Problems of expert assessment of medical care
https://doi.org/10.24884/2078-5658-2023-20-1-52-56
Abstract
Legal pressure on the medical worker is currently a factor in reducing the prestige of the medical profession. An unfair assessment of the quality of medical care leads to a simplification of approaches to the implementation of legally «risk» treatment technologies and the degradation of healthcare. Significant problems are the insufficient formation of competencies among specialists involved in expert work, and gaps in the enforcement of clinical recommendations. Professional medical non-profit organizations have leverage to improve the situation. The elimination of these shortcomings will contribute to an objective and fair legal interpretation of the actions of a medical worker in medical care.
About the Authors
K. G. Shapovalov
Chita State Medical Academy
Russian Federation
Russian Federation
Konstantin G. Shapovalov - Honored Doctor of the Russian Federation, Dr. of Sci. (Med.), Professor, Head of the Department of Anesthesiology and Intensive Care.
39a, Gorky str., Chita, 672000
S. A. Sumin
Kursk State Medical University
Russian Federation
Russian Federation
Sergei A. Sumin - Honored Worker of the Higher School of the Russian Federation, Dr. of Sci. (Med.), Professor, Head of the Department of Anesthesiology and Intensive Care of the Institute of Continuing Education.
3, K. Marx str., Kursk, 305029
References
1. Bozhchenko A. P. Categorical conclusions and their validity in the conclusions of forensic medical examinations in cases of professional offenses of medical workers. Medical Law, 2020, no. 3, pp. 14-20. (In Russ.)
2. Gorbachev V. I., Netesin E. S., Kozlov A. I., Sumin S. A., Gorbacheva S. M. Analytical review of criminal cases against anesthesiologists-resuscitators over the past five years. Bulletin of Intensive Care named after A. I. Saltanov, 2020, no. 1, pp. 19-24. (In Russ.)
3. Civil Code of the Russian Federation of november 30, 1994 no. 51-FZ. Reference legal system “ConsultantPlus” (In Russ.) (Epub.), Available: http://www.consultant.ru/document/cons_doc_LAW_5142 (Accessed: 30.01.2023).
4. Sumin S. A., Gorbachev V. I., Yaroslavkin R. A., Shapovalov K. G., Grebenkov A. B. Basic concepts and terms recommended for use in the expert assessment of the adverse outcome of the disease and the adverse outcome of the provision of medical care in the specialty “anesthesiology-resuscitation”. Anesthesiology and resuscitation, 2022, no. 1, pp. 111-117. (In Russ.) Doi: 10.17116/anaesthesiology2022011111.
5. Sumin S. A., Kuzkov V. V., Gorbachev V. I., Shapovalov K. G. Recommendations for catheterization of the subclavian and other central veins. Bulletin of Intensive Care named after A. I. Saltanov, 2020, no. 1, pp. 7-18. (In Russ.) Doi: 10.21320/1818-474X-2020-1-7-18.
6. Sumin S. A., Gorbachev V. I., Yaroslavkin R. A., Shapovalov K. G., Netyosin E. S. Legal persecution of a doctor: stages and protection: [How is the fight against “vile spies and murderers under the guise of profes-sors-doctors” nowadays]. Moscow, Medical Information Agency, 2021, 120 p. (In Russ.)
7. Sumin S. A., Yaroslavkin R. A., Shapovalov K. G. Recommendations on drawing up conclusions by an anesthesiologist-resuscitator participating in complex forensic medical examinations. Anesthesiology and resuscitation, 2020, no. 3, pp. 76-83. (In Russ.)
8. Code of Criminal Procedure of the Russian Federation of December 18, 2001 no. 174-FZ (as amended on July 1, 2021, as amended on September 23, 2021). Reference legal system “ConsultantPlus” (In Russ.) (Epub.), Available: http://www.consultant.ru/document/cons_doc_LAW_34481/. (Accessed: 30.01.2023).
9. Federal Law “On the fundamentals of protecting the health of citizens in the Russian Federation” dated november 21, 2011 no. 323-FZ (as amended on July 2, 2021). Reference legal system “ConsultantPlus” [Electronic resource]. (In Russ.) (Epub.), Available: http://www.consultant.ru/document/cons_doc_LAW_121895/. (Accessed: 30.01.2023). (In Russ.)
10. Shapovalov K. G., Sumin S.A., Yaroslavkin R. A. Clinical recommendations as a legal basis for the criminal prosecution of a medical worker. Transbaikal Medical Bulletin, 2021, no. 1, pp. 68-73. (In Russ.) Doi: 10.52485/19986173_2021_1_68.
11. Shapovalov K. G., Sumin S. A., Yaroslavkin R. A. Checking the report of improper medical care (pre-investigation check) - what the anesthesiologist-resuscitator should know. Bulletin of anesthesiology and resuscitation, 2020, vol. 17, no. 2, pp. 85-89. (In Russ.)
12. Head of Ministry of Health called to decriminalize medical activity. (In Russ.) (Epub.), Available: https://www.gazeta.ru/social/news/2022/09/24/18643441.shtml (Accessed: 30.01.2023).
Review
For citations:
Shapovalov K.G., Sumin S.A. Problems of expert assessment of medical care. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2023;20(1):52-56. (In Russ.) https://doi.org/10.24884/2078-5658-2023-20-1-52-56
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