Academic literature on the topic 'Healthcare Law'

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Journal articles on the topic "Healthcare Law"

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Zaremski, Miles J. "Healthcare facilities law." Journal of Legal Medicine 13, no. 1 (March 1992): 123–27. http://dx.doi.org/10.1080/01947649209510878.

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Mead, John. "Healthcare and Law Digest." Clinical Risk 13, no. 1 (January 2007): 39–42. http://dx.doi.org/10.1258/135626207779598337.

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Mead, John. "Healthcare and Law Digest." Clinical Risk 20, no. 3 (May 2014): 76–80. http://dx.doi.org/10.1177/1356262214529692.

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Rougé-Maillart, C., N. Jousset, and M. Penneau. "Healthcare law in France: towards healthcare emancipation for minors." Medicine, Science and the Law 47, no. 1 (January 2007): 27–30. http://dx.doi.org/10.1258/rsmmsl.47.1.27.

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Dimond, Bridgit. "Specialist healthcare law: palliative care." British Journal of Nursing 15, no. 3 (February 2006): 156–57. http://dx.doi.org/10.12968/bjon.2006.15.3.20514.

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Fraher, Anthony. "Managing Risk in Healthcare – Law and Practice Managing Risk in Healthcare – Law and Practice." Nursing Standard 17, no. 11 (November 27, 2002): 29. http://dx.doi.org/10.7748/ns2002.11.17.11.29.b242.

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Semina, T. V. "Sociology and law in modern healthcare." Bulletin of Bakoulev Center "Cardiovascular Diseases" 19, no. 1 (2018): 28–36. http://dx.doi.org/10.24022/1810-0694-2018-19-1-28-36.

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Haines, Daniel H. "Healthcare Decision-Making and the Law." Medico-Legal Journal 79, no. 2 (June 2011): 73. http://dx.doi.org/10.1258/mlj.2011.011008.

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Klepner, Jerry, and Briana Nord. "Healthcare reform legislation signed into law." Dialysis & Transplantation 39, no. 6 (June 18, 2010): 268. http://dx.doi.org/10.1002/dat.20455.

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Evans, David. "Contributing to Healthcare and Law Digest." AVMA Medical & Legal Journal 5, no. 2 (March 1999): 73. http://dx.doi.org/10.1177/135626229900500211.

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Dissertations / Theses on the topic "Healthcare Law"

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Ponce, Michael. "Healthcare fraud and non-fraud healthcare crimes: A comparison." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3233.

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Healthcare fraud is a major problem within the healthcare industry. The study examined medical fraud, its laws, and punishments on federal and state levels. It compared medical fraud to non-fraud crimes done in the healthcare industry. This comparison will be done on a state level. The study attempted to analyze the severity of fraud against non-fraud and that doctors would commit fraud offenses more often than non-fraud offenses.
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Maesela, Matlou Tlakale. "The analysis of public and private healthcare in South Africa." Diss., University of Pretoria, 2019. http://hdl.handle.net/2263/73473.

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The Bill of Rights enshrines the rights of all people in our country and affirms the democratic values of human dignity, equality and freedom. The state must respect, protect, promote and fulfil the rights in the Bill of Rights. Every human being on earth has the right to life. In general, the state's positive and negative duties are set out in section 7(2) of the Constitution of South Africa, which requires the state to respect, protect, promote and fulfil all human rights. The Constitution of the Republic of South Africa adopted and in 1996 is the supreme law of the land and supersedes all other laws in the country. The main key to having a more eloquent and fulfilling governing system is to align it with the Constitution. This is empirical to developing and implementing health law and policy, which regulates in at least five important ways: • It regulates the structure of government. • It regulates the way in which various branches of government operate. • It sets out the framework for raising taxes and allocating revenue. • It guides the content of all laws and policies, primarily through the Bill of Rights. • It regulates the role of government and non-state actors such as private corporations in realising the right of access to health care services. Furthermore, it emphasizes that every person has the right “to have access to health care services, including reproductive health care”.
Mini Dissertation (LLM)--University of Pretoria, 2019.
Public Law
MPhil
Restricted
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Fisher, Anthony Colin Joseph. "The principles of distributive justice considered with reference to the allocation of healthcare." Thesis, University of Oxford, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.260002.

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Silva, João José Francisco da. "Obama's law : analysis of a breakthrough law on healthcare access and lessons for the Portuguese health system management." Master's thesis, Universidade Nova de Lisboa. Escola Nacional de Saúde Pública, 2012. http://hdl.handle.net/10362/9667.

