Legal Aspects of Medical Care in Hospital-acquired Ischaemic Stroke

Generally, the main pathogenetic mechanisms of hospital-acquired ischaemic stroke (HAIS) do not differ from classical ones, except in cases of iatrogenic origin. In certain cases, HAIS may be caused by insufficient vascular risk prevention or develop as a complication of medical intervention. At the...

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Main Authors: Igor A. Voznyuk, Sergey V. Kolomentsev, Yevgeny N. Nikitin
Format: Article
Language:English
Published: Research Center of Neurology 2020-06-01
Series:Анналы клинической и экспериментальной неврологии
Subjects:
Online Access:https://annaly-nevrologii.com/journal/pathID/article/viewFile/660/523
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author Igor A. Voznyuk
Sergey V. Kolomentsev
Yevgeny N. Nikitin
author_facet Igor A. Voznyuk
Sergey V. Kolomentsev
Yevgeny N. Nikitin
author_sort Igor A. Voznyuk
collection DOAJ
description Generally, the main pathogenetic mechanisms of hospital-acquired ischaemic stroke (HAIS) do not differ from classical ones, except in cases of iatrogenic origin. In certain cases, HAIS may be caused by insufficient vascular risk prevention or develop as a complication of medical intervention. At the current stage of the healthcare development, there is an increased legal responsibility of doctors, associated with the broad legal capabilities of a patient to protect their rights and legitimate interests when obtaining medical care. The very fact of a stroke a disease with a high rate of adverse outcomes contradicts the prevailing opinion in the society that a patient in a hospital is guaranteed protection from the possibility of developing another, especially a more serious illness, and this may give rise to judicial proceedings. Currently, many difficulties arise in the treatment of patients with HAIS, based on the lack of a unified approach to providing medical care for this pathology, including at the legislative level. Data from the world literature and our own studies demonstrate delays in performing diagnostic measures in cases of inpatient stroke and lower indicators of the quality of medical care. At the same time, the human factor is critical and affects the promptness of HAIS diagnosis and treatment. Proper organization of medical care for HAIS is a prerequisite for ensuring that patients receive timely care in accordance with the standards of treatment, and that medical employees of all levels receive legal protection.
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spelling doaj.art-d6c2f1317fa345dd867e3efa63d7b9722022-12-22T00:27:10ZengResearch Center of NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-25332020-06-01142707510.25692/ACEN.2020.2.9500Legal Aspects of Medical Care in Hospital-acquired Ischaemic StrokeIgor A. Voznyuk0Sergey V. Kolomentsev1Yevgeny N. Nikitin2St. Petersburg I.I. Dzhanelidze Research Institute of Emergency CareS.M. Kirov Military Medical Academy MinistryS.S. Mnukhin Children's Psychiatry Center for Rehabilitation TreatmentGenerally, the main pathogenetic mechanisms of hospital-acquired ischaemic stroke (HAIS) do not differ from classical ones, except in cases of iatrogenic origin. In certain cases, HAIS may be caused by insufficient vascular risk prevention or develop as a complication of medical intervention. At the current stage of the healthcare development, there is an increased legal responsibility of doctors, associated with the broad legal capabilities of a patient to protect their rights and legitimate interests when obtaining medical care. The very fact of a stroke a disease with a high rate of adverse outcomes contradicts the prevailing opinion in the society that a patient in a hospital is guaranteed protection from the possibility of developing another, especially a more serious illness, and this may give rise to judicial proceedings. Currently, many difficulties arise in the treatment of patients with HAIS, based on the lack of a unified approach to providing medical care for this pathology, including at the legislative level. Data from the world literature and our own studies demonstrate delays in performing diagnostic measures in cases of inpatient stroke and lower indicators of the quality of medical care. At the same time, the human factor is critical and affects the promptness of HAIS diagnosis and treatment. Proper organization of medical care for HAIS is a prerequisite for ensuring that patients receive timely care in accordance with the standards of treatment, and that medical employees of all levels receive legal protection.https://annaly-nevrologii.com/journal/pathID/article/viewFile/660/523hospital-acquired ischaemic strokeorganization of medical carequality of medical carelegal responsibility of medical workers
spellingShingle Igor A. Voznyuk
Sergey V. Kolomentsev
Yevgeny N. Nikitin
Legal Aspects of Medical Care in Hospital-acquired Ischaemic Stroke
Анналы клинической и экспериментальной неврологии
hospital-acquired ischaemic stroke
organization of medical care
quality of medical care
legal responsibility of medical workers
title Legal Aspects of Medical Care in Hospital-acquired Ischaemic Stroke
title_full Legal Aspects of Medical Care in Hospital-acquired Ischaemic Stroke
title_fullStr Legal Aspects of Medical Care in Hospital-acquired Ischaemic Stroke
title_full_unstemmed Legal Aspects of Medical Care in Hospital-acquired Ischaemic Stroke
title_short Legal Aspects of Medical Care in Hospital-acquired Ischaemic Stroke
title_sort legal aspects of medical care in hospital acquired ischaemic stroke
topic hospital-acquired ischaemic stroke
organization of medical care
quality of medical care
legal responsibility of medical workers
url https://annaly-nevrologii.com/journal/pathID/article/viewFile/660/523
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