scholarly journals PERLINDUNGAN HUKUM BAGI DOKTER DAN PASIEN DALAM MELAKUKAN INFORMED CONSENT PADA TINDAKAN C-SECTION TANPA INDIKASI MEDIS

2021 ◽  
Vol 8 (2) ◽  
pp. 188
Author(s):  
Yohana Rosita Dewi Mariyani
Keyword(s):  
Informed Consent ◽  
Caesarean Section ◽  
Legal Protection ◽  
Medical Conditions ◽  
Medical Risk ◽  
Medical Indication

<p>Abstract<br />In recent years, Caesarean section without medical indication seems to be a trend of medical  action that occurs in society. Many factors cause this to happen. Among them, so that the fetus can be born according to the desired date of the parents, or based on other factors outside of medical conditions. In the implementation of a Caesarean section, medical consent before the Caesarean section is performed is still very necessary to minimize the medical risk that the patient is suspected of experiencing. In addition, with the existence of medical approval before the Caesarean section is carried out, it is hoped that it will also be able to provide legal protection to patients and doctors both preventively and repressively.<br /><br /></p><p>Abstrak<br />Beberapa tahun belakangan ini, tindakan Operasi Caesar tanpa indikasi medis seolah menjadi  sebuah trend tindakan medis yang terjadi didalam masyarakat. Banyak faktor yang menyebabkan hal demikian terjadi. Diantaranya, agar janin bisa dilahirkan sesuai tanggal keinginan dari orang tua, ataupun berdasarkan faktor lainnya diluar ketentuan medis. Dalam pelaksanaan upaya Operasi Caesar, tindakan persetujuan medis sebelum upaya Operasi Caesar ini dilakukan masih sangat diperlukan guna meminimalisir resiko medis yang diduga akan dialami oleh pasien. Selain itu, dengan adanya tindakan persetujuan medis sebelum upaya operasi Caesar ini dilaksanakan, diharapkan juga turut mampu memberi perlindungan hukum pada pasien dan dokter baik secara preventif maupun represif.<br /><br /></p>

scholarly journals Health workers’ perspectives on informed consent for caesarean section in Southern Malawi

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Wouter Bakker ◽  
Siem Zethof ◽  
Felix Nansongole ◽  
Kelvin Kilowe ◽  
Jos van Roosmalen ◽  
...  
Keyword(s):  
Informed Consent ◽  
Caesarean Section ◽  
Health Workers ◽  
Group Discussion ◽  
Legal Protection ◽  
Analytical Framework ◽  
Structured Interviews ◽  
Middle Income ◽  
Partial Disclosure ◽  
Labour Pains

Abstract Objective Informed consent is a prerequisite for caesarean section, the commonest surgical procedure in low- and middle-income settings, but not always acquired to an appropriate extent. Exploring perceptions of health care workers may aid in improving clinical practice around informed consent. We aim to explore health workers’ beliefs and experiences related to principles and practice of informed consent. Methods Qualitative study conducted between January and June 2018 in a rural 150-bed mission hospital in Southern Malawi. Clinical observations, semi-structured interviews and a focus group discussion were used to collect data. Participants were 22 clinical officers, nurse-midwives and midwifery students involved in maternity care. Data were analysed to identify themes and construct an analytical framework. Results Definition and purpose of informed consent revolved around providing information, respecting women’s autonomy and achieving legal protection. Due to fear of blame and litigation, health workers preferred written consent. Written consent requires active participation by the consenting individual and was perceived to transfer liability to that person. A woman’s refusal to provide written informed consent may pose a dilemma for the health worker between doing good and respecting autonomy. To prevent such refusal, health workers said to only partially disclose surgical risks in order to minimize women's anxiety. Commonly perceived barriers to obtain a fully informed consent were labour pains, language barriers, women’s lack of education and their dependency on others to make decisions. Conclusions Health workers are familiar with the principles around informed consent and aware of its advantages, but fear of blame and litigation, partial disclosure of risks and barriers to communication hamper the process of obtaining informed consent. Findings can be used to develop interventions to improve the informed consent process.

