Vol 4, No 2 (2011)

Articles
ETHICAL PRIORITIES OF THE NEW LAW OF THE RUSSIAN FEDERATION «ON HEALTH PROTECTION OF CITIZENS»
Petrov V.I.
Abstract
The new Federal Law «On health protection of citizens» is a great advance in reforming domestic public health services. A social response to the law content is varied. But the moral problem to be discussed is not the poor or high quality of the new Law, but rather the way it will work. And the present interpretation of the standards of this document within the intellectual scope of bioethics can be very helpful
Bioethics. 2011;4(2):3-4
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TOLERANCE AS A CULTURAL VALUE OF MODERN SOCIETY
Petrov A.V., Miroshnikova O.V.
Abstract
The article considers the perceptional nature of tolerance, reveals the conditions required for it. The author demonstrates that tolerance is relevant in relation to other values such as truth, justice and equality. When considering tolerance as a value one has to appeal to substantive ideas of the good, individual autonomy and respect, in particular. The author shows the relationship between tolerance and the principle ofobjectivism in scientific research
Bioethics. 2011;4(2):5-6
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BIOPOLITICS AS A CHALLENGE OF MODERN CULTUREAND BIOETHICAL ALTERNATIVE
Smirnov K.S., Kovaleva M.D.
Abstract
The article shows that biopolitics is the utmost expression of the decline of modern culture. It also emphasizes that the development of modern culture is limited. Finally, the traditional cultural space is restored on the basis of bioethical alternative.
Bioethics. 2011;4(2):7-8
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ON ETHICAL EXAMINATION OF BILLS IN PUBLIC HEALTH SPHERE
Sedova N.N., Priz E.V.
Abstract
Ethical examination of any bill in the field of health protection is necessary. It makes possible to increase the validity of its provisions and helps to eliminate the errors of the bill authors incompetent in ethical issues. In Russia it is necessary to establish a system of such examination. It can be performed by the National Ethical Committee. It has not been founded yet, therefore the Russian Bioethical Committee of the Working group of UNESCO can carry out the examination. The results of the examination are not necessarily to be followed, but having information on them can guarantee the rights of citizens in the health protection sphere.
Bioethics. 2011;4(2):9-20
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COMPLIANCE OF THE FEDERAL LAW ON HEALTH PROTECTION OF CITIZENS, WITH the standards and principles of bioethics
Donika A.D., Kozhevnikov L.L.
Abstract
The Federal Law On Health Protection of Citizens summarizes the achievements in the field of bioethics as applied to national health care model. The main benefit of this Law is its focus on the protection of patients' rights, the validation of the principle of the patient autonomy respect. A skewed attitude to the rights of medical personnel, inadequate interpretation of medical errors is ethically unreasonable. But, on the whole, this Law has great moral potential to become an effective tool in the organization of the health protection of Russian citizens.
Bioethics. 2011;4(2):21-25
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WHAT HAS THE NEW LAW OVERLOOKED
Petrov V.I., Sedova N.N., Donika A.D., Adzhienko V.L., Sergeeva N.V.
Abstract
The new Law of the Russian Federation On Health Protection of Citizens does not mention ethical committees of medical organizations. The article discusses the causes and consequences of such an approach, suggests some ways of restoring the legal status of ethical committees
Bioethics. 2011;4(2):26-25
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DYNAMICS OF PHYSICIAN-PATIENT RELATIONSHIP IN THE CONTEMPORARY SOCIO-ECONOMIC CONDITIONS
Guschin A.V., Potapova O.N.
Abstract
This article discusses the dynamics of the doctor-patient relationship using the data of the expert survey with graphical representation of the results. The graphical modeling data are used to reveal the conditions of forming a harmonious model of doctor-patient relationship. The article demonstrates the potential of graphical representation of the main features of doctor-patient communication which can be applied both to conduct surveys of therapeutic and diagnostic process participants and for side-by-side comparison the obtained results. The graphically represented survey results were used to determine the main features of a harmonious model of doctor-patient relationship in the course of a diagnostic and treatment process. The proposed harmonious model differs from the collegial model in greater determinism in the doctor's behavioral strategy, which can make its implementation less costly, thus making it more attractive to the majority of patients.
