Institution of Patient’s Advance Directives in the Context of Ukraine’s Aspirations for European Integration
Institución de instrucciones anticipadas del paciente en el contexto de las aspiraciones de Ucrania para la integración europea
Abstract
The development of legal science in Ukraine is connected with the processes of reform of society oriented to European values and standards of human rights. The most important among them are life and human health, which are related to the realization of patients’ rights in the health sector. In this context, the purpose of the article was to analyze the status and prospects of the legal regulation of the institution of patient advance directives, in terms of the methods of medical intervention for the future. The research methods used were: systems analysis, comparative and legal analysis, formal and logical method, prognosis. In the conclusions, the authors have offered civil means, which should create new opportunities for the exercise of subjective rights of patients during the provision of medical care. Finally, suggestions have been made for draft normative acts on improvement of legal regulation of the health care sector of Ukraine in accordance with European legal norms.
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References
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VERKHOVNA RADA OF UKRAINE. 2016. Resolution No. 1338-VІІІ “On Recommendations of Parliamentary Hearings on the Topic “On Health Care Reform in Ukraine”. Available online. In: https://zakon.rada.gov. ua/laws/show/1338-19#Text. Consultation date: 05/06/2023.
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BOLIDZHAR, Sandra. 2020. “The right to euthanasia in the practice of the ECtHR and prospects for implementation in Ukraine” In: Law and society. No. 3, part 2, pp. 40-46.
BUNDESGESETZ ÜBER PATIENTENVERFÜGUNGEN. 2006. (Patientenverfügungs-Gesetz – PatVG). Available online. In: https://www.parlament.gv.at/gegenstand/XXII/I/1299. Consultation date: 05/06/2023.
COMMITTEE OF MINISTERS. 2009. Recommendation CM/Rec (2009:11) of the Committee of Ministers to member states on principles concerning continuing powers of attorney and advance directives for incapacity. Available online. In: https://wcd.coe.int/ViewDoc. jsp?id=1563397&Site=CM. Consultation date: 05/06/2023.
COUNCIL OF EUROPE. 1997. “Convention for the Protection of Human Rights and Dignity of the Human Being with regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine” (ETS No 164), Oviedo, 04/04/1997. Available online. In: https://www.coe.int/en/web/conventions/full-list?module=treaty-detail&treatynum=164. Consultation date: 05/06/2023.
EUROPEAN COURT OF HUMAN RIGHTS. “Convention for the Protection of Human Rights and Fundamental Freedoms” Rome, 4. XI. 1950. Available online. In: https://www.echr.coe.int/documents/convention_eng.pdf. Consultation date: 05/06/2023.
EUROPEAN COURT OF HUMAN RIGHTS. 2006. “Berke aganist the United Ringdom” Decision as to Admissibility Application No. 19807/06 on 17 May 2006. Available online. In: https://hudoc.echr.coe.int/app/conversion/docx/?library=ECHR&id=001-76785&filename=BURKE%20v.%20 THE%20UNITED%20KINGDOM.docx&logEvent=False. Consultation date: 05/06/2023.
EUROPEAN COURT OF HUMAN RIGHTS. 2015. Lambert and Others against France, Application No. 46043/14. Judgment 5.6.2015 “Decision to discontinue nutrition and hydration allowing patient in state of total dependence to be kept alive artificially: no violation”. Available online. In: https://hudoc.echr.coe.int/fre#{%22itemid%22:[%22002-0758%22]}. Consultation date: 05/06/2023.
GÓMEZ-VÍRSEDA, Carlos; De MAESENEER, Yves; GASTMANS, Chris. 2019. “Relational autonomy: what does it mean and how is it used in end-of-life care? A systematic review of argument-based ethics literature” In: BMC Med Ethics. Vol. 20, No. 76, pp. 1-15.
HOUSKA, Adam; LOUČKA, Martin. 2019. “Patients’ Autonomy at the End of Life: A Critical Review” In: Journal of Pain Symptom Manage. Vol. 57, No. 4, pp. 835-845.
JOHNSON, Stephanie; BUTOW, Phyllis; KERRIDGE, Ian; TATTERSALL, Martin. 2018. “Patient autonomy and advance care planning: a qualitative study of oncologist and palliative care physicians’ perspectives” In: Support Care Cancer. Vol. 26, No. 2, pp. 565-574.
MINISTRY OF HEALTH OF UKRAINE. 2018. Order No. 503 “On approval of the Procedure for the selection of a doctor who provides primary medical care and the form of a declaration on the selection of a doctor who provides primary medical care” Available online. In: https://zakon.rada. gov.ua/laws/show/z0347-18#Text. Consultation date: 05/06/2023.
MINISTRY OF HEALTH OF UKRAINE. 2019. Order No. 1269. “On the approval and implementation of medical and technological documents on the standardization of emergency medical care” dated. Available online. In: https://zakon.rada.gov.ua/rada/show/v1269282-19/sp:max50:nav7:font2#Text. Consultation date: 05/06/2023.
MINISTRY OF HEALTH OF UKRAINE. 2020. Order No. 2755. “On Approval of the Procedure for Maintaining the Patient Register in the Electronic Health Care System” Available online. In: https://zakon.rada.gov.ua/ laws/show/z0044-21#Text. Consultation date: 05/06/2023.
