, must be a participant in the process. As such, the doctor has the obligation to inform his or her patient about this legal requirement, dedicating all the time and attention necessary to ensure that the victim understands the purpose and benefits of complying with this. In any case, and beyond the appropriate adaptation of the professional\'s conduct to current precepts, the ethical principle of care must be adhered to, by which the best thing the professional can do is to provide the victim with the means to avoid the repetition of new attacks, implementing prevention measures that have their origin in the accurate diagnosis of the situation of violence and in the communication of this to the authorities.
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  • 文章类型: Case Reports
    辅助生殖技术(ART)的进步导致了对死后精子回收(PMER)的要求增加。这些技术的使用通常与法律联系在一起,伦理和医学/随意性问题。这项工作的目的是使用两个真实案例分析西班牙PMER的技术和法律方面,并建立准则以帮助PMER请求后的决策。
    介绍了两个实际案例,其中要求使用PMER,以及近年来在西班牙发布的其他案例。我们继续阐述验尸ART案例中使用的技术,特别是在PMER中,并对当前的法律框架进行了详细研究。
    在西班牙,我们有关于ART的完整法律。第9条明确要求已故男性伴侣在接下来的12个月内使用其生殖材料的授权。关于PMER,技术和后勤方面的考虑需要快速和有组织的决策。直到提取的时间不应超过死亡后24-36小时,并且必须选择良好的生物材料。
    医学科学的进步现在允许PMER和事后ART的使用。对技术有很好的了解,后勤和法律方面对于快速和协调的行动是必要的。
    Advances in assisted reproductive techniques (ART) have caused an increase in requests for postmortem sperm retrieval (PMER). The use of these techniques is usually tied to legal, ethical and medical/casuistic problems. The objective of this work is to analyze technical and legal aspects of PMER in Spain using two real cases and to establish guidelines to help in decision-making after a PMER request.
    Two real cases in which a PMER was requested and others published in Spain in recent years are presented. We proceed to an exposition of the techniques used in postmortem ART cases and specifically in PMER, and a detailed study of the current legal framework is carried out.
    In Spain we have a complete law on ART. Article 9 expressly requires an authorization from the deceased male partner for the use of his reproductive material in the following 12 months. Regarding the PMER, technical and logistical considerations require a quick and organized decision-making. The time until extraction should not exceed 24-36hours from death and a good choice of biological material is essential.
    Medical-scientific advances now allow PMER and the use of postmortem ART. A good knowledge of the technical, logistical and legal aspects is necessary for a fast and coordinated action.
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  • 文章类型: Journal Article
    Traditionally, medical care received by psychiatric patients involved their separation from the society through their isolation in closed institutions, thereby setting a stigmatising trend on the sick, and by extension on mental illness, a practice that somehow has remained until now. The profound changes in the field of psychiatry have been important and are reflected in the therapeutic field, as well as in the legislative one, and have contributed to establish changes concerning the social opinion about psychiatric patients. The purpose of this article is to review, from the critical perspective, the current legislative framework concerning the situation of involuntary psychiatric commitment as a therapeutic measure in the psychiatric patient, as well as the legal medical practice which indicates the lack of legal skills and ethical and professional conduct arising in the field of primary care.
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