Bioethics. 2011;4(2):29-30
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ETHICS OF THE MEDICAL TOURISM.
Schekin G.Y., Turlak T.A.
Abstract
The article considers a number of problems such as an increased demand for health trips, the importance of the medical tourism development for contemporary society, concerns about the development of medical tourism, ethical problems of the medical tourism development, international accreditation of the medical institutions required to regulate medical tourism, global ethic code of tourism as a complex of guidelines for responsible and sustainable development of the world tourism. The author concludes that ethical support of medical tourism is discrete and not specialized. It is important to make obligatory independent ethical appraisal of the programs of medical tourism and the legal documents regulating tourism activity as a whole. At present it is impeded by the absence of ethical committees of sanatorium and resort complexes.
Bioethics. 2011;4(2):31-33
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ETIChESKIE PROBLEMY VZAIMOOTNOShENIY «VRACh-PATsIENT» I «VRACh-VRACh» V AKUShERSKO-GINEKOLOGIChESKOY PRAKTIKE
Grigoryan V.A., : Kostenko O.V., , Guba T.I., И Т.
Abstract
It is the woman who should choose a contraception method while the doctor can only inform her of the existing options as well as of her health condition making its administration possible or impossible. The same is true about choosing the methods of obstetric aid excluding the cases when there are considerable risks for the health of the fetus or the parturient woman.
Bioethics. 2011;4(2):34-35
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RESPONSIBILITY OF THE DOCTOR AND IRRESPONSIBILITY OF THE PATIENT
Lopastejsky D.S., Antonova T.A.
Abstract
Doctors' actions often provoke patients' anger which is conditioned by the fact that they find out undesirable information. The doctor cannot effectively help the patient, who does not care about their own health.
Bioethics. 2011;4(2):36-37
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IS ANY HARM TO THE PATIENT'S HEALTH REFERRED TO AS MEDICAL ERROR?
Lopasteyskiy D.S., Rudenko A.Y.
Abstract
Though physicians provide adequate management to patients, patients fail to survive. In this case the ethics review committee does not find the physician guilty. However, the law stipulates that the physician must take responsibility for his actions, regardless of whether or not the physician is guilty.
Bioethics. 2011;4(2):38-39
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Ethical aspects of vitamin therapy DURING PREGNANCY
Potapova O.N., Mizgin A.V.
Abstract
The article describes two cases of Materna vitamin complications during pregnancy and provides some comments on the cases under study
Bioethics. 2011;4(2):39-41
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ETHICAL ISSUES SURROUNDING DENTIST-PATIENT RELATIONSHIPS
Mikhalchenko D.V., Zasyadka E.V.
Abstract
All conflicts arising in dental practice can be divided into two groups: conflicts which arise due to lack of confidence in a dentist and conflicts which result from medical errors. Resolution of such conflicts through litigation is related to the general underestimating not only ethical and psychological, but also ethical and legal status of patients as consumers of dental services by dentists. Usually, dentists critically evaluate the patients' past clinical experience. Failure to follow the treatment plan as well as non-compliance with the prescribed medical treatment or dentist's advice are considered as negative aspects of the patient's past clinical experience. One of the main causes of failure to follow the treatment plan and non-compliance with the prescribed treatment is low level of medical awareness of patients. Prevention in dental practice has become one of the current self-initiatives of the dentist. Dentists perceive the status of the dental patient as an integral phenomenon and do not divide it into dental, ethical and psychological, aesthetic, ethical and legal constituents. The main barriers to the professional practice of the dentist include non-compliance and hygienic ignorance of dental patients.
