diplomsko delo
Jana Balažič (Avtor), Suzana Kraljić (Mentor)

Povzetek

V diplomskem delu je predstavljena primerjava med določanjem pacientove največje (zdravstvene) koristi po slovenskem in angleškem pravu, s posebnim poudarkom na vnaprej izraženi volji pacienta. Sodobni zakoni s področja pacientovih pravic vse bolj poudarjajo aktivno vlogo pacienta in ga tako predstavljajo kot partnerja pri njegovi zdravstveni obravnavi. Dokler je pacient sposoben sprejemati odločitve v svojo korist, je njegova odločitev glede predlaganega zdravstvenega posega za zdravnike zavezujoča, kljub temu, da morda menijo, da ni v njegovo najboljšo korist. V imenu pacientov, ki pa zaradi določenega zdravstvenega stanja ne morejo sprejemati odločitev v svojem nadaljnjem zdravljenju, odločitev sprejme nekdo drug. Vse odločitve morajo biti sprejete v pacientovi največji (zdravstveni) koristi, upoštevane morajo biti tudi njegove želje in stališča, ki jih je izjavil v preteklosti. Predpisana je tudi vključitev svojcev pacienta, da se skupaj oblikuje najboljša odločitev. Kakšno težo dejansko nosijo pretekle želje, prepričanja in vrednote pacienta, v imenu katerega se sprejema odločitev? Če pacient ni predhodno pripravil izjave vnaprej izražene volje, ki zadosti vsem zakonskim pogojem za veljavnost, je ovrednotenje takih neuradnih želja pacienta v rokah odločevalca – v Sloveniji zdravniškega tima na čelu z odgovornim zdravnikom, v Angliji in Walesu pa sodišča. V Sloveniji ima primarno vlogo pri oblikovanju odločitev zdravnik, saj ta tudi predlaga končno odločitev, ki je v najboljšem zdravstvenem interesu pacienta. Angleška sodna praksa je šla korak dlje, saj je postavila jasen standard, da to, kar je v najboljšem zdravstvenem interesu pacienta, ni nujno tudi v njegovem najboljšem interesu. Najboljši interesi posameznega pacienta morajo tako poleg zdravstvenih interesov ali okoliščin vključevati tudi čustvene in socialne interese, ter vse druge, ki bi lahko bili pomembni za njegovo dobrobit. Širša interpretacija angleških najboljših interesov bi lahko koristila tudi odločevalcem v Sloveniji.

Ključne besede

diplomska dela;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UM PF - Pravna fakulteta
Založnik: [J. Balažič]
UDK: 342.7(043.2):616-052
COBISS: 5291563 Povezava se bo odprla v novem oknu
Št. ogledov: 1138
Št. prenosov: 129
Ocena: 0 (0 glasov)
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Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: DETERMINATION OF PATIENT'S BEST INTERESTS WITH AN EMPHASIS ON ADVANCED DECISION ACCORDING TO SLOVENIAN AND ENGLISH LAW
Sekundarni povzetek: This diploma thesis presents comparison between determinations of patient’s best (medical) interests according to Slovenian and English law, with a special emphasis on Advanced Decisions. Formulation of medical decisions is due to specifics of individual cases and their complexity difficult to regulate with abstract legal norms. For this reason is the decision-making process closely intertwined with ethical principles, where the autonomy of the individual takes the first place. Modern legislation governing the area of patient’s rights increasingly emphasizes the active role of the patient and presents him as a partner in the process of medical treatment. As long as the patient has mental capacity, his decisions regarding the proposed treatment are binding for medical team, even though they do not believe they are in his best interests. On behalf of the patients, who cannot make decisions about their future medical treatment due to certain medical condition or illness, the decisions are made by someone else. In accordance with internationally recognized principles and guidelines, national legislations established their own decision-making processes on behalf of others. All decisions must be made in the patient’s best (medical) interests and special consideration must be given also to his past wishes and feelings. In order to form the best decision possible, inclusion of the patient’s family members in the decision-making process is required. How important are actually patient’s wishes, beliefs and values? If a patient in question did not prepare an official Advance Decision, which is valid and applicable to current situation, is the decision of how much weight should be attached to patient’s past wishes in the hands of decision-makers – in Slovenia in the hands of medical team and in England in the Court of Protection. The primary decision-maker in Slovenia is the responsible doctor, who proposes the decision in patient’s best medical interests. English case law has gone a step further when setting a new standard, where patient’s best interests are not limited to best medical interests. Patient’s best interests must include medical, emotional and all other welfare issues. Since the broader English interpretation of patient’s best interests could help Slovenian decision-makers, a set of proposals for making decisions on behalf of patients without mental capacity will be presented at the end of this thesis.
Sekundarne ključne besede: Patient;patient’s rights;Mental Capacity Act;patient’s autonomy;Advance Decision;consent;withholding of treatment;patient’s best medical interests;patient’s best interests;role of past wishes and feelings;inclusion of family members into decision-making proces.;
URN: URN:SI:UM:
Vrsta dela (COBISS): Diplomsko delo
Komentar na gradivo: Univ. v Mariboru, Pravna fak.
Strani: 72 f.
ID: 9162110