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ABSTRACT - The Patient Protection and Affordable Care Act shook the foundations of the US health system, offering all Americans access to health care by changing the way the health insurance industry works. As President Obama signed the Act on 23 March 2010, he said that it stood for “the core principle that everybody should have some basic security when it comes to their health care”. Unlike the U.S., the Article 64 of the Portuguese Constitution provides, since 1976, the right to universal access to health care. However, facing a severe economic crisis, Portugal has, under the supervision of the Troika, a tight schedule to implement measures to improve the efficiency of the National Health Service. Both countries are therefore despite their different situation, in a conjuncture of reform and the use of new health management measures. The present work, using a qualitative research methodology examines the Affordable Care Act in order to describe its principles and enforcement mechanisms. In order to describe the reality in Portugal, the Portuguese health system and the measures imposed by Troika are also analyzed. The intention of this entire analysis is not only to disclose the innovative U.S. law, but to find some innovative measures that could serve health management in Portugal. Essentially we identified the Exchanges and Wellness Programs, described throughout this work, leaving also the idea of the possibility of using them in the Portuguese national health system.
RESUMO - O Patient Protection and Affordable Care Act abalou recentemente as bases do sistema de saúde dos EUA, possibilitando a todos os cidadãos Americanos o acesso aos cuidados de saúde, alterando os mecanismos em que a indústria de seguros de saúde funcionava naquele país. Ao assinar a citada lei a 23 de Março de 2010, o Presidente Obama afirmou que defendia "o princípio fundamental de que todos devem ter alguma segurança básica quando se trata dos seus cuidados de saúde". Ao contrário dos EUA, o artigo 64 º da Constituição da República Portuguesa prevê desde 1976 o direito de acesso universal aos cuidados de saúde. No entanto, enfrentando uma forte crise económica, Portugal tem, sob a vigilância da Troika, um calendário apertado para implementar medidas que permitam melhorar a eficiência do Serviço Nacional de Saúde. Ambos os países se encontram, pois, apesar das situações serem diferentes, numa conjuntura de reforma e de utilização de novas medidas de gestão em saúde. O presente trabalho, utilizando uma metodologia (qualitativa) de pesquisa documental, analisa essencialmente o Affordable Care Act de forma a descrever os seus princípios e mecanismos de aplicação. O sistema de saúde português e as medidas a cumprir na área da saúde, ao abrigo do Memorandum da Troika são também analisadas no sentido de descrever a realidade portuguesa. O conjunto desta análise tem como finalidade, não só dar a conhecer a inovadora lei norte-americana, mas, sobretudo tentar encontrar algumas medidas inovadoras que pudessem servir a gestão da saúde em Portugal. Identificámos essencialmente as Exchanges e os Wellness Programs, as quais descrevemos no âmbito do trabalho, deixando a ideia de uma possível utilização das mesmas no sistema de saúde nacional.
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Maiketso, Johnson Tsoro. "Trade in healthcare services by a developing country: the case of Botswana." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16596.

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This research presents an analysis of the health sector in Botswana in the context of a middle income developing country that endeavours to harness benefits from trade in health services. It finds that the health sector is still dominated by public sector provision amidst a gradually developing private sector that is mainly supported by domestic investments. The participation of foreign firms is predominantly through management of local private hospitals by South African hospital groups. Botswana remains a net importer of health services, especially through consumption abroad from the neighbouring South Africa. Nonetheless, import substitution is gradually taking root through the growing private sector that provides services that were previously imported. There remains a significant level of dependence on foreign health professionals, especially specialist medical doctors to augment shortages in the domestic healthcare system. Despite local media reports indicating concerns about Botswana health professionals working outside the country, lack of data impedes the ability to analyse and appreciate the magnitude and possible impact of this movement on the economy and the health sector. The need for further research remains especially on the possible impact of liberalisation of trade in the health sector in order to adequately guide policy. Also, the current inadequacy of data makes it difficult to appreciate the trends in trade in health services, thus, there is need to develop data sets to support analysis and policy debates on the subject.
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Brown, Karen Jane. "Intersex, discrimination and the healthcare environment : a critical investigation of current English law." Thesis, London Metropolitan University, 2016. http://repository.londonmet.ac.uk/1030/.

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Of the two thousand babies born each day in England and Wales, at least twenty will have an intersex condition (also known as Disorder of Sex Development). For some, the condition lies dormant for many years, if not for the remainder of their lives, whilst others are born with genital differences to such a degree that it is not possible at birth to inform parents whether their child is ‘male’ or ‘female’. This ‘devastating’ announcement commences a lifetime of potential discrimination for these children (and arguably for their parents) both in the healthcare environment and in society in general. It might have been thought that when the Equality Act 2010 was passed such discrimination would cease as, according to the summary of the Act, its two main purposes are to harmonise discrimination law and enhance legal mechanisms to allow equality for everyone. However, the category of 'intersex' is not included in the Act. This thesis aims to build on existing literature, and to investigate and analyse whether current English law prevents or promotes discrimination against the intersexed in the healthcare environment in England today. It further endeavours to propose suitable amendments to current law where such discrimination is identified. Previous literature has indicated that discrimination may arise as a result of pre-implantation genetic diagnosis (PGD), selective abortions of the intersexed fetus, and ‘normalising’ genital operations of the intersexed child. Further, activists have noted that the withholding of medical records is detrimental to the person concerned. However, to date there has been sparsity of literature to address current English law in these areas. Results of investigations carried out for this thesis indicate that in some aspects, for example access to medical records, current English law supports the rights of the intersexed patient. Research also indicates that in regard to selective abortions current law can be justified. However, in other areas, notably PGD and genital modification operations, English law can be said to discriminate against the intersexed, whilst for neonatal testing, current healthcare policies and procedures can be considered discriminatory. Such provisions require reconsideration. In this respect, legal amendments are proposed to assist in overcoming discrimination. This includes an amendment to the Equality Act itself.
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Nieuwkamp, Garry Anthony Aloysius, and res cand@acu edu au. "The Theory of Informed Consent in Medicine: problems and prospects for improvement." Australian Catholic University. School of Philosophy, 2007. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp166.22072008.