Bioethics. 2011;4(2):42-43
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ETHICAL ISSUES SURROUNDING DENTIST-PARAMEDICAL PERSONNEL RELATIONSHIPS
Mazharenko V.A., Reva I.E.
Abstract
Physicians suggest that problem situations that may arise between them and paramedical personnel are due to: 1) low wages of paramedical personnel, 2) low qualification of paramedical personnel, in particular nurses. Usually, dentists emphasize the fact that the nurses' primary purpose is to follow the directions of physicians. In general, strict distribution of roles among medium-trained staff can promote less intense relationships between physicians and paramedical personnel. Adequate training for performing a specific function often underlies readability to perform a particular function in dental health system.
Bioethics. 2011;4(2):44-45
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ETHICAL ASPECTS OF SCIENTIFIC RESEARCH IN STOMATOLOGY
Vargina S.A., Solomatin M.M.
Abstract
Dental clinical research is characterized by a specific feature which cannot be revealed in any other field of medicine. The fact is nearly all dental studies use a therapeutic approach. Hence, all cases under study are clinical ones which require dental care. Clinical trials in stomatology are conducted not only to test a new product, but also to cure the patient. Therefore, while licensing function is imposed on local (research) ethical committee, control function is to be performed by an ethical committee of a particular dental clinic. In this relation it is necessary to stipulate the requirements imposed on such committees as there are not any particular regulations in documentation of different aspects of dental activity.
Bioethics. 2011;4(2):46-48
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Ethics DENTAL committees
Shkarin V.V., Kondrashev A.A.
Abstract
In addition to the general parameters which regulate dental committee activities, some specific parameters have been introduced. From ethical point of view, the specific character of these parameters is due to the following: low proportion, in comparison with the other fields of medicine, of inpatients; great ethical importance of aesthetic characteristics of treatment; availability of a professional group of dental laboratory technicians as active participants of treatment process who, however, do not come into personal contact with patients; a considerable number of private dental offices, which are usually quite small and independent; significant differentiation of payment services; dental patients include all groups of patients regardless of their gender, income, ethnic or professional background; well pronounced personification of medical care.
Bioethics. 2011;4(2):49-50
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RESPONSIBILITY OF DENTISTS FOR THE QUALITY OF MEDICAL CARE (Experience of Germany)
Shmidtmayer R.
Abstract
Germany ranks 6th in Europe on the effectiveness of health care system. The most important of the rights of the German patients is the right to self-determination, which means that the dentist is obliged to inform the patient in details about treatment options, possible risks and the consequences of treatment refusal. The German dentist must treat the patients with great care and by law is responsible for health damage caused by his fault. The patient, in turn, has the right to demand satisfaction from the doctor for providing false or negligent treatment. Medical errors are less common in German dental practice than in many other countries. However, German dentists are not immune from making medical errors. In this relation the problem of legal responsibility of the dentist for the patient's health and that of "defensive medicine" remain essential.
Bioethics. 2011;4(2):51-53
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DYNAMICS IN NORMATIVE LEGAL ACTIVITIES IN STOMATOLOGY UNDER THE NEW FEDERAL LAW «ON HEALTH PROTECTION OF CITIZENS»(Analyzing focus group materials)
Sergeeva N.V., Solomatin M.M.
Abstract
The focus group was conducted within the scope of «Normative legal activities in stomatology» round table. A number of experts, including dental scientists, heads of dental clinics and experts in the field of medical law and bioethics, had been invited to participate in the focus group discussion. The experts concluded that the basic ethical problems in stomatology arose because of low level of the dentist's social security. New public health laws do not insure this security.
Bioethics. 2011;4(2):54-59
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THE MEDICAL LAW AND BIOETHICS IN UKRAINE
Osenniy S.А.
Abstract
The National congress on medical law was held in the Ukraine. Great emphasis at the Congress was put on bioethics issues, the most important of which is harmonization of doctor-patient relationships.
Bioethics. 2011;4(2):60-61
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The journal publication requirements
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Bioethics. 2011;4(2):62-63
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