scholarly journals Redressing Wounds: Finding a Legal Framework to Remedy Racial Disparities in Medical Care

2002 ◽  
Vol 90 (6) ◽  
pp. 2047 ◽  
Author(s):  
Michael S. Shin
Keyword(s):  
Medical Care ◽  
Racial Disparities ◽  
Legal Framework

scholarly journals Problematics of regulatory definition of categories of persons and relevant services for medical support of police

2020 ◽  
Vol 1 (1) ◽  
pp. 227-232
Author(s):  
Liliya Andrush
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Police Officers ◽  
Legal Framework ◽  
Health Care Facilities ◽  
Medical Rehabilitation ◽  
Rehabilitation Centers ◽  
Health Care Institutions ◽  
Basic Services ◽  
Definition Of

The article analyzes the legal framework for the health care of police officers and their families. Three main models of providing police officers with health services (health insurance, budgetary, mixed) are outlined, and it is noted that Ukraine finances departmental health care institutions at the expense of budgetary funds and provides basic services that are free of charge. It is emphasized that the fundamental rules governing the relevant issues are contained in the Law of Ukraine “On the National Police”. Article 95 of this Law is analyzed, according to it the main categories of persons who are entitled to free medical care in the health care institutions of the Ministry of Internal Affairs (police officers, their families - children 18 or 23 years of age in the study in higher education institutions, husband or wife) main forms, family members of the dead or missing police officers, police officers with disabilities in service). It is stated that such services are eligible for some categories of former police officers and their families. It is also about the legal provision of rehabilitation, sanitary and health resorts, wellness as well as recreation measures in departmental medical rehabilitation centers, sanatoriums, rest homes, boarding houses and health institutions of different categories of police officers, their families. Various instructions and regulations are being analyzed to clarify the categories of persons applying for medical care, rehabilitation and recreation in departmental health care facilities, conditions for free rest, etc. The study also reveals a list of institutions that are part of the departmental health care system.

Legislation regulating medical care for children with rheumatic diseases in the Russian Federation

2020 ◽  
Vol 15 (5) ◽  
pp. 126-133
Author(s):  
V.K. Sevostyanov ◽  
◽  
Yu.Yu. Razumov ◽  
I.A. Petrova ◽  
E.P. Kakorina ◽  
...  
Keyword(s):  
Medical Care ◽  
Rheumatic Diseases ◽  
Russian Federation ◽  
Systemic Vasculitis ◽  
Health Care Organization ◽  
Legal Framework ◽  
Care Organization ◽  
Legal Documents ◽  
Regulatory Documents ◽  
The Russian Federation

Objective. To analyze legislation regulating medical care for children with rheumatic diseases in the Russian Federation. Materials and methods. We analyzed regulatory documents of the Ministry of Health of Russia, including the rules of medical care for children with rheumatic diseases, the resolution regulating the distribution of medicines at a discount or for free, and regional legal acts regulating routing of children with rheumatic diseases. Results. The legislation regulating medical care for children with rheumatic diseases is imperfect and needs to be updated. We identified shortcomings in the system regulating preferential provision of certain groups of patients with medicines. The results of our analysis can be used as a rationale for changes and amendments to existing regulatory legal acts and for the development of new regulatory documents. Conclusion. This analysis of legal documents allows us to suggest amendments to the existing legal framework in order to reduce tensions (including legal tensions) associated with distribution of preferential medicines, reconsider establishment of disability in patients with juvenile idiopathic arthritis, expand opportunities to prescribe biologicals for non-disabled patients with systemic scleroderma, juvenile dermatomyositis, and systemic vasculitis in regions. We justified detailed description of regional legal documents regulating distribution of preferential medicines among patients with rheumatic diseases. Key words: rheumatic diseases in children, regulatory framework, health care organization, drug provision

scholarly journals Racial Disparities in the Outcomes of Communication on Medical Care Received Near Death

2010 ◽  
Vol 170 (17) ◽  
Author(s):  
Jennifer W. Mack ◽  
M. Elizabeth Paulk ◽  
Kasisomayajula Viswanath ◽  
Holly G. Prigerson
Keyword(s):  
Medical Care ◽  
Racial Disparities

scholarly journals Legal regulation of telemedicine in the health care system of the Russian Federation: state and prospects for improvement.

2019 ◽  
Vol 21 (3) ◽  
pp. 15-22
Author(s):  
N V Allamyarova ◽  
E G Sanakoeva
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Russian Federation ◽  
Legal Framework ◽  
Legal Regulation ◽  
Legal Documents ◽  
Current State ◽  
The Russian Federation ◽  
Care System

The legislation in the field of e-health, adopted in 2017, opens fundamentally new opportunities in the development of medical care using telemedicine technologies. The article provides an analysis of regulatory legal documents that establish the legal framework for the provision of medical care using telemedicine technologies. An assessment is made of the current state of telemedicine legal regulation in Russia. The law on telemedicine requires adjustment and refinement of existing regulations, procedures, standards of medical care with a detailed regulation of tools and situations of their application.

scholarly journals Organization of Medical Care for Prisoners of Tobolsk Prison Castle: End of XVIII — First Half of XIX Century

2021 ◽  
pp. 327-343
Author(s):  
N. I. Zagorodnyuk
Keyword(s):  
Medical Care ◽  
Initial Period ◽  
Legal Framework ◽  
Material Base ◽  
State Institutions ◽  
Private Charity ◽  
Wide Range ◽  
History Of ◽  
Xix Century ◽  
First Time