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Practice and law around informed consent in healthcare have undergone a revolution for the better over recent decades. However the way we obtain informed consent remains problematic and is imbued with irreducible but not ineliminable uncertainty. The reasons for this uncertainty are varied. The uncertainty is partly due to the conceptual opacity of important core concepts. The complexity of communication in clinical encounters is another. The role of autonomy, and the changing nature of the clinician patient relationship, have also contributed to this uncertainty remaining. This thesis is not a panacea for these difficulties. However there have been two quite profound revolutions in healthcare over the last decade or so, namely, the introduction of evidence-based medicine into clinical decision making, and the institutionalization of clinical governance and the application of quality improvement philosophy. I have examined ways in which these two “movements” can help in reducing some of the uncertainty in the practice of informed consent.
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Moreton, Kirsty Leigh. "The ethics of care and healthcare decision-making involving children in mid-childhood." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7579/.

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This thesis contends that the traditional legal and ethical approach to healthcare decision-making for children in mid-childhood is insufficient to meet the needs of those children, their families and the professionals that care for them. To address this failing I present a normative framework based on the Ethics of Care to aid in decision-making. My unique contribution to knowledge is first, to focus on children in mid-childhood (age 8 -14 years old); a neglected group in the jurisprudence, and contend that the current interpretation of Gillick competence and best interests fail to fully appreciate the child’s capabilities or accommodate the families views. Secondly, I assert that the Ethics of Care is well placed to address the needs of children in this age group, whilst fostering child participation. To this end I develop a novel Ethic of Care framework, based upon the work of Jo Bridgeman. Thirdly, I undertake a systematic review of the case law, spanning a 26-year period, and chart patterns and trends in judicial thinking. Finally, I test the utility of the framework by applying it to three areas on the legal fringes: end of life care, living organ donation and treatment for gender dysphoria.
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Johnston, Carolyn. "Divergence in healthcare decision-making : seeking a consensus on the meaning and application of 'best interests'." Thesis, Kingston University, 2011. http://eprints.kingston.ac.uk/22365/.

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The concept of best interests lies at the core of my work. 'Best interests' underpins all healthcare decision-making whether orientated to treatment of an individual or which impact on a community. My publications explore the respect accorded to an individual's view of his own best interests in healthcare decision-making, both for contemporary and future decisions and how this may conflict with patient welfare, objectively perceived. They also consider the weight given to different perspectives of those involved in deciding what treatment option is 'best' for a patient lacking capacity and whose view predominates when there is conflict. I have also written on the tension between individual best interests and the wider interests of society. My publications have increasingly moved from describing the meaning and application of 'best interests', particularly with reference to the Mental Capacity Act 2005 (MCA), to focusing on how the legal provisions may be interpreted in practice - a translational approach. I have also explored the role of medical education in equipping doctors of tomorrow to make informed decisions about best interests and how clinical ethics committees may elucidate the meaning, and ensure the proper analysis, of best interests in a process for resolving conflicts in healthcare decision- making. The importance of the assessment of best interests in healthcare decision-making cannot be overstated. Failure to acknowledge and give respect to the views of competent patients or the parents of young children may result in loss of trust in healthcare professionals and disengagement with services. Giving due regard to the values and wishes of adult patients who lack capacity is fundamental to protect and promote the interests of the most vulnerable members of society. However, the mere mantra of 'best interests' belies the complexity of the assessment and its application in practice. Clinicians, parents, family members and the patient himself may have differing interpretations of best interests. The weight given to these perspectives may depend not only on the level of evidence required to adduce these views but also on how far they move away from promoting the basic interests of the patient, such as dignity, freedom from pain and suffering, and life itself. My thinking on this topic has developed through my research and writing, particularly through the qualitative research I have undertaken, and I now come to the view that best interests imposes a normative standard which is interpreted through the subjective lens of the various stakeholders in the decision making process, as Atkins notes, "the problem of trying to capture something unique using tools proper to the general" (Atkins, 2000 p 73). My approach to best interests in healthcare decision-making derives from a wide range of professional experience. After training as a solicitor I took an LLM in law and nearly 20 years ago 3 started teaching at Kingston University on a fractional appointment. I developed an interest in medical law and ethics, and following an MA in Medical Law and Ethics I taught this subject to final year law students at Kingston. Thus my initial emphasis was on the interpretation and development of best interests in case law and statute. My work with The Ethox Centre, University of Oxford focusing on clinical ethics support, enabled me to gain insight in to the role of clinical ethics COmmittees as part of the process of decision-making and as a member of three clinical ethics COmmittees I am able to observe the range of different clinical settings which give rise to challenging issues in best interests. More recently I have been involved with the Institute of Medical Ethics Education Project in developing the core medical undergraduate curriculum in medical ethics and law. If medical students are not confident about their knowledge of key medico-legal and ethical issues then as young doctors they will not feel able to challenge poor practice or promote better patient care "through using legal rules and an understanding of how law relates to and underpins good medical practice" (Preston - Shoot, 2011, P 6). I also teach medical law and ethics at the School of Medicine, King's College London and this gives me first-hand experience of the way both medical students and clinicians approach the tension between respecting patient autonomy and the duty to 'benefit' the patient. Through my qualitative research focusing on practitioners' interpretations of best interests my recent publications on adolescent decision-making (2009) and clinical ethics committees (2010) set the legal analysis in the context of the practice of medicine and methods of resolving divergence in decision-making.
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O'Brien, Dominic Andrew. "A child's right to healthcare : the obligation and enforcement of international human rights law." Thesis, Northumbria University, 2016. http://nrl.northumbria.ac.uk/32280/.

