1.Compare Patient Right and Consumer Right in Medical Field.
Health Policy and Management 2017;27(1):3-17
In the traditional medical field, the patient was a person to receive protection from the doctor because there are vertical relationship between the patient and the doctor. But in modern medical field, patients change their role to health-care consumer to be guaranteed their rights more actively. This study compare patient's rights in doctor's vocational ethics and patient's rights in law, consumer rights. This study analyzes what is type of law-relationship between patients and doctor and how can they act health-care as health-care consumer.
Ethics
;
Humans
;
Jurisprudence
;
Patient Rights*
2.Parental preferences with regards to disclosure following adverse events occurring in relation to medication use or diagnosis in the care of their children – perspectives from Malaysia
Chin Hoong Wong ; Tock Rei Tan ; Hian Yue Heng ; Thangatorai Ramesh ; Pey Woei Ting ; Wei Shien Lee, Cheong Lieng Teng ; Nalliah Sivalingam ; Kah Kee Tan
The Medical Journal of Malaysia 2016;71(4):186-192
Introduction: Open disclosure is poorly understood in
Malaysia but is an ethical and professional responsibility.
The objectives of this study were to determine: (1) the
perception of parents regarding the severity of medical error
in relation to medication use or diagnosis; (2) the preference
of parents for information following the medical error and its
relation to severity; and (3) the preference of parents with
regards to disciplinary action, reporting, and legal action.
Methods: We translated and contextualised a questionnaire
developed from a previous study. The questionnaire
consisted of four case vignettes that described the
following: medication error with a lifelong complication;
diagnostic error with a lifelong complication; diagnostic
error without lifelong effect; and medication error without
lifelong effect. Each case vignette was followed by a series
of questions examining the subject’s perception on the
above areas. We also determined the content validity of the
questionnaire. We invited parents of Malaysian children
admitted to the paediatric wards of Tuanku Jaafar Hospital to
participate in the study.
Results: One hundred and twenty-three parents participated
in the study. The majority of parents wanted to be told
regarding the event. As the severity of the case vignettes
increased, the desire for information, remedial action,
acknowledgement of responsibility, compensation,
punishment, legal action, and reporting to a higher agency
also increased. The findings did not have strong evidence of
a relationship with subject’s demographics.
Conclusion: This study gives insights into previously
unexplored perspectives and preferences of parents in
Malaysia regarding open disclosure. It also highlights the
opportunity for more research in this area with potentially
broad applications.
Disclosure
;
Professional-Patient Relations
;
Patient Rights
3.Medicoethical Aspect of Involuntary and Compulsory Admission.
Young In CHUNG ; Young Min LEE
Journal of Korean Neuropsychiatric Association 2012;51(3):107-112
Involuntary and compulsive admission can damage a patient's autonomy from a medicoethical aspect, but the patient who cannot understand information and explanations from a psychiatrist due to impaired judgment and lacks insight can have impaired judgment in certain circumstances. The decision making of a patient without substantial autonomy in a psychotic or intoxicated state can be justly neglected by the psychiatrist for the patient's sake. Compulsory admission is generally permitted only in case that a patient presents a danger to himself or others, which is not of a benefit to the patient not in danger because of the loss of the opportunity to take appropriate treatment. This enables psychiatrists not to abuse medical paternalism and to protect from the damage to patient's autonomy and civil right. Compulsive admission can be ethically justified to keep the principle of the least restrictive treatment and the patient's right to appropriate treatment. Psychiatrists should help enhance the patient's underestimated autonomy on the basis of the limited paternalism.
Civil Rights
;
Decision Making
;
Humans
;
Judgment
;
Paternalism
;
Patient Rights
;
Psychiatry
4.Survey of the Informed Consent for the Anesthesia Practice in Korea.