The article examines the initial period of the formation of penitentiary medicine on the example of the prison hospital of the Tobolsk prison castle (ostrog). The article is the first work on the history of penitentiary medicine in the Tobolsk province. The study was based on a wide range of sources, the most significant are documents from central and regional archives, introduced into scientific circulation for the first time. In the first half of the XIX century. The legal framework of penitentiary medicine is being formed, the execution of legislative and subordinate acts can be traced in the activities of the prison administration, its interaction with the West Siberian Governor-General, civil governors, and state institutions. Attention is drawn to the peculiarities of the organization of medical care for prisoners. The development of the hospital’s material base depended not only on the amount of state funds allocated, but to a greater extent on the contributions of the charitable foundation of the provincial prison trust committee, as well as private charity. The management of the hospital was carried out by doctors of the civil medical service, only in 1854, by the decision of the Governing Senate, the position of a doctor was introduced into the prison staff. The causes of morbidity and mortality of prisoners are analyzed, the sacrificial feat of prison doctors during the cholera epidemic of 1848 is noted.

scholarly journals Meaningful futility: requests for resuscitation against medical recommendation

2020 ◽  
pp. medethics-2020-106232
Author(s):  
Lucas Vivas ◽  
Travis Carpenter
Keyword(s):  
Medical Care ◽  
Legal Framework ◽  
Spiritual Needs ◽  
Current Debate ◽  
Clear Definition ◽  
Biomedical Diagnosis ◽  
Futile Care ◽  
The Many ◽  
Medical Recommendation

‘Futility’ is a contentious term that has eluded clear definition, with proposed descriptions either too strict or too vague to encompass the many facets of medical care. Requests for futile care are often surrogates for requests of a more existential character, covering the whole range of personal, emotional, cultural and spiritual needs. Physicians and other practitioners can use requests for futile care as a valuable opportunity to connect with their patients at a deeper level than the mere biomedical diagnosis. Current debate around Canada’s changing regulatory and legal framework highlights challenges in appropriately balancing the benefits and burdens created by requests for futile care.

An idea alien to both worlds: why health care rationing is not acceptable in the USA and Russia

2019 ◽  
Vol 7 (3) ◽  
pp. 231-240
Author(s):  
Vasiliy V. Vlassov ◽  
Sergey V. Shishkin ◽  
Alla E. Chirikova ◽  
Anna V. Vlasova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Profession ◽  
Treatment Options ◽  
Legal Framework ◽  
Health Care Rationing ◽  
Essential Drug List ◽  
More Care ◽  
The Usa ◽  
The Right

The simple idea of rationing appears unacceptable both for the relatively poor "socialist" health care in Russia and for the most expensive USA health care. In Russia the idea of rationing is unacceptable, because the Constitution promises free and unlimited medical care. Therefore, discussion is blocked from the top. In the USA the idea is unacceptable, because citizens are understood as having the right to free choice of legal access to any care, without intervention of a 'death jury'.<br/> We analyse the similarities and differences in the arguments rejecting explicit rationing in health care in the USA and Russia. We describe the legal framework in Russia related to rationing, and the results of a qualitative study of the understanding of the concept of rationing by Russian doctors and of the practices in Russian health care organizations to limit the use of expensive diagnostic and treatment options.<br/> While the Russian Constitution promises free medical care, unlimited, legally there are limits imposed by the quota of specific treatments, limited access to care abroad, and problematic access to drugs not included on the essential drug list for inpatient care. Explicit rationing is not rejected by society or by the medical profession. In medical organizations the more explicit techniques are a second opinion by a committee (physicians' commission), especially in the case of prescription of drugs and diagnostic tests. Physicians tend to behave as medical professionals do: provide more care to people in greater need.

REGULATORY LEGAL FRAMEWORK FOR PROVIDING PALLIATIVE MEDICAL CARE IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 247-253
Author(s):  
Khabriev R.U. ◽  
Kolomiychenko M.E.
Keyword(s):  
Palliative Care ◽  
Medical Care ◽  
Russian Federation ◽  
Public Awareness ◽  
Action Plan ◽  
Medical Personnel ◽  
Legal Framework ◽  
Legal Regulation ◽  
Adults And Children ◽  
The Russian Federation

Palliative care as a separate type of medical care was enshrined in legislation 10 years ago. However, the law-making process is still ongoing. The guidelines for this type of medical care for adults and children have been approved twice. It must be noted amendments to the Federal Law in 2019 (which significantly expanded the definition and consolidated the "varieties" for the provision of palliative care), and the interdepartmental Regulation on the organization of the provision of this type of assistance was approved (which now includes not only the guidelines for this type of medical care for adults and children, but also provides for the guidelines for interdepartmental interaction). In addition, since 2019, regional programs for the development of palliative care in the constituent entities of the Russian Federation are being developed. Together with these documents, an action plan was approved for the implementation of the Strategy for the Development of Healthcare of the Russian Federation for the period up to 2025, in which the development of palliative care is designated as activities; action plan has been approved ("road map") "Improving the quality and availability of palliative care" until 2024 was approved, among the tasks of which: improving legal regulation, increasing the availability and quality of painkillers, developing infrastructure for providing palliative care in the constituent entities of constituent entities of the Russian Federation, training of specialists (medical personnel, clinical psychologists, social workers), public awareness about the provision of this type of medical care, the implementation of a multidisciplinary approach. This publication includes an overview of the legislation governing the functioning of the palliative care system in the Russian Federation.

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