1.Discussions and Implications of the Recent Enactment & Revision of the Healthcare Law.
Oh Tak KWON ; Jun Gu SEON ; So Yoon KIM
Journal of Korean Medical Science 2012;27(Suppl):S82-S87
Recently, there have been many changes in the area of healthcare. There is no certainty how these changes will affect the healthcare system and public health. However, to at least have these changes positively implemented, it is clear that evaluation through continuous monitoring is necessary. The enforcement of the Medical Institution Accreditation and Medical Dispute Mediation Law as well as legal revisions regarding the public healthcare system are changes to improve the quality of healthcare, while at the same time, provide penalties for infractions of the new law such as medicine/medical device rebates; moreover, legal revisions regarding telemedicine are anticipated to impartially vitalize technical development as well as the pharmaceutical industry. For these changes to have a positive effect on the medical field and people's lives, an accurate comprehension of the system and understanding of the details is necessary to be able to respond sensitively to any changes in the future. Therefore, this paper examined the background information on the current discussion on the changes in the healthcare system, examined the detailed content of the system, and reviewed the areas that were in dispute as well as the main issues to contemplate the expected effects of the changes and future tasks that may be generated as a result. These considerations will act as foundation for an in depth understanding of recent trends in the healthcare system.
Accreditation/legislation & jurisprudence
;
Delivery of Health Care/*legislation & jurisprudence
;
Health Care Reform
;
Humans
;
Quality of Health Care
;
Telemedicine
2.Establishment, Present Condition, and Developmental Direction of the New Korean Healthcare Accreditation System.
Journal of Korean Medical Science 2012;27(Suppl):S61-S69
On July 23rd, 2010 a revised medical law (Article 58) was passed to change existing evaluation system of medical institutions to an accreditation system. The new healthcare accreditation system was introduced to encourage medical institutions to work voluntarily and continuously to improve patient safety and medical service quality. Changes regarding the healthcare accreditation system included the establishment of an accreditation agency, the voluntary participation of medical institutions, accreditation standards centering on the treatment process and patient safety, tracing methodology, and the announcement of comprehensive results concerning accreditation. Despite varying views on the healthcare accreditation system, including some that are critical, it is meaningful that the voluntary nature of the system acknowledges that the medical institutions must be active agents in improving medical service quality. Healthcare quality is not improved instantaneously, but instead gradually through continuous communication within the clinical field. For this accreditation system to be successful, followings are essential: the accreditation agency becomes financially independent and is managed efficiently, the autonomy and regulation surrounding the system are balanced, the professionalism of the system is ensured, and the medical field plays an active role in the operation of the system.
Accreditation/*legislation & jurisprudence
;
Delivery of Health Care/*legislation & jurisprudence
;
Health Policy/legislation & jurisprudence
;
Humans
;
Quality Improvement
;
Quality of Health Care
;
Republic of Korea
4.The mental capacity act: implications for patients and doctors faced with difficult choices.
Annals of the Academy of Medicine, Singapore 2013;42(4):200-202
The Mental Capacity Act (MCA) came into effect in March 2010 but the impact of this groundbreaking legislation on the doctor-patient relationship has not yet been studied in Singapore. It is evident that communication between healthcare professionals, patients and their loved ones has never been so critical. Translating this into practice, healthcare professionals must identify the decision-maker to obtain consent from the correct person. Consent for healthcare and treatment must be obtained from the patient with capacity or the patient's legally appointed proxy decision-maker under a Lasting Power of Attorney (LPA) where the patient lacks capacity. However, the doctor is the decision-maker for patients lacking capacity in matters of life-sustaining treatment or treatment to prevent a serious deterioration of the patient's health. All decisions made on behalf of persons lacking capacity must be made in their best interests. Capacity assessments must be properly conducted and if a patient has the capacity to make the decision then healthcare professionals must take practicable steps to help them make a decision.
Advance Directives
;
legislation & jurisprudence
;
Decision Making
;
Delivery of Health Care
;
legislation & jurisprudence
;
Humans
;
Informed Consent
;
legislation & jurisprudence
;
Mental Competency
;
legislation & jurisprudence
;
Physician-Patient Relations
;
Physicians
;
legislation & jurisprudence
;
Singapore
;
Third-Party Consent
;
legislation & jurisprudence
7.Violence: a problem of health equity and people's right to safety.
Chinese Journal of Epidemiology 2004;25(1):1-2
Child
;
Child Abuse
;
legislation & jurisprudence
;
prevention & control
;
China
;
Delivery of Health Care
;
organization & administration
;
Domestic Violence
;
legislation & jurisprudence
;
prevention & control
;
Female
;
Human Rights Abuses
;
legislation & jurisprudence
;
prevention & control
;
Humans
;
Violence
;
legislation & jurisprudence
;
prevention & control
;
World Health Organization
;
organization & administration
8.Keeping pace with time enrichment of pathologic information.
Chinese Journal of Pathology 2008;37(2):73-74
Delivery of Health Care
;
legislation & jurisprudence
;
methods
;
Female
;
Forecasting
;
Health Services for the Aged
;
legislation & jurisprudence
;
supply & distribution
;
Humans
;
Male
;
Medical Informatics
;
Prostatic Intraepithelial Neoplasia
;
pathology
;
Prostatic Neoplasms
;
pathology
;
Time Factors
9.Exploration of the financing and management model of a children's critical disease security system in China based on the implementation of Shanghai Children Hospital Care Aid.
Zhi-ruo ZHANG ; Zhao-jun WEN ; Sai-juan CHEN ; Zhu CHEN
Chinese Medical Journal 2011;124(6):947-950
This study is designed to serve as a reference for the establishment of health security systems for children’s critical diseases. Through analysis of the operation of Shanghai Children Hospital Care Aid (SCHCA), this study explored the financing model and management of a children’s critical disease healthcare system and analyzed the possibility of expanding this system to other areas. It is found that a premium as low as RMB 7 per capita per year under SCHCA can provide high-level security for children’s critical diseases. With the good experience in Shanghai and based on the current basic medical insurance system for urban residents and the new rural cooperative medical scheme (NRCMS), it is necessary and feasible to build a health security system for children’s critical diseases at the national level.
Adolescent
;
Child
;
Child Welfare
;
Child, Preschool
;
China
;
Delivery of Health Care
;
Health Policy
;
economics
;
legislation & jurisprudence
;
Humans
;
Infant
;
Infant, Newborn
10.Right maintenance and self-discipline of practicing dentist on the liability in medical damage of the tortuous liability (III): medical damage in medical dispute and identification of its liability.
Chinese Journal of Stomatology 2011;46(4):248-250
Adult
;
Delivery of Health Care
;
legislation & jurisprudence
;
Dental Implantation
;
Dentists
;
legislation & jurisprudence
;
Dissent and Disputes
;
Female
;
Humans
;
Liability, Legal
;
Male
;
Malocclusion
;
therapy
;
Malpractice
;
legislation & jurisprudence
;
Maxilla
;
abnormalities
;
Middle Aged
;
Orthodontics, Corrective
;
legislation & jurisprudence
;
Tooth Loss
;
surgery
;
Treatment Failure