Legal Interpretation of Face-to-Face Consultation in Telemedicine

2012 ◽  
Vol 3 (1) ◽  
pp. 22-32
Author(s):  
Yasumitsu Tomioka

In legal studies on telemedicine, the requirement of face-to-face consultation emerges as a major concern. Although the legal basis of the “face-to-face consultation” requirement is often assumed to come from Medical Practitioners Law Article 20, it is actually from a notice issued on 24/12/1997 in Health Policy Publication No. 1075 by the Ministry of Health, Labor and Welfare (MHLW). In this article, through analysis of how the court made a judgment in regard to “face-to-face consultation” in previous rulings related to the Medical Practitioners Law Article 20, the authors clarify that judgment is based on these “notices”. In addition, through analysis of what policy on telemedicine the MHLW announces in the government ministries’ response issued on 20/10/2009 to the questionnaire from the members of a task force in the IT Strategic Headquarters, it is ascertained that interpretation of the “face-to-face patient care” in telemedicine becomes broader than the “notices”. This paper accelerates the broader interpretation and establishes a legal system defining telemedicine independently.

2019 ◽  
Vol 6 (2) ◽  
pp. 102
Author(s):  
Ushe Mike Ushe

Nigerian universities and other institutions of higher learning have in recent times witnessed unprecedented insecurity, persistent violence and educational backdrop, leading to loss of many lives and properties worth millions of naira across the country. Part of the face out of this scourge is the prevailing case of cultism and other forms of violence in Nigerian universities and other higher educational institutions. This has resulted to gruesome arrest, expulsion and murder of many students on account of cult activities on the campuses and other forms of students’ violence which further exposed our universities to insecurity, ritual murders, drug abuse and use of dangerous weapons by cult groups, victimization and regime of terror against fellow students, lecturers, and anyone that stands in the ways of these cult groups on our campuses. This paper discusses the impacts of cultism and other forms of violence on university campuses in Nigeria as a search for achieving sustainable peace and academic excellence. To explore this change, the study employs survey design, questionnaires and face-to-face interviews in collecting data and analysis. The research findings have shown that cultism and other forms of violence are prevalence in Nigerian universities and have increased tremendously in recent decades, reoccurring almost on daily basis. The paper observed that students’ radical activism and union politics, incapability of university and state authorities to enforce minimum standard of students’ civil behaviors on campuses as well as rivalries between cult groups and the wider campus community has drastically affected educational or academic performance of students in contemporary Nigerian society. The paper recommends the restructuring of university educational policies and curriculum, provision of moral education and non-interference of the government and university authorities in the affairs of students’ union politics and activism.


2021 ◽  
Vol 4 (4) ◽  
pp. 175-186
Author(s):  
Airton Roberto Guelfi ◽  
Gisele Tafarelo Guelfi ◽  
Nathalia Horizonte Bacelar

This article introducea theoretical discussion that starts from the historical-social moment present in the face of the pandemic caused by COVID-19 in face of the uncontrolled increase in contamination worldwide and, consequently, the increasing number of deaths. It became necessary to go beyond the field of health sciences for a legal analysis, tracing a path that is established with governmental measures through administrative acts edited by the Federal and State Executive as means to confrontthe pandemic. With the publication of these administrative acts, there are important criminal consequences that must in fact be observed so that they do not become a dead letter in the legal system. All efforts by the State asthe manager of a health policy must be supported in that State as the manager and executor of a criminal policy. Based on this factor, the study written here seeks to conduct a discussion on the repercussions that affect the field of Criminal Law as a result of non-compliance with the measures imposed by the Government and the consequent liability of the offending agent.