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The obligation of the State to ensure children have access to healthcare is surprisingly contentious with Western capitalism demanding open markets free from interference. Such a view holds healthcare services as a commodity to be traded. A ‘right’ to health is only a goal to many, not a tangible guarantee States can rationally be expected to ensure because of the enormous costs and the difficulties presented to a court in adjudicating this right. On this view it is impossible for a child to have a legal right to access healthcare. This thesis combats such arguments. The obligation of the State is discussed from a moral standpoint, finding that the child’s right to health must be a State and a global obligation in any just society. Pragmatic discussion addresses the problem of legalising the obligation and showing the right can be a tangible guarantee. This is done through two paradigms: firstly, by looking at current international law and its implementation; and secondly, by looking at countries with a right to healthcare in their written constitution and adjudication of such a right. This combats the legal right arguments as well as provides lessons that international law can learn from. This thesis contributes to discussion around the effective enforcement and implementation of human rights, especially economic, social and cultural rights. It does this by examining the scope of a child’s right to health, and arguing for a moral obligation for its provision, as well as more pragmatic discussion on how to enforce such rights and adjudicate them to make them worth more than words on paper. The final chapter brings together various proposals for tackling the global challenge to ensure every child in the world has access to basic minimum healthcare.
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Books on the topic "Healthcare Law"

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Cruz, Peter De. Comparative healthcare law. London: Cavendish, 2001.

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The law of healthcare administration. 6th ed. Chicago, Ill: Health Administration Press, 2012.

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The law of healthcare administration. Chicago, Illinois: Health Administration Press, 2015.

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Showalter, J. Stuart. The law of healthcare administration. 5th ed. Chicago: Health Administration Press, 2007.

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Flear, Mark L. European Law and New Health Technologies. Oxford (UK): Oxford University Press, 2013.

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Contemporary issues in healthcare law & ethics. Chicago, IL: Health Administration Press, 2014.

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Mattioli, Mark L. Healthcare antitrust FAQ handbook. Washington, DC: American Health Lawyers Association, 2012.

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Zaremski, Miles J. Reengineering healthcare liability litigation. Charlottesville, Va: Michie, 1997.

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Hyatt, Thomas K. The law of tax-exempt healthcare organizations. Hoboken, New Jersey: Wiley, 2013.

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Healthcare and your rights under the law. Dobbs Ferry, N.Y: Oceana Publications, 2002.

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Book chapters on the topic "Healthcare Law"

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Frezza, Eldo E. "Stark Law and Its Impact on Physicians." In The Healthcare Collapse, 49–56. Boca Raton : Taylor & Francis, 2019.: Productivity Press, 2018. http://dx.doi.org/10.4324/9780429506925-10.

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Leng, Jane, and Deborah Macartney. "Promoting professional healthcare practice." In Ethics, Law and Professional Issues, 143–59. London: Macmillan Education UK, 2012. http://dx.doi.org/10.1007/978-0-230-36369-4_9.

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Duffy, Richard M., and Brendan D. Kelly. "Background to Mental Health Law." In India’s Mental Healthcare Act, 2017, 3–20. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-5009-6_1.

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Tarr, Anthony A., Asanka G. Perera, Javaan Chahl, Cameron Chell, Titilayo Ogunwa, and Kirsty Paynter. "Drones—healthcare, humanitarian efforts and recreational use." In Drone Law and Policy, 35–54. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003028031-5.

