The importance of state ensuring the right of citizens to quality medical care in the conditions of COVID-19 vaccination

2021 ◽  
Vol 5 (S4) ◽  
Author(s):  
Olena Artemenko ◽  
Lubov Krupnova ◽  
Lіudmyla Kurylo ◽  
Svitlana Kovalova ◽  
Liliia Kniazka

The article analyzes the state guarantee of the right of citizens to quality medical care in terms of vaccination from COVID-19. It is determined that in today's conditions it is extremely important to ensure the proper functioning of health care, the provision of quality medical services which in turn will guarantee proper medical care. The state must provide the citizens of Ukraine not only with the vaccine, but also with reliable information about the need for vaccination. It turns out that the small number of vaccinated in Ukraine is not only due to the slow pace of procurement and vaccination, but also the lack of awareness of citizens about all the benefits of the need for vaccination. It is concluded that the positive in today's conditions are: the efforts of the legislator still not to influence the subjective choice of every resident of Ukraine on the need for vaccination; regulatory support of the Center for Public Health, which in turn will strengthen the network of regional Centers for Disease Control and Prevention (CCP); creation of a Roadmap for the introduction of a vaccine against acute respiratory disease COVID-19 caused by the coronavirus SARS-CoV-2.

2020 ◽  
Vol 5 (5) ◽  
pp. 28
Author(s):  
Dmytro Bilinskyi ◽  
Mushfik Damirchyiev

The purpose of the paper is to analyze the current legislation on medical reform in the context of harmonization with international standards. In the conditions of social state building in Ukraine, the thesis is axiomatic regarding that the state should show concern for their citizens, including for the protection of their health. In this context, it is relevant to study the implementation of medical reform in Ukraine, since its content and the degree to which the proclaimed provisions are enforced depend on the ability of each person to access quality health care. Methodology. The article is based on international legal acts, laws and by-laws of Ukraine in the field of legal regulation of medical care. Both general scientific and special methodology were used for the research. Methods of analysis and synthesis, method of description, method of induction, method of deduction, method of correlation, etc. were applied. Results. The article defines the directions for harmonization of the legislation of Ukraine on health protection in accordance with international standards. Based on the ECHR practice, proposals have been formulated to improve the legislation of Ukraine. Conclusions. The ECHR has repeatedly concluded that the right to health is complex and includes: the right to information about one's health and the confidentiality of such information; the right to health care; the right to choose the doctor and the remedies freely; the right to a safe environment that affects health and so on. The state does not cover all aspects of providing medical care to citizens, but resorts to limited funding, since the state budget funds are only one of the types of sources of financing. Practical implications. We have formulated the following tasks: to analyze Ukraine's international legal obligations regarding health care; to identify major changes in health care financing and health care delivery in line with health care reform standards in Ukraine; to identify major health care funding issues.


1985 ◽  
Vol 1 (S1) ◽  
pp. 135-136
Author(s):  
Jiri Pokorny

Due to the development of modern resuscitation during anesthesia and surgical operations, methods of intensive therapy have been introduced in clinical medicine. Efforts, through cardiopulmonary resuscitation (CPR), to give any patient in need the chance to survive resulted in systems of emergency medical services (EMS). A short account of the present state of CCM in the CSSR is given here. The principle of “differentiated patient care” is outlined, with accepted definitions of resuscitative and intensive care. The terminology of different steps in CCM is offered for discussion.In Czechoslovakia, the Constitution of 1960 proclaims the right to health care for every citizen. Medical care is provided to all citizens free of charge by the State. The State took over the responsibility for planning, organizing and providing medical care on the highest attainable contemporary level. In the last ten years, special programs have been launched in order to cover most actual health areas such as neonatal and maternal health care, cardiovascular disease programs, oncology, geriatric care, and, last but not least, the care of patients with acute organ systems' failure.


Author(s):  
Elena Frolova

Brazil is the largest country in South America both in terms of population and area, while the country ranks fifth in the world in terms of territory. About 200 million people live in the country, the average life expectancy as of 2019 was 75.7 years, Portuguese is official language. Healthcare in Brazil at the present stage occupies a rightful place in the ranking of world health care systems. Not much is allocated for healthcare needs according to the European standards — about 8.5 % of GDP. However 1 % from any banking transaction in the country goes for medicine. At the same time the state pays close attention to health issues, fully providing financing for such costly areas as the treatment of HIV-associated pathology and hepatitis C, hemodialysis, and insulin therapy. But it was not always this way. Until 1988, before the right of all citizens to receive guaranteed medical care was enshrined in the Brazilian Constitution, healthcare in the country was available only to wealthy segments of the population, while the poor could only rely on the provision of medical services as part of charity. National Health System was established in the country in 1990 due to the adoption of the Constitution, which proclaimed the right to health as one of the fundamental human rights. Today, this system is one of the largest public health systems in the world, which covers provision of health care for about 200 million people. The country moved from the category of «recipient» of medical care at the world level to the category of «donor» not so long ago, and is very successful in this. This is one of the few states where public health interests of the nation are put above economic ones. This fact was confirmed during the tobacco control company. Brazil, being a major exporter of tobacco products, took an active part in this company, despite the fact that it suffered major economic losses [1].