1997 ◽  
Vol 21 (7) ◽  
pp. 432-434 ◽  
Author(s):  
P. E. Watson

In common with other psychiatric units throughout the land, we have been struggling to come to terms with the Government directives regarding the Care Programme Approach. A great deal of time has been spent attempting to devise a system which is workable and useful but which might leave some time for face-to-face contact with patients; implementing it forces the psychiatrist into a catch–22 situation. If things are seriously wrong for a patient, the psychiatrist could be criticised for not putting somebody on CPA, or criticised for putting them on it but not carrying the process through thoroughly enough. In spite of this, I have participated in the scheme, if only because the consensus would seem to be that it is necessary to have the system in place, mainly as a defensive measure or in the hope of ensuring adequate resources. My overwhelming feeling, however, has been that it has been a time-consuming way of formalising good practice, and that the time spent filling in the forms would be better spent talking to the patients. I have always felt uncomfortable listing needs and solutions with the patient and ‘the team’, because it seemed reductionist, but I thought that this was my idiosyncratic response, and that I should get on with it. Recently, however, there was a near disaster with a patient which served to strengthen my reservations.


2008 ◽  
Vol 23 (S2) ◽  
pp. s65-s69 ◽  
Author(s):  
Irene van der Woude ◽  
Johan S. de Cock ◽  
Joost J.L.M. Bierens ◽  
Jan C. Christiaanse

AbstractThe main goal of this targeted agenda program (TAP) was the establishment of an international network that would be able to advise on how to improve education and training for chemical, biological, radiological, or nuclear (CBRN)) responders. By combining the members of the TAP group, the CBRN Task Force of the World Association for Disaster and Emergency Medicine (WADEM) and the European network of the Hesculaep Group, an enthusiastic and determined group has been established to achieve the defined goal. It was acknowledged that the bottlenecks for education and training for CBRN responders are mainly awareness and preparedness. For this reason, even basic education and training on CBRN is lacking. It was advised that the focus for the future should be on the development of internationally standardized protocols and standards. The face-to-face discussions of the TAP will be continued at future Hesculaep expert meetings. The intention is that during the 16WCDEM, the achievements of the established network will be presented.


2021 ◽  
Vol 9 (E) ◽  
pp. 1528-1533
Author(s):  
Hardisman Dasman ◽  
Husna Yetti ◽  
Abdiana Abdiana ◽  
Firdawati Firdawati

BACKGROUND: Coronavirus diseases 2019 (COVID-19) pandemic severely affected Indonesia in health and socio-economic sectors. As a new disease and the challenge became an opportunity for policy creation of the government. AIM: The study explored how the government as a policymaker responded to the COVID-19 pandemic within the framework of the policy window, as seen in the news media. This study also looked at how the public perceived the policy creation and the implementation. METHODS: A qualitative case study was conducted to answer the research questions by reviewing three main national news media, namely, Respublika, Media Indonesia, and Kompas, on primary communication from three policies makers (president, ministry of health, and COVID-19 task force). The searching coverage was within 1 year of the pandemic, from March 2019 to February 2020. The articles were analyzed using content and contextual analysis approaches. The articles were coded thematically using open coding in the native language, supported by MS Excel and qualitative software ATLAS.ti version 8. The data discuss with the existing literature using the policy window framework. RESULTS: We found that 147 articles were eligible for the study, which the majority of them were president communication. The president communicated in all aspects COVID-19 related policy, including integrated policy, health policy, and the economic. Ministry of health mainly focused on health policy and the task force on public education. The study showed that the government has utilized a policy window for policy creation in addressing the COVID-19 pandemic. The policy addressed all related issues that were affected by the pandemic, ranging from healthcare to financing. There were weaknesses in the implementation, such as not adequately informed to the public and some inconsistency among stakeholders. CONCLUSION: Policy creation without consistent implementation led to public distrust and rejection.


