Preview

City Healthcare

Advanced search

Ethical and Deontological Violations as a Side Effect in Value-Based Healthcare: Monitoring Instruments

https://doi.org/10.47619/2713-2617.zm.2024.v.5i4p1;162-171

Abstract

It is important to adhere to ethical standards of medical care at any stage or level of societal development. Since healthcare systems have widely integrated digital technologies and the principle of value-based healthcare has been firmly embedded in the practice of healthcare organizations, the ethical challenges have become highly relevant.

Paradoxically, the defects related to violations of medical ethics and deontology by healthcare professionals are not listed in the current order of the Ministry of Health of the Russian Federation regulating the quality control of medical care for compulsory medical insurance. As a result, there are no mechanisms for applying financial sanctions to healthcare organizations. Also, some issues, such as violation recoding and a possible subjective patient’s assessment of doctors’ actions, are still to be addressed.

The author considered the doctor-patient relationship and the mechanism for recording violations of ethics and deontology defined by the order of Moscow Healthcare Department.

About the Author

E. V. Smirnova
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation

Elena V. Smirnova – Senior Researcher

9, Sharikopodshipnikovskaya ul., Moscow, 115088



References

1. The World Health Organization. The official website. URL: https://www.who.int/ru/news/item/18-01-2024-who-releases-ai-ethics-and-governance-guidance-for-large-multi-modal-models (accessed: 05/28/2024. (In Russ.).

2. Buzina T.S. Doctor and patient: interpersonal communications / T.S. Buzina, V.N. Buzin, I.L. Lanskoy // Medical psychology in Russia. 2020. No.4. pp. 1-21. URL: https://cyberleninka.ru/article/n/vrach-i-patsientmezhlichnostnye-kommunikatsii (accessed: 06/18/2024. (In Russ.)

3. Perepelova O.V. Patient-centricity in the provision of medical services to the population as a value and principle of activity /O.V. Perepelova, I.A. Petrova // Health Care Manager. 2019. №10. URL: https://cyberleninka.ru/article/n/patsient-tsentrirovannost-pri-okazanii-naseleniyu-meditsinskih-uslug-kaktsennost-i-printsip-deyatelnosti (accessed: 06/19/2024). (In Russ.)

4. Sidorovich I.A. On the issue of optimal solutions in case of conflicts in the triad "doctor-patient-society" // ORGZDRAV: Novosti. Opinions. Training. Herald of the VOSE. 2020. No.3 (21). pp. 82-83. URL: https://cyberleninka.ru/article/n/k-voprosu-optimalnyh-resheniy-pri-vozniknovenii-konfliktov-v-triade-vrachpatsient-obshestvo (accessed: 06/18/2024). (In Russ.)

5. Mikhno N.V. Identification of the risks of harm to health in the provision of medical care based on the analysis of patient complaints / N.V. Mikhno, Yu.V. Evstafyeva, O.V. Khodakova // Modern problems of healthcare and medical statistics. 2022. №3. URL: https://cyberleninka.ru/article/n/identifikatsiya-riskovprichineniya-vreda-zdorovyu-pri-okazanii-meditsinskoy-pomoschi-na-osnovanii-analiza-obrascheniypatsientov (accessed: 06/18/2024). (In Russ.)

6. Mustafina-Bredikhina D.M. Prevention of claims and complaints of patients to medical organizations: practical advice from a lawyer // Neonatology: News. Opinions. Training. 2022. №4 (38). URL: https://cyberleninka.ru/article/n/profilaktika-pretenziy-i-zhalob-patsientov-k-meditsinskim-organizatsiyamprakticheskie-sovety-yurista (accessed: 06/18/2024). (In Russ.)

7. Amlaev K.R. Medical errors as a consequence of poor communication / K.R. Amlaev, S.A. Bakunts, V.N. Mazharov // Problems of social hygiene, healthcare and the history of medicine. 2022. No.6. pp. 1291-1294. URL: https://cyberleninka.ru/article/n/meditsinskie-oshibki-kak-sledstvie-plohoy-kommunikatsii (accessed: 06/18/2024). (In Russ.)