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Magnusson ◽  
I-Z Jama

Abstract The Right to health framework supports available, accessible and acceptable health care of high quality for all (AAAQ). Health of migrants often worsen in the new country. AAAQ may be hindered by poverty, discrimination, health cares' shortcomings and misunderstandings, respectively. Advocating for marginalised groups' Right to health include action. Interventions based on shared influence, participation and control need to be launched. Cultural mediators (CM), i.e. persons that are knowledgeable in both cultures and with networks in migrant groups help overcome lingual problems, lack of trust and uneven power relations. This resource needs to be further examined. How can a CM strengthen AAAQ in a public health setting? Women with Somalian origin living in an underserved neighborhood in Sweden contacted the Public Health Unit of a local hospital, asking for support for a health focused group-activity. Weight loss after delivery was a primary concern. Women gathered monthly 2018-19. The objective was to support healthy life style habits drawing on issues raised by the women. The intervention was conducted by group talks, led by the CM and a public health planner. Methods were based on Social Cognitive Theory focusing on self-efficacy. The CM recruited women, helped them to find the venue, encouraged them to trust the public health planner and broadened perspectives to include female genital mutilation, children's food, how to seek care and workforce issues. Trust developed over time. 70 women participated. Reported gains were raised awareness of ones' rights, increased self-efficacy in relation to food, physical activity and how to support children to a healthy life style. Support for a healthy lifestyle was made more available, accessible and acceptable by the cooperation with the CM, as was the quality of the support. A CM bridges distances regarding spoken language, trust and cultural understanding. S/he puts forward perspectives and needs from the group in question Key messages The Right to health framework highlights areas that need to be in focus when advocating for health equity. Health care workers in settings with many migrants should strive to include cultural mediators in planning, execution and evaluation of interventions.


2021 ◽  
pp. 56-65
Author(s):  
Iulian Rusanovschi ◽  

On 17.03.2020, the Parliament declared a state of emergency on the entire territory of the Republic of Moldova for the period March 17 - May 15, 2020. By the same Decision, the Parliament delegated the Commission for Exceptional Situations with the right to implement a series of measures to overcome the epidemiological situation in the country. However, in the conditions of a functioning Parliament and despite the clear and exhaustive texts of the Constitution, the Commission for Exceptional Situations amended during the state of emergency the Contravention Code, which is an organic law. The amendments specifically concerned the procedure and terms for examining infringement cases brought in connection with non-compliance with the measures adopted by the Commission for Exceptional Situations and the Extraordinary Commission for Public Health. In the conditions in which an organic law can be modified only by the Parliament, it is obvious the unconstitutionality, at least partial, of the Disposition no. 4 of 24.03.2020 of the Commission for Exceptional Situations, but unfortunately, the Constitutional Court is not mandated with the right to submit to constitutional review the normative acts adopted by the Commission for Exceptional Situations. Under these conditions, the state is obliged to identify solutions in order not to allow an authority to adopt unconstitutional normative acts that cannot be subject to constitutional review.


Author(s):  
Andrei A. Rybin ◽  

The problem of the introduction of unused land into agricultural turnover is currently relevant in society, since at the present stage the state is implementing a campaign to develop the uninhabited territories of the Far East of the country. During this period, a large number of studies on virgin lands were published, but today many questions remain open. In particular, the problem of medical care in the virgin lands is not sufficiently studied by historians. The article defines the stages of development of medicine in the areas of development of new lands, also considers the problem of lack of medical institutions and qualified personnel. Finally, medicine was developed in the virgin lands, in particular, it was possible to move from small medical stations to the polyclinic health care system.


2018 ◽  
Vol 10 (1) ◽  
pp. 058-070
Author(s):  
Erwina Susanti

Elderly health care coverage in Public Health Jalan Gedang as much (81.92%)and the number of elderly as many as 686 people. Visit the elderly who come to posyanduranges from 41-53 people per month in 2016. The health center has two IHC GedangWay consists of IHC Elderly Elderly Serayu Mandiri and Posyandu Elderly Peace. IHChas five cadres and participants 44 people. Elderly Posyandu cadre of Peace has fivepeople, participants lansianya 50 people. IHC Elderly Peace has many achievements thanPosyandu Elderly Serayu Mandiri The study design used in this research is descriptivequalitative method. Informants in this study as many as 10 cadres and 1 officer in chargePosyandu program. The study design used in this research is descriptive qualitativemethod. Knowledge Posyandu Elderly Peace found that IHC Elderly for seniors 60 yearsand older age range and Posyandu Elderly Serayu Mandiri that Posyandu Elderly agerange of 40 years and above. Attitude Posyandu Elderly Peace mostly elderly support andintegrated support Serayu Mandiri attitude. Kader Posyandu Elderly Peace and PosyanduElderly Serayu Mandiri mostly not expect incentives. Kader Posyandu Elderly Peacemostly mentioned five systems the table properly and Posyandu Elderly Serayu Mandirino mention of five tables with the right system. Expected to conduct refresher training orvolunteers to knowledge about Posyandu cadres better, could improve the role in theservice of Posyandu.


Author(s):  
O.A. Aleksandrova ◽  

The COVID-19 pandemic further exacerbated the issue of the situation in the health care тsystem and the directions for its further reform. An analysis of the transformation of the health care system based on the study of regulatory and other documents, as well as data from sociological studies witnesses that such results of reform as a sharp reduction in the availability of quality medical care, a shortage of medical personnel, etc. are not a consequence of the “excess of the implementer”, but are programmed by the course of health care reform, which was a purposeful and consistent process, the customer of which was international financial organizations and transnational capital. The article examines the problems caused by the significant underfunding of health care, as well as the numerous institutional contradictions generated by the reform. It is concluded that the reforms that led to such results became possible due to, first, the reformers ignoring the opinion of the medical community and, secondly, the lack of the necessary level of solidarity in Russian society.


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