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Duffy, Richard M., and Brendan D. Kelly. "The United Nations and Mental Health Law." In India’s Mental Healthcare Act, 2017, 21–33. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-5009-6_2.

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Randall, Vernellia R. "Perspective: Title VI, Healthcare Reform, and the Need for a State Antidiscrimination Law." In Healthcare Disparities at the Crossroads with Healthcare Reform, 313–28. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-1-4419-7136-4_16.

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Shapo, Marshall S. "Tort Law Generally." In Understanding the Law for Physicians, Healthcare Professionals, and Scientists, 59–80. Boca Raton : Taylor & Francis, 2018.: Productivity Press, 2018. http://dx.doi.org/10.4324/9781351054829-5.

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Duffy, Richard M., and Brendan D. Kelly. "The World Health Organization and Mental Health Law." In India’s Mental Healthcare Act, 2017, 35–48. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-5009-6_3.

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Stauch, Marc, and Kay Wheat. "Healthcare in England and Wales." In Text, Cases and Materials on Medical Law and Ethics, 45–80. Sixth edition. | Milton Park, Abingdon, Oxon ; New York, NY : Routledge, [2019]: Routledge, 2018. http://dx.doi.org/10.4324/9781315168326-2.

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Ng, Eva N. S. "Chapter 1. Linguistic disadvantage before the law." In Interpreting in Legal and Healthcare Settings, 23–43. Amsterdam: John Benjamins Publishing Company, 2020. http://dx.doi.org/10.1075/btl.151.01ng.

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Conference papers on the topic "Healthcare Law"

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Gorišek Miksić, Nina, and Jelka Reberšek Gorišek. "Patients and Healthcare Professional Safety and Healthcare-Associated Infections." In 26th Conference Medicine, Law & Society. University of Maribor Press, 2017. http://dx.doi.org/10.18690/978-961-286-021-9.4.

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Jha, Gautam Kumar. "Evolution of Indian Healthcare and Rights." In International Conference on Law, Economics and Health (ICLEH 2020). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/aebmr.k.200513.129.

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Yolova, Galina. "EVOLUTION OF THE LEGAL FRAME FOR DEVELOPMENT OF THE ELECTRONIC HEALTHCARE." In THE LAW AND THE BUSINESS IN THE CONTEMPORARY SOCIETY 2020. University publishing house "Science and Economics", University of Economics - Varna, 2020. http://dx.doi.org/10.36997/lbcs2020.324.

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The paper analyses - in systematic and through conclusion, the main stages of the development of the electronic healthcare and the related to it tendencies for establishing of a unified regulatory framework. In the frame of the examination the specific processes in this relation on level of the main European policies are marked, specific conclusions and summaries in view of establishment of a reliable and guaranteeing the rights of the individual regulatory basis are made.
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"INDIVIDUAL WAYS OF PROTECTING THE PERSONAL NON-PROPERTY RIGHTS OF INDIVIDUALS IN THE HEALTHCARE SECTOR." In Global Business and Law Development Imperatives. Київський національний торговельно-економічний університет, 2019. http://dx.doi.org/10.31617/k.knute.2019-10-10.63.

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Lee, Mi Joon, Eun Kwang Yoo, Eun Sil Jung, and Hye Jin Kim. "Experience of Korean Sisters-in-law Who Have Immigrant women as Family Members by International Marriage." In Healthcare and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.104.26.

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Yoel, Siciliya Mardian, and M. Wachid Hasym. "Healthcare Protection for Gig Workers: A Brief Case During Pandemic." In 1st International Conference on Law and Human Rights 2020 (ICLHR 2020). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210506.053.

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Chen, Changdong, and Bo Zhang. "Research on Behavior of Blocking Internet Advertising Regulated by Economic Law." In CAIH2020: 2020 Conference on Artificial Intelligence and Healthcare. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3433996.3434000.

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Kim, J. M., J. Y. Lee, I. Jeong, J. S. Joh, and J. Kim. "Single-Center Surveys of Healthcare Providers After Implementation of Well-Dying Law." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6235.

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Aseeva, Irina. "CASE STUDY OF THE CONCEPT OF PERSONAL AUTONOMY IN RUSSIAN MEDICINE AND LAW." In SGEM 2014 Scientific SubConference on PSYCHOLOGY AND PSYCHIATRY, SOCIOLOGY AND HEALTHCARE, EDUCATION. Stef92 Technology, 2014. http://dx.doi.org/10.5593/sgemsocial2014/b12/s2.016.

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Bayle, Aurelie, Mirko Koscina, David Manset, and Octavio Perez-Kempner. "When Blockchain Meets the Right to Be Forgotten: Technology versus Law in the Healthcare Industry." In 2018 IEEE/WIC/ACM International Conference on Web Intelligence (WI). IEEE, 2018. http://dx.doi.org/10.1109/wi.2018.00133.