2020 ◽  
Vol 24 (1) ◽  
pp. 23-45
Author(s):  
Rani Diah Anggraini

The haze disaster that hit the Central Kalimantan and surrounding areas in 2015 had a broad impact on various fields of life, such as economics, health, and education. The government prohibits land clearing by burning and launching a peat restoration program to prevent the occurrence of the smog haze again while restoring degraded peat ecosystems. However, the diffusion of innovations in peat restoration programs carried out by BRG in which there is PLTB program must deal with the habit of burning land that has been carried out for generations. The study about the process of diffusion of innovations in PLTB program in Central Kalimantan used a qualitative descriptive approach with a case study method. The face-to-face interpersonal communication channel is the main communication channel of the BRG in the process of diffusion of innovation in PLTB program and is considered the most effective. BRG maximizes the role of opinion leaders and change agents as a source of information. BRG also improved the function of Fasdes and established intensive communication with peatland farmers through the WhatsApp group to overcome uneven internet network constraints. Keywords: Peat Restoration, Land Processing without Burning, Diffusion of Innovations   ABSTRAK Bencana kabut asap yang melanda wilayah Kalimantan Tengah dan sekitarnya pada tahun 2015 berdampak luas pada berbagai bidang kehidupan, seperti ekonomi, kesehatan, dan pendidikan. Pemerintah melarang pembukaan lahan dengan membakar dan mencanangkan program restorasi gambut untuk mencegah bencana kabut asap kembali terjadi sekaligus mengembalikan ekosistem gambut yang terdegradasi. Namun, difusi inovasi program restorasi gambut oleh BRG di mana terdapat program PLTB harus berhadapan dengan kebiasaan membakar lahan yang telah dilakukan masyarakat secara turun-temurun. Penelitian tentang proses difusi inovasi program PLTB di Kalimantan Tengah ini menggunakan pendekatan deskriptif kualitatif dengan metode studi kasus. Saluran komunikasi interpersonal secara tatap muka menjadi saluran komunikasi utama BRG dalam proses difusi inovasi program PLTB dan dinilai paling efektif. BRG memaksimalkan peran pemuka pendapat dan agen-agen perubahan sebagai sumber informasi. BRG juga meningkatkan fungsi Fasdes dan menjalin komunikasi intensif dengan petani-petani lahan gambut melalui grup WhatsApp untuk mengatasi kendala jaringan internet yang belum merata. Kata kunci: Restorasi Gambut, Pengolahan Lahan Tanpa Bakar, Difusi Inovasi


1987 ◽  
Vol 27 (1) ◽  
pp. 7
Author(s):  
I. Story

Australia's oil industry has just emerged from the most difficult period in its short history, following the unprecedented collapse in world oil prices during the first half of 1986, and the continuing weakness during the rest of the year. As a result, the oil industry has undergone painful cost-cutting measures to survive the new environment. Thousands of jobs have been lost for good, exploration activity has been dramatically cut back to the levels of the late 1970s, and the industry now faces the bleak prospect that oil prices may not return to previous high levels until sometime in the 1990s, ironically at a time when Australian oil production is expected to begin a major decline.The Australian federal government has also felt the pain, through significantly reduced revenues from oil production and exports, although this has been anaesthetised to a large degree by a hike in petrol pump excise rates.Oil and petroleum product exports, which rose during the second half of 1985 to become Australia's number two export earner (behind coal) with sales valued at over $150 million a month, came to a dramatic halt during the first half of 1986 before resuming again at considerably lower levels during the second half, only after the government had lowered the top Bass Strait excise rate from 87 per cent to 80 per cent.Government revenue from Bass Strait excises, which reached a record $4.2 billion in 1984-85, fell slightly to $4 billion in fiscal 1985-86 and is forecast to tumble to $1.7 billion during 1986-87.The industry was granted a slight relief from the pressures of low oil prices during the second half of 1986 by the temporary scrapping of onshore levies and a reduction in the top Bass Strait levies. It was unclear, however, at the time of going to press just how long the government was prepared to continue with the tax holiday.The short to medium term outlook is far from healthy. The continuing world over-supply of oil is expected to last until at least the end of the decade, and perhaps into the 1990s. The OPEC nations continue to struggle with meeting the level of production ceilings which will ensure long term oil price stability. While signs are hopeful that OPEC may succeed in holding production at around 16-17 million barrels a day (mmbpd), continuing high output from the non-OPEC countries ensures the prospects for prices firming much above the US$15-18/barrel range for any length of time are not bright. The market supply/demand equation will ensure world prices remain precariously balanced for some time to come.