MYRONOVA, Galyna. 2020. “Modernization of civil legislation in the field of medical care”: Monograph. Research Institute of Private Law and Entrepreneurship named after Academician F.G. Burchaka. Kyiv, Ukraine.
NORTHERN IRELAND STATUTORY RULE, SCOTTISH STATUTORY INSTRUMENTS, UK STATUTORY INSTRUMENT. 2005. Mental Capacity Act of 2005. (UK Public General Acts). Available online. In:https://www.legislation.gov.uk/ukpga/2005/9/contents. Consultation date: 05/06/2023.
PARLIAMENTARY ASSEMBLY OF THE COUNCIL OF EUROPE. 2012. Recommendation 1993 (2012) “Protecting human rights and dignity by taking into account previously expressed wishes of patients”. Available online. In: https://pace.coe.int/en/files/18063/html. Consultation date: 05/06/2023.
PARLIAMENTARY ASSEMBLY OF THE COUNCIL OF EUROPE. 2012. Resolution 1859 (2012) “Protecting human rights and dignity by taking into account previously expressed wishes of patients”. Available online. In: https://pace.coe.int/en/files/18064/html. Consultation date: 05/06/2023.
PUCHKOVA, Hanna; BOGUTSKA, Liudmyla. 2021. “Implementation of the institution of previously expressed wishes regarding medical intervention in the medical law of Ukraine: history and prospects” In: Clinical and preventive medicine. Vol. 1, No. 15, pp. 58-65.
SCHULZ, Martina. 2009. “Principles, Definitions and Model Rules of European Private Law Draft Common Frame of Reference (DCFR)” In: European law publishers GmbH, Munich. Available online. In: https://www.law. kuleuven.be/personal/mstorme/2009_02_DCFR_OutlineEdition.pdf. Consultation date: 05/06/2023.
SHCHYRBA, Mariana. 2021. Legal status of patients: a theoretical and legal study. Dissertation for the degree of Doctor of Legal Sciences. Available online. In: https://lpnu.ua/sites/default/files/2021/dissertation/8792/ disertaciyna-robota-na-zdobuttya-naukovogo-stupenya-doktora-yuridichnikh-nauk-schirbi-maryani.pdf.Consultationdate:05/06/2023.
TEREMETSKYI, Vladyslav; AVRAMOVA, Olga. 2018. “Informed voluntary consent for medical intervention. Advanced research biobank and pathophysiology” In: Advanced research biobank and pathophysiology. No. 1, pp. 72-78.
TEREMETSKYI, Vladyslav; CHMELIUK, Vasyl; MATSIUK, Volodymyr; UDOVENKO, Zhanna. 2019 “Problem of guaranteeing the right to medical care of a detainee (being in custody) within criminal procedural legislation: experience of Ukraine and foreign countries” In: Georgian Medical News. Vol. 296, No. 11, pp. 154-159.
TEREMETSKYI,Vladyslav;MULIAR,Нalyna.2019.“Harmonizationofnational courts activities with the case law of the ECHR in terms of protecting medical rights” In: Bulletin of Mariupol State University. Series: “Law”. No 20, pp. 101-112. Available online. In: http://visnyk-pravo.mdu.in.ua/ARHIV-uk/20/14.pdf. Consultation date: 05/06/2023.
TINLAND, Aurélie; LECLERC, Léa; LOUBIÈRE, Sandrine. 2019. “Psychiatric advance directives for people living with schizophrenia, bipolar I disorders, or schizoaffective disorders: Study protocol for a randomized controlled trial – DAiP study” In: BMC Psychiatry. No. 19, pp. 422.
VERKHOVNA RADA OF UKRAINE. 1992. Law of Ukraine No. 2801-XII “Fundamentals of Ukrainian legislation on health care” Available online. In: https://zakon.rada.gov.ua/laws/show/2801-12#Text. Consultation date: 05/06/2023.
VERKHOVNA RADA OF UKRAINE. 2003. Law of Ukraine No. 435-IV. “Civil Code of Ukraine” Available online. In: https://zakon.rada.gov.ua/laws/show/435-15#Text. Consultation date: 05/06/2023.
VERKHOVNA RADA OF UKRAINE. 2016. Resolution No. 1338-VІІІ “On Recommendations of Parliamentary Hearings on the Topic “On Health Care Reform in Ukraine”. Available online. In: https://zakon.rada.gov. ua/laws/show/1338-19#Text. Consultation date: 05/06/2023.
VERKHOVNA RADA OF UKRAINE. 2020. Resolution No. 689-IX. “On the Plan of Legislative Work of the Verkhovna Rada of Ukraine for 2020” Available online. In: https://zakon.rada.gov.ua/laws/show/689-20#Text. Consultation date: 05/06/2023.
Published
2023-10-13
How to Cite
Myronova, G., Batryn, O., Teremetskyi , V., Milevska, A., & Meniv, L. (2023). Institution of Patient’s Advance Directives in the Context of Ukraine’s Aspirations for European Integration: Institución de instrucciones anticipadas del paciente en el contexto de las aspiraciones de Ucrania para la integración europea. Political Questions, 41(79), 228-243. Retrieved from https://produccioncientificaluz.org/index.php/cuestiones/article/view/41016
Section
Derecho Público
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