Ji Yeon SIM ; Donguk KIM ; Jeong Rim LEE ; Wonsik AHN
Korean Journal of Anesthesiology 2005;48(2):117-123
BACKGROUND: All medical conduct should be practiced under the permission of patients or guardians. Because anesthetic procedures have high risk, every anesthesia practice is done under verbal and/or written consent. However, collecting anesthetic permission is not common in Korean medical anesthesiologists. The purpose of this article is to survey current anesthetic status and to provide some suggestions. METHODS: We had given questionnaire sheet to anesthesiologists participating in an annual meeting of the Korean Society of anesthesiologists. It included the percentage of receiving the anesthetic consent, the reasons why they received the informed consent or not, and the conditions to improve to receive it. RESULTS: The total number of responded anesthesiologists was 187. More than half of the responders had received the informed consents from less than 25% of their patients. And only thirty percent of them had taken the consents from more than 75% of their patients. To increase this rate, they replied, it is needed to strengthen the legal validity of the consent and to improve working conditions. CONCLUSIONS: The rate of receiving the informed consent is very low for the anesthesia practice in Korea. There are some procedures that are needed to improve the current situation so that anesthesiologists can provide better quality to the patients.
Anesthesia*
;
Humans
;
Informed Consent*
;
Jurisprudence
;
Korea*
;
Patient Rights
5.The Implication of Incrementally Modified Drug Technology and the Current Trends in Psychopharmacology.
Korean Journal of Psychopharmacology 2007;18(6):373-383
Development of new drugs using the incrementally modified drug (IMD) technique is becoming increasingly popular in the pharmaceutical industry. The technique addresses the critical need of pharmaceutical companies to reduce the astronomical budget required to develop a new drug. Incremental drug modification can encompass modification of the structure, formulation, or indication of existing drugs. Typical examples of the technique include modification of chemical structure, changes to formulation, and development of compound drugs. While some large pharmaceutical companies use the technique as a strategic tactic to prolong patent rights and maintain a profitable brand, it can also offer many health benefits, such as the discovery of new uses for the same compound, improved safety, and raised patient compliance. Several incrementally modified drugs have already been marketed for psychiatric use, and many more are waiting for approval. This new trend may expand the options available to clinicians; the usefulness of chiral and long-acting drugs has already been proven in clinical practice. This review presents an overview of the incrementally modified drug technique and its current status in psychopharmacology. It also discusses the economic and clinical implications of the current popularity of this technique.
Budgets
;
Drug Industry
;
Human Rights
;
Insurance Benefits
;
Patient Compliance
;
Psychopharmacology*
6.The Implication of Incrementally Modified Drug Technology and the Current Trends in Psychopharmacology.
Korean Journal of Psychopharmacology 2007;18(6):373-383
Development of new drugs using the incrementally modified drug (IMD) technique is becoming increasingly popular in the pharmaceutical industry. The technique addresses the critical need of pharmaceutical companies to reduce the astronomical budget required to develop a new drug. Incremental drug modification can encompass modification of the structure, formulation, or indication of existing drugs. Typical examples of the technique include modification of chemical structure, changes to formulation, and development of compound drugs. While some large pharmaceutical companies use the technique as a strategic tactic to prolong patent rights and maintain a profitable brand, it can also offer many health benefits, such as the discovery of new uses for the same compound, improved safety, and raised patient compliance. Several incrementally modified drugs have already been marketed for psychiatric use, and many more are waiting for approval. This new trend may expand the options available to clinicians; the usefulness of chiral and long-acting drugs has already been proven in clinical practice. This review presents an overview of the incrementally modified drug technique and its current status in psychopharmacology. It also discusses the economic and clinical implications of the current popularity of this technique.
Budgets
;
Drug Industry
;
Human Rights
;
Insurance Benefits
;
Patient Compliance
;
Psychopharmacology*
7.A Case of Intravascular Papillary Endothelial Hyperplasia on Finger.