Author(s):  
William N. West

The face-to-face encounter is a figure for direct, immediate contact between two entities. It has a long history, from Paul’s assertion that what he sees now in a glass darkly he will some day meet face to face to Emmanuel Levinas’ attempt to refound philosophy as based on its confrontation with another. But in seeking to determine the conditions under which the face to face could take place—absolute transparency to the absolutely other—its writers have risked stripping it of the contingencies and particularities that actually mark face-to-face encounters in the world. They have accidentally rendered it as theory and as theophany. Theatrical performance shows another view of the face to face, restoring to it the confusions and quirks of the world, embracing the dark glass of Paul’s wordly speculation rather than the promise of a more perfect vision always still to come. By executing the clarities that are hoped for in the face-to-face encounter, theater shows its shortcomings and discovers in them unhoped for points of contact.


Author(s):  
Jessica Gasiorek ◽  
R. Kelly Aune

A majority of the extant literature in health and risk message processing focuses—for obvious reasons—on social influence and compliance-gaining. Interpersonal and relational issues with doctors and patients are a secondary focus. In contrast, research that specifically addresses comprehension of health and risk messaging is somewhat scant. However, other domains (e.g., cognitive psychology, reading studies) offer models and studies of comprehension that address message processing more generally. This material can usefully inform research in a health and risk context. An important aspect of any communicative event is the degree to which that event allows interactivity. This can be described in terms of a continuum from static messaging to dynamic messaging. Message features may affect simple comprehension (in the former case) and active understanding (in the latter case) of messaging along this continuum. For static messaging, text features are the dominant focus; for dynamic messaging, how communicators cooperate, collaborate, and adjust their behavior relative to each other’s knowledge states is the focus. Moderators of these effects, which include sources’ dual goals informing and influencing targets, are also important to consider. Examples of this include direct-to-consumer-advertising (DTCA) of pharmaceutical medicines and pharmaceutical companies, which must meet the demands of the government regulatory bodies (e.g., fair and balanced presentation of benefits and risks) while simultaneously influencing the message processing experience of the target to minimize negative perceptions of their products. Impediments to creating understanding can arise in both the highly interactive setting of the face-to-face doctor-patient context as well as more static messaging situations such as PSAs, pamphlets, and pharmaceutical package inserts. Making sense of message comprehension in health and risk communication is complex, and it is complex because it is broad in scope. Health and risk communication runs the gamut of static to dynamic messaging, employing everything from widely distributed patient information leaflets and public service announcements, to interactive web pages and massively connected social networking sites, to the highly interactive and personalized face-to-face meeting between doctor and patient. An equally comprehensive theoretical and methodological tool box must be employed to develop a thorough understanding of health and risk communication.


1913 ◽  
Vol 7 (4) ◽  
pp. 588-609 ◽  
Author(s):  
Edward Raymond Turner

At present neither the prospect of home rule nor the danger from Germany nor the mighty design of imperial federation assails the public mind of England so insistently as the demand for the enfranchisement of women. Since 1905 it has come to be realized that British men and women are face to face with a change of profound importance, and that the veil of the future hides immense possibilities of good or of ill soon to come.Allowing British women to take part in the government of the realm is a question of the last century and particularly of the years since 1867, but the antiquarian traces the elements of the problem in the feudal law of the earlier middle ages, when tenure and service rather than persons furnished the basis of organization, and when instances occur of women taking part in local affairs and holding office and jurisdiction. For the most part, however, these instances are valuable now merely as the slender basis for legal argument.


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