8. Agafonova M.K. The role of communication skills of medical personnel and the use of "positive images" in improving patient compliance /M.K. Agafonova, G.M. Agafonov, K.V. Sternlicht, I.V. Koltuntseva // FORCIPE. 2021. №S1. pp. 398 – 399. URL: https://cyberleninka.ru/article/n/rol-kommunikativnyh-navykovmeditsinskogo-personala-i-primeneniya-pozitivnyh-kartinok-v-uluchshenii-komplaentnosti-patsientov (accessed: 06/18/2024). (In Russ.)

9. The decision of the Supreme Court in the case of a negative review left about a doctor on the Internet dated 03/28/2023 (case 5KG 22-147-K2). Information and legal portal "The notary speaks". URL: https://www.govoritnotariat.com/judicial/verkhovnyy-sud-rassmotrel-delo-o-negativnom-otzyve-ostavlennompro-vracha-v-seti-internet/ (accessed: 05/28/2024). (In Russ.)

10. Maslyakov V.V. Analysis of conflict situations in patients of older age groups when applying for primary health care in a polyclinic / V.V. Maslyakov, A.N. Shishov // MNIZH. 2021. №6-2 (108). URL: https://cyberleninka.ru/article/n/analiz-konfliktnyh-situatsiy-patsientov-starshih-vozrastnyh-grupp-priobraschenii-za-pervichnoy-mediko-sanitarnoy-pomoschyu-v (accessed: 06/18/2024). (In Russ.)

11. Abayeva, V. A. Calgary-Cambridge model of communication with a patient / V. A. Abayeva // Young Scientist. – 2022. – № 1(396). – Pp. 23-24. – EDN UQGTVG. (accessed: 06/18/2024). (In Russ.)

12. Russia has developed a "doctor" bot for patient consultations based on the Calgary-Cambridge model. Medical Bulletin. 20.05.2023. Internet resource. URL: https://medvestnik.ru/content/news/V-Rossii-razrabotalibota-vracha-dlya-konsultacii-pacientov-po-Kalgari-Kembridjskoi-modeli.html (accessed: 05/20/2024). (In Russ.)

13. Adrianovskaya T.L. The application of ethical norms in the legal regulation of the work of medical workers // Theory and practice of social development. 2023. No.7 (183). pp. 213-218 URL: https://cyberleninka.ru/article/n/primenenie-eticheskih-norm-pri-pravovom-regulirovanii-truda-meditsinskih-rabotnikov (accessed: 06/05/2024). (In Russ.)

14. Skrebneva N.A. Features and contradictions of the legal regulation of medical secrecy in the Russian Federation as an object of offenses of medical workers and medical organizations // Infectious diseases: News. Opinions. Training. 2019. No.2 (29). pp. 128-139. URL: https://cyberleninka.ru/article/n/osobennostii-protivorechiya-pravovogo-regulirovaniya-vrachebnoy-tayny-v-rossiyskoy-federatsii-kak-obektapravonarusheniy (accessed: 06/18/2024). (In Russ.)

15. Artymuk V.A. Legal aspects of audio-video recording in medical organizations/ V.A. Artymuk. M.A. Chernyaeva, Ya.I. Shemet, N.V. Artymuk, V.I. Chernyaeva // MfA. 2019. No.4. URL: https://cyberleninka.ru/article/n/pravovye-aspekty-audio-video-zapisi-v-meditsinskih-organizatsiyah (accessed: 06/19/2024). (In Russ.)

16. Decision of the Khimki City Court of the Moscow region No. 2-5816/2013 dated 01/15/2014. URL: https://actofact.ru/case-50RS0048-2-251-2014-2-5816-2013-m-4680-2013-2013-08-19-0-0/ (accessed: 06/19/2024). (In Russ.)


Review

For citations:


Smirnova E.V. Ethical and Deontological Violations as a Side Effect in Value-Based Healthcare: Monitoring Instruments. City Healthcare. 2024;5(4):162-171. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2024.v.5i4p1;162-171

Views: 237


ISSN 2713-2617 (Online)