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Reports on the topic "Healthcare Law"

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Busso, Matías, María P. González, and Carlos Scartascini. On the Demand for Telemedicine: Evidence from the Covid-19 Pandemic. Inter-American Development Bank, April 2021. http://dx.doi.org/10.18235/0003225.

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Telemedicine can expand access to health care at relatively low cost. Historically, however, demand for telemedicine has remained low. Using administrative records and a difference-in-differences methodology, we estimate the change in demand for telemedicine experienced after the onset of the COVID-19 epidemic and the imposition of mobility restrictions. We find a 233 percent increase in the number of telemedicine calls and a 342 percent increase in calls resulting in a medication being prescribed. The effects were mostly driven by older individuals with pre-existing conditions who used the service for internal medicine consultations. The demand for telemedicine remains high even after mobility restrictions were relaxed, which is consistent with telemedicine being an experience good. These results are a proof of concept for policymakers willing to expand access to healthcare using advances in technology.
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Tull, Kerina. Social Inclusion and Immunisation. Institute of Development Studies (IDS), February 2021. http://dx.doi.org/10.19088/k4d.2021.025.

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The current COVID-19 epidemic is both a health and societal issue; therefore, groups historically excluded and marginalised in terms of healthcare will suffer if COVID-19 vaccines, tests, and treatments are to be delivered equitably. This rapid review is exploring the social and cultural challenges related to the roll-out, distribution, and access of COVID-19 vaccines, tests, and treatments. It highlights how these challenges impact certain marginalised groups. Case studies are taken from sub-Saharan Africa (the Democratic Republic of Congo, South Africa), with some focus on South East Asia (Indonesia, India) as they have different at-risk groups. Lessons on this issue can be learned from previous pandemics and vaccine roll-out in low- and mid-income countries (LMICs). Key points to highlight include successful COVID-19 vaccine roll-out will only be achieved by ensuring effective community engagement, building local vaccine acceptability and confidence, and overcoming cultural, socio-economic, and political barriers that lead to mistrust and hinder uptake of vaccines. However, the literature notes that a lot of lessons learned about roll-out involve communication - including that the government should under-promise what it can do and then over-deliver. Any campaign must aim to create trust, and involve local communities in planning processes.
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McDonagh, Marian, Andrea C. Skelly, Amy Hermesch, Ellen Tilden, Erika D. Brodt, Tracy Dana, Shaun Ramirez, et al. Cervical Ripening in the Outpatient Setting. Agency for Healthcare Research and Quality (AHRQ), March 2021. http://dx.doi.org/10.23970/ahrqepccer238.

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Objectives. To assess the comparative effectiveness and potential harms of cervical ripening in the outpatient setting (vs. inpatient, vs. other outpatient intervention) and of fetal surveillance when a prostaglandin is used for cervical ripening. Data sources. Electronic databases (Ovid® MEDLINE®, Embase®, CINAHL®, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews) to July 2020; reference lists; and a Federal Register notice. Review methods. Using predefined criteria and dual review, we selected randomized controlled trials (RCTs) and cohort studies of cervical ripening comparing prostaglandins and mechanical methods in outpatient versus inpatient settings; one outpatient method versus another (including placebo or expectant management); and different methods/protocols for fetal surveillance in cervical ripening using prostaglandins. When data from similar study designs, populations, and outcomes were available, random effects using profile likelihood meta-analyses were conducted. Inconsistency (using I2) and small sample size bias (publication bias, if ≥10 studies) were assessed. Strength of evidence (SOE) was assessed. All review methods followed Agency for Healthcare Research and Quality Evidence-based Practice Center methods guidance. Results. We included 30 RCTs and 10 cohort studies (73% fair quality) involving 9,618 women. The evidence is most applicable to women aged 25 to 30 years with singleton, vertex presentation and low-risk pregnancies. No studies on fetal surveillance were found. The frequency of cesarean delivery (2 RCTs, 4 cohort studies) or suspected neonatal sepsis (2 RCTs) was not significantly different using outpatient versus inpatient dinoprostone for cervical ripening (SOE: low). In comparisons of outpatient versus inpatient single-balloon catheters (3 RCTs, 2 cohort studies), differences between groups on cesarean delivery, birth trauma (e.g., cephalohematoma), and uterine infection were small and not statistically significant (SOE: low), and while shoulder dystocia occurred less frequently in the outpatient group (1 RCT; 3% vs. 11%), the difference was not statistically significant (SOE: low). In comparing outpatient catheters and inpatient dinoprostone (1 double-balloon and 1 single-balloon RCT), the difference between groups for both cesarean delivery and postpartum hemorrhage was small and not statistically significant (SOE: low). Evidence on other outcomes in these comparisons and for misoprostol, double-balloon catheters, and hygroscopic dilators was insufficient to draw conclusions. In head to head comparisons in the outpatient setting, the frequency of cesarean delivery was not significantly different between 2.5 mg and 5 mg dinoprostone gel, or latex and silicone single-balloon catheters (1 RCT each, SOE: low). Differences between prostaglandins and placebo for cervical ripening were small and not significantly different for cesarean delivery (12 RCTs), shoulder dystocia (3 RCTs), or uterine infection (7 RCTs) (SOE: low). These findings did not change according to the specific prostaglandin, route of administration, study quality, or gestational age. Small, nonsignificant differences in the frequency of cesarean delivery (6 RCTs) and uterine infection (3 RCTs) were also found between dinoprostone and either membrane sweeping or expectant management (SOE: low). These findings did not change according to the specific prostaglandin or study quality. Evidence on other comparisons (e.g., single-balloon catheter vs. dinoprostone) or other outcomes was insufficient. For all comparisons, there was insufficient evidence on other important outcomes such as perinatal mortality and time from admission to vaginal birth. Limitations of the evidence include the quantity, quality, and sample sizes of trials for specific interventions, particularly rare harm outcomes. Conclusions. In women with low-risk pregnancies, the risk of cesarean delivery and fetal, neonatal, or maternal harms using either dinoprostone or single-balloon catheters was not significantly different for cervical ripening in the outpatient versus inpatient setting, and similar when compared with placebo, expectant management, or membrane sweeping in the outpatient setting. This evidence is low strength, and future studies are needed to confirm these findings.
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McDonagh, Marian S., Jesse Wagner, Azrah Y. Ahmed, Benjamin Morasco, Devan Kansagara, and Roger Chou. Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain: May 2021 Update. Agency for Healthcare Research and Quality (AHRQ), June 2021. http://dx.doi.org/10.23970/ahrqepccerplantpain3.