Hae Bong JEONG ; Do Seon JEONG ; Yun Sun MOON ; Chi Yeon KIM
Korean Journal of Dermatology 2017;55(6):356-359
Intravascular papillary endothelial hyperplasia (IPEH) is a benign vascular proliferative process characterized by proliferation of endothelial cells with papillary formation located within a vascular lumen. It could manifest as a primary or pure form that develops in a distended vessel or it could be associated with hemangiomas, pyogenic granulomas, and/or lymphangiomas. We report a case showing development of intravascular papillary endothelial hyperplasia on a patient's right fifth finger.
Endothelial Cells
;
Fingers*
;
Granuloma, Pyogenic
;
Hemangioma
;
Hyperplasia*
;
Lymphangioma
;
Patient Rights
8.A Case of Intravascular Papillary Endothelial Hyperplasia on Finger.
Hae Bong JEONG ; Do Seon JEONG ; Yun Sun MOON ; Chi Yeon KIM
Korean Journal of Dermatology 2017;55(6):356-359
Intravascular papillary endothelial hyperplasia (IPEH) is a benign vascular proliferative process characterized by proliferation of endothelial cells with papillary formation located within a vascular lumen. It could manifest as a primary or pure form that develops in a distended vessel or it could be associated with hemangiomas, pyogenic granulomas, and/or lymphangiomas. We report a case showing development of intravascular papillary endothelial hyperplasia on a patient's right fifth finger.
Endothelial Cells
;
Fingers*
;
Granuloma, Pyogenic
;
Hemangioma
;
Hyperplasia*
;
Lymphangioma
;
Patient Rights
9.The Law and Telemedicine.
Journal of Korean Society of Medical Informatics 2007;13(1):1-7
This article provides a general overview of the interface between law and telemedicine. The piece is not a roadmap for any one legal system but rather attempts to illustrate issues which cut across borders, recognizing that each country's legal system may have unique impacts on telemedicine. The article notes that the nature of the legal issue will be colored by the nature of the telemedicine application in question, as well as by consideration of whether a given program is in a development or applied phase. Broad topics to be considered in this piece include medical liability, patient rights, privacy and licensure.
Jurisprudence*
;
Liability, Legal
;
Licensure
;
Patient Rights
;
Privacy
;
Telemedicine*
10.Constipation in Children-Colonic Transit Time and the Barr-Score.
Nam Seon BECK ; I Sok KANG ; Dong Kyu JIN ; Munhyang LEE ; Sang Il LEE ; Heung Jae LEE ; Bokyung Kim HAN ; Tae Sung PARK
Journal of the Korean Pediatric Society 1997;40(10):1427-1434
PURPOSE: We have assessed the clinical usefulness of solid maker transit technique and Barr-score in 31 patients with idiopathic constipation (male:female; 17:14, mean age; 6.7 years, range 1.4-12 years). METHODS: All patients underwent full history taking and physical examination including rectal examination. On first visit to gastroenterology clinic a plain abdominal film was taken for Barr-score which evaluated by two observers without the information of the patients. Kappa score was calculated for inter or intra observer variability. Sitz marker were given orally at 9 am on days 1, 2 and 3, and another plain abdominal film was taken on day 5. Total remained solid marker were counted for the degree of retention. We calulated the residual sitz marker. Each film was divided into right colon, left colon and rectosigmoid areas, using bony landmarks, and the marker content of each area counted. RESULTS: 2 patients were excluded because they resisted to take sitz maker. Transit times were normal, mild, moderate and severe delay in 12 patients, 2 patients, 3 patients and 12 patients respectively on day 5 film. The correlation coefficiency between the degree of transit delay and clinical severity was 0.89. Among 14 patients with transit delay, 12 patients has outlet obstruction, 1 patient right colonic delay and 1 patients left colonic delay. The Kappa for inter and intra-personal variability were 4.13 and 4.18 respectively (moderate consistency each). The correlation coefficiency between Barr-score and solid marker colonic transit time was 0.603 (P=0.0008). CONCLUSIONS: This results showed that the solid marker colonic transit time and Barr score were useful in evaluation of patients with constipation.
Colon
;
Constipation*
;
Gastroenterology
;
Humans
;
Observer Variation
;
Patient Rights
;
Physical Examination