scholarly journals Medical judgement analogue studies with applications to spaceflight crew medical officer

2017 ◽  
Vol 3 (4) ◽  
pp. 163-168 ◽  
Author(s):  
Michele L McCarroll ◽  
Rami A Ahmed ◽  
Alan Schwartz ◽  
Michael David Gothard ◽  
Steven Scott Atkinson ◽  
...  
Keyword(s):  
Medical Model ◽  
Medical Officer ◽  
Medical Decision ◽  
Baseline Heart Rate ◽  
Medical Conditions ◽  
Medical Risk ◽  
St Segment Elevation ◽  
St Segment ◽  
Technical Professionals ◽  
Positive Effect

BackgroundThe National Aeronautics and Space Administration (NASA) developed plans for potential emergency conditions from the Exploration Medical Conditions List. In an effort to mitigate conditions on the Exploration Medical Conditions List, NASA implemented a crew medical officer (CMO) designation for eligible astronauts. This pilot study aims to add knowledge that could be used in the Integrated Medical Model.MethodsAn analogue population was recruited for two categories: administrative physicians (AP) representing the physician CMOs and technical professionals (TP) representing the non-physician CMOs. Participants completed four medical simulations focused on abdominal pain: cholecystitis (CH) and renal colic (RC) and chest pain: cardiac ischaemia (STEMI; ST-segment elevation myocardial infarction) and pneumothorax (PX). The Medical Judgment Metric (MJM) was used to evaluate medical decision making.ResultsThere were no significant differences between the AP and TP groups in age, gender, race, ethnicity, education and baseline heart rate. Significant differences were noted in MJM average rater scores in AP versus TP in CH: 13.0 (±2.25), 4.5 (±0.48), p=<0.001; RC: 12.3 (±2.66), 4.8 (±0.94); STEMI: 12.1 (±3.33), 4.9 (±0.56); and PX: 13.5 (±2.53), 5.3 (±1.01), respectively.DiscussionThere could be a positive effect on crew health risk by having a physician CMO. The MJM demonstrated the ability to quantify medical judgement between the two analogue groups of spaceflight CMOs. Future studies should incorporate the MJM in a larger analogue population study to assess the medical risk for spaceflight crewmembers.

Informed Consent

2014 ◽  
pp. 10-14
Author(s):  
Gregory Davis
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Informed Consent ◽  
Mental Health Treatment ◽  
Medical Conditions ◽  
Health Treatment ◽  
Legal Requirement ◽  
Practice Of Medicine

Chapter 2 deals specifically with the topic of informed consent, an essential legal requirement for the general practice of medicine. Some of the cases are specific to mental health treatment, but most are critical to defining the standards of informed consent and are related to more purely medical conditions. Cases described here include Natanson v. Kline, Canterbury v. Spence, Kaimowitz v. Michigan Department of Mental Health, Truman v. Thomas, Clites v. Iowa, and Zinermon v. Burch.

scholarly journals Differences in rate and medical indication of caesarean section between Germany and Japan

2020 ◽  
Vol 62 (9) ◽  
pp. 1086-1093
Author(s):  
Matthias Fröhlich ◽  
Chie Koga ◽  
Christoph Bührer ◽  
Chisato Mori ◽  
Midori Yamamoto ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Medical Indication

scholarly journals Medicolegal Perspective on Physician-Induced Demand Issue

BESTUUR ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 106
Author(s):  
Wulandari Berliani Putri ◽  
Vita Widyasari ◽  
Juliet Musabula ◽  
Muhammad Jihadul Hayat
Keyword(s):  
Clinical Practice ◽  
Informed Consent ◽  
Healthcare Providers ◽  
Legal Protection ◽  
Good Clinical Practice ◽  
Payment System ◽  
Medical Law ◽  
Induced Demand ◽  
Patients Rights ◽  
Health Regulations