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Overview This is the third quarterly progress report for an ongoing living systematic review on cannabis and other plant-based treatments for chronic pain. The first progress report was published in January 2021 and the second in March 2021. The draft systematic review was available for public comment from May 19 through June 15, 2021, on the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care website. The systematic review synthesizes evidence on the benefits and harms of plant-based compounds (PBCs), such as cannabinoids and kratom, used to treat chronic pain, addressing concerns about severe adverse effects, abuse, misuse, dependence, and addiction. The purpose of this progress report is to describe the cumulative literature identified thus far. This report will be periodically updated with new studies as they are published and identified, culminating in an annual systematic review that provides a synthesis of the accumulated evidence. Main Points In patients with chronic (mainly neuropathic) pain with short-term treatment (4 weeks to <6 months): • Studies of cannabis-related products were grouped based on their tetrahydrocannabinol (THC) to cannabidiol (CBD) ratio using the following categories: high THC to CBD, comparable THC to CBD, and low THC to CBD. • Comparable THC to CBD ratio oral spray is probably associated with small improvements in pain severity and may be associated with small improvements in function. There was no effect in pain interference or serious adverse events. There may be a large increased risk of dizziness and sedation, and a moderate increased risk of nausea. • Synthetic THC (high THC to CBD) may be associated with moderate improvement in pain severity and increased risk of sedation, and large increased risk of nausea. Synthetic THC is probably associated with a large increased risk of dizziness. • Extracted whole-plant high THC to CBD ratio products may be associated with large increases in risk of withdrawal due to adverse events and dizziness. • Evidence on whole-plant cannabis, low THC to CBD ratio products (topical CBD), other cannabinoids (cannabidivarin), and comparisons with other active interventions was insufficient to draw conclusions. • Other key adverse event outcomes (psychosis, cannabis use disorder, cognitive deficits) and outcomes on the impact on opioid use were not reported. • No evidence on other plant-based compounds, such as kratom, met criteria for this review.
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Muhoza, Cassilde, Wikman Anna, and Rocio Diaz-Chavez. Mainstreaming gender in urban public transport: lessons from Nairobi, Kampala and Dar es Salaam. Stockholm Environment Institute, May 2021. http://dx.doi.org/10.51414/sei2021.006.

