Principle of patient's autonomy: problems of legal regulation in Ukraine
DOI:
https://doi.org/10.14739/2409-2932.2018.2.134008Keywords:
patient rights, informed consent, treatment refusalAbstract
The purpose of the research: to study the content of the principle of patient autonomy, the problem of its legal regulation in accordance with the legislation of Ukraine, outline the ways of their solution.
Materials and methods: the regulatory and legal framework of Ukraine, the method of analysis, the method of synthesis, the comparative legal method.
Results: The normative legal acts of Ukraine, in particular the Law of Ukraine “Fundamentals of Ukrainian legislation on health care”, the Civil Code of Ukraine, enshrined the principle of patient autonomy. However, a number of norms are conflict-related, so they need legal improvement.
Conclusions: The structure of the patient's autonomy principle includes the concept of informed consent and such basic rights of the patient as the right to choose a doctor, methods of treatment, and health facilities. At present, legislation that regulates the issue of consent of patients between 14 and 18 years of age, the refusal of medical intervention, the provision of complete information on the patient's health status, the right to choose a doctor and a health care institution, requires more precise changes, requires more precise regulation of the consent of the parents (or one from the parents) of the child to medical intervention.
References
Stetsenko, S. H., Stetsenko, V. Yu., Seniuta, I. Ya. (2008) Medychne pravo Ukrainy [Medical Law of Ukraine]. Kyiv. [in Ukrainian].
Pleshko, O. S. (2008) Bioetychni rehuliatyvy vzaiemovidnosyn «likar-patsiient» [Bioethical regulators of the relationship «patient-patient»]. Medychne pravo Ukrainy: pravovyi status patsiientiv v Ukraini ta yoho zakonodavche zabezpechennia (henezys, rozvytok, problemy i perspektyvy vdoskonalennia). Proceedings of the 2nd All-Ukrainian Scientific and Practical Conference. (P. 251–256). Lviv [in Ukrainian].
Konstytutsiia Ukrainy vid 28.06.1996 r. №254к/96-ВР [The Constitution of Ukraine from June 28, 1996 №254к/96-ВР] Retrieved from http://zakon2.rada.gov.ua/laws/show/435-15. [in Ukrainian].
Osnovy zakonodavstva Ukrainy pro okhoronu zdorovia vid 19.11.1992 r. №2801-XII [Fundamentals of Ukrainian legislation on health care from November 19, 1992 №2801-XII] Retrieved from http://zakon3.rada.gov.ua/laws/show/2801-12/paran324#n324. [in Ukrainian].
Tsyvilnyi kodeks Ukrainyn vid 16.01.2003 r. №435-IV [Civil Code of Ukraine from January 16, 2003 №435-IV]. Retrieved from http://zakon2.rada.gov.ua/laws/show/435-15. [in Ukrainian].
Seniuta, I. Ya. (2018) Yurydychna prezumptsiia zhody druhoho z batkiv na nadannia medychnoi dopomohy yikhnii dytyni [Legal presumption of consent of the second parent to provide medical assistance to their child]. Problemy zakhystu subiektiv pravovidnosyn u sferi okhorony zdorovia v konteksti medychnoi reformy. Abstracts of Papers of the scientific and practical round table, Yu.M. Kolesnyka (Ed.), (P. 37–41). Zaporizhzhia: ZDMU [in Ukrainian].
Postanova Kabinetu Ministriv Ukrainy «Pro zatverdzhennia pereliku platnykh posluh, yaki nadaiutsia v derzhavnykh i komunalnykh zakladakh okhorony zdorovia ta vyshchykh medychnykh navchalnykh zakladakh» vid 17.09.1996 r. №1138 [Resolution of the Cabinet of Ministers of Ukraine «On approval of the list of paid services provided in state and municipal health care institutions and higher medical educational institutions» from September 17, 1996, №1138]. Retrieved from http://zakon3.rada.gov.ua/laws/show/1138-96-%D0%BF. [in Ukrainian].
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