<p>This study sheds light on the extent to which the medical law protects patients' rights from Physician-Induced Demand behavior. This study shows that the term of Physician-Induced Demand has not been recognized in health regulations. Meanwhile, some often fail to recall that medical law has protected patients’ right in the therapeutic transaction between doctor and patient through Act No. 29 of 2004; Minister of Health Regulations number 11 Year 2017; Act No. 44 of 2009, Civil Code and Act No. 36 of 2009. In order to reduce Physician-Induced Demand, establishing a guideline of good clinical practice, including the informed-consent guideline is urgently needed. Government should also control the quality and cost of healthcare providers as well as adequate payment system for physicians.</p><p><strong>Keywords:</strong> Physician-Induced Demand; Medical Law; Legal Protection of Patient.</p>

scholarly journals RESIKO MEDIK DOKTER DALAM OPERASI MATA YANG MENGAKIBATKAN KEBUTAAN

2020 ◽  
Vol 3 (2) ◽  
pp. 266-277
Author(s):  
Panca Narayana ◽  
Judhith Vidya Dayati ◽  
Miranti Verdiana
Keyword(s):  
Informed Consent ◽  
Medical Law ◽  
Health Law ◽  
Medical Risk ◽  
Professional Quality ◽  
Care Facilities ◽  
Treatment Facilities ◽  
The Relationship ◽  
Clear Information

AbstractThe research objective is the impersonal relationship between doctor and patient who have a balanced relationship. Using normative research with an orientation that is not based on conceptual. Through this research the researcher offers that the notification center is the medical law and health law. Medical law is a law that regulates the relationship between a doctor and a patient in carrying out medical actions with semantics that may not be ascertained, together with medical compensation that cannot be predicted and does not cause the ability or skill of a doctor, on that basis cannot be sued or convicted. Thus, Medical Practice has provided clear information that will cause and every action needed to be truly needed, allows patients to take compensation. Clinics as providers of care facilities can be sued for not being able to meet patients. The clinic has personnel responsibilities, professional quality of treatment, facilities and equipment, and safety of treatment.Keywords: informed consent; medical risk; medical; informed consentAbstrakTujuan penelitian yaitu hubungan impersonal antara dokter dengan pasien yang memiliki hubungan yang seimbang. Menggunakan penelitian normatif dengan orientasi yang tidak bersumber pada konseptual. Melalui penelitian ini peneliti menawarkan bahwa pusat pemberitahuan adalah Undang-Undang Kedokteran dan Undang-Undang Kesehatan. Hukum kedokteran adalah hukum yang mengatur hubungan dokter dengan pasien didalam melakukan tindakan medis dengan upaya yang semaksimal mungkin yang hasilnya tidak dapat dipastikan, sama dengan resiko medik merupakan kerugian yang tidak dapat diramalkan dan bukan akibat kurangnya kemampuan atau ketrampilan dokter, atas dasar itu dokter tidak dapat digugat atau dipidana. Undang-Undang Praktik Kedokteran telah memberikan penjelasan mengenai resiko-resiko yang akan timbul dan setiap tindakan yang mengandung resiko tinggi harus ada persetujuan tertulis, apabila pasien melakukan persetujuan tertulis maka dokter tidak dapat diminta ganti rugi. Klinik sebagai penyedia sarana pengobatan dapat digugat apabila tidak memenuhi kebutuhan pasien. Klinik mempunyai tanggungjawab personalia, professional terhadap mutu pengobatan, sarana dan peralatan dan keamanan terhadap perawatannya.Kata kunci: kedokteran: resiko medis; tindakan medik

scholarly journals Multimedia in improving informed consent for caesarean section: A randomised controlled trial

2020 ◽  
Vol 60 (5) ◽  
pp. 683-689
Author(s):  
Alice Truong ◽  
Lenore Ellett ◽  
Lauren Hicks ◽  
Gabrielle Pell ◽  
Susan P. Walker
Keyword(s):  
Informed Consent ◽  
Randomised Controlled Trial ◽  
Caesarean Section ◽  
Controlled Trial ◽  
Randomised Controlled
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