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The urban population of Africa, the fastest urbanizing continent, has increased from 19% to 39% in the past 50 years, and the number of urban dwellers is projected to reach 770 million by 2030. However, while rapid urbanization has increased mobility and created a subsequent growth in demand for public transport in cities, this has not been met by the provision of adequate and sustainable infrastructure and services. The majority of low-income residents and the urban poor still lack access to adequate transport services and rely on non-motorized and public transport, which is often informal and characterized by poor service delivery. Lack of access to transport services limits access to opportunities that aren’t in the proximity of residential areas, such as education, healthcare, and employment. The urban public transport sector not only faces the challenge of poor service provision, but also of gender inequality. Research shows that, in the existing urban transport systems, there are significant differences in the travel patterns of and modes of transport used by women and men, and that these differences are associated with their roles and responsibilities in society. Moreover, the differences in travel patterns are characterized by unequal access to transport facilities and services. Women are generally underrepresented in the sector, in both its operation and decision-making. Women’s mobility needs and patterns are rarely integrated into transport infrastructure design and services and female users are often victims of harassment and assault. As cities rapidly expand, meeting the transport needs of their growing populations while paying attention to gender-differentiated mobility patterns is a prerequisite to achieving sustainability, livability and inclusivity. Gender mainstreaming in urban public transport is therefore a critical issue, but one which is under-researched in East Africa. This research explores gender issues in public transport in East Africa, focusing in particular on women’s inclusion in both public transport systems and transport policy decision-making processes and using case studies from three cities: Nairobi, Kampala and Dar es Salaam.
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Carney, Nancy, Tamara Cheney, Annette M. Totten, Rebecca Jungbauer, Matthew R. Neth, Chandler Weeks, Cynthia Davis-O'Reilly, et al. Prehospital Airway Management: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), June 2021. http://dx.doi.org/10.23970/ahrqepccer243.

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Objective. To assess the comparative benefits and harms across three airway management approaches (bag valve mask [BVM], supraglottic airway [SGA], and endotracheal intubation [ETI]) by emergency medical services in the prehospital setting, and how the benefits and harms differ based on patient characteristics, techniques, and devices. Data sources. We searched electronic citation databases (Ovid® MEDLINE®, CINAHL®, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus®) from 1990 to September 2020 and reference lists, and posted a Federal Register notice request for data. Review methods. Review methods followed Agency for Healthcare Research and Quality Evidence-based Practice Center Program methods guidance. Using pre-established criteria, studies were selected and dual reviewed, data were abstracted, and studies were evaluated for risk of bias. Meta-analyses using profile-likelihood random effects models were conducted when data were available from studies reporting on similar outcomes, with analyses stratified by study design, emergency type, and age. We qualitatively synthesized results when meta-analysis was not indicated. Strength of evidence (SOE) was assessed for primary outcomes (survival, neurological function, return of spontaneous circulation [ROSC], and successful advanced airway insertion [for SGA and ETI only]). Results. We included 99 studies (22 randomized controlled trials and 77 observational studies) involving 630,397 patients. Overall, we found few differences in primary outcomes when airway management approaches were compared. • For survival, there was moderate SOE for findings of no difference for BVM versus ETI in adult and mixed-age cardiac arrest patients. There was low SOE for no difference in these patients for BVM versus SGA and SGA versus ETI. There was low SOE for all three comparisons in pediatric cardiac arrest patients, and low SOE in adult trauma patients when BVM was compared with ETI. • For neurological function, there was moderate SOE for no difference for BVM compared with ETI in adults with cardiac arrest. There was low SOE for no difference in pediatric cardiac arrest for BVM versus ETI and SGA versus ETI. In adults with cardiac arrest, neurological function was better for BVM and ETI compared with SGA (both low SOE). • ROSC was applicable only in cardiac arrest. For adults, there was low SOE that ROSC was more frequent with SGA compared with ETI, and no difference for BVM versus SGA or BVM versus ETI. In pediatric patients there was low SOE of no difference for BVM versus ETI and SGA versus ETI. • For successful advanced airway insertion, low SOE supported better first-pass success with SGA in adult and pediatric cardiac arrest patients and adult patients in studies that mixed emergency types. Low SOE also supported no difference for first-pass success in adult medical patients. For overall success, there was moderate SOE of no difference for adults with cardiac arrest, medical, and mixed emergency types. • While harms were not always measured or reported, moderate SOE supported all available findings. There were no differences in harms for BVM versus SGA or ETI. When SGA was compared with ETI, there were no differences for aspiration, oral/airway trauma, and regurgitation; SGA was better for multiple insertion attempts; and ETI was better for inadequate ventilation. Conclusions. The most common findings, across emergency types and age groups, were of no differences in primary outcomes when prehospital airway management approaches were compared. As most of the included studies were observational, these findings may reflect study design and methodological limitations. Due to the dynamic nature of the prehospital environment, the results are susceptible to indication and survival biases as well as confounding; however, the current evidence does not favor more invasive airway approaches. No conclusion was supported by high SOE for any comparison and patient group. This supports the need for high-quality randomized controlled trials designed to account for the variability and dynamic nature of prehospital airway management to advance and inform clinical practice as well as emergency medical services education and policy, and to improve patient-centered outcomes.
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Performance measurement and management in primary healthcare systems in low- and middle-income countries: an evidence gap map. International Initiative for Impact Evaluation (3ie), September 2019. http://dx.doi.org/10.23846/b/egm/201907.

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8

Health hazard evaluation report: HETA-2009-0121-3106, evaluation of exposures to healthcare personnel from cisplatin during a mock interperitoneal operation, University Medical Center, Las Vegas, Nevada. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, March 2010. http://dx.doi.org/10.26616/nioshheta200901213106.

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