树立市场经济法律意识繁荣社会主义卫生事业

市场经济是法制经济,社会主义市场经济体制的建立和完善,离不开社会主义市场经济法制体系的建立与完善。在实现两个转变的过程中,加强法制建设,树立和强化法律意识,对推进卫生改革,促进卫生发展具有十分重要的意义。     

医疗机构药品管理现状

本文对医疗机构、计划生育技术服务机构使用药品的现状与存在问题进行了分析，提出了管理对策，建议实行使用药品法律许可制度。     

论医患纠纷中医方名誉权的法律保护

文章分析了医方名誉权的实质、侵害医方名誉权行为的特征、表现形式．文章还阐述了侵害医方名誉权行为应承担的法律责任及追究责任的方式。     

医学院校法学课程教学方法探讨

现行医学院校法学课程教学方法存在许多不足,应该建立以课堂理论讲授为基础,采用多种教学手段传授学生法律知识的教学方法体系,其中具有基础性地位和方法论意义的是课堂讲授教学法和课堂讨论教学法。     

公平解决医患纠纷的有益尝试——引进驻院律师

医患纠纷一直以来是困扰医院管理者的难题之一,本文从通过驻院律师与法律顾问的区别,其在医疗纠纷的预防和处理中的作用,解决医疗纠纷的途径等问题为切入点,探索医院、患者、第三方驻院律师三者的有效结合,公平解决医患纠纷的一种途径。     

亟待重视和解决卫生监督的主体法律地位问题

从现行卫生监督体系中的主体现状看,仍然延续着卫生监督主体与监督机构相分离、卫生监督主体职权与监督机构职能不协调的状态,不仅存在卫生监督合法性与公正性的缺陷,也与卫生监督的权责统一及效率原则相悖,不利于卫生监督工作的开展以及卫生监督目的的实现。要进一步完善我国的卫生监督体系,亟待重视和解决卫生监督的主体法律地位问题。     

Help or Hindrance? The Support Person in the Psychiatric Medico-legal Examination

The option of having a support person available in industrial disputes and disciplinary hearings has become a well-accepted practice. However, the implications of having a third party present and the potential for inhibition of disclosure in the forensic psychiatric/psychological assessment has not been examined in more than a limited fashion. Expectations of claimants and lawyers that the presence of a support person is a right and assumptions that altering the usual one-to-one dynamic has no influence are challenged in this experience-based commentary. Instances in which the support person may be a “help” or a “hindrance” are outlined, as are recommendations for managing some of the common pitfalls in conducting the evaluation in the presence of another party. An argument is also made for heightened awareness on the part of solicitors about choosing an appropriate support person.     

Valeur juridique des recommandations de bonne pratique : cas de l’hormonothérapie des cancers du sein

On April 27th 2011, the French Supreme Administrative Court (Conseil d’État) granted the Recommendations for Good Practice set out by the French National Authority for Health (Haute Autorité de santé - [HAS]) a legal status, considering that they “must be regarded as (…) decisions which may be subject to an action for annulment”. The judge came to this conclusion through a quasi-syllogistic reasoning. Firstly, the French Code of Medical Ethics requires physicians to care for their patients in accordance with established scientific knowledge. Secondly, the HAS recommendations recall in particular this established scientific knowledge. Treating patients according to established scientific knowledge requires then that physicians follow the HAS recommendations. While the case at bar does not directly involve liability for medical malpractice – since the applicant only sought to have an HAS recommendation declared void – it is nonetheless necessary to examine the impact of this ruling for health professionals. Indeed, this decision raises a number of concerns for everyday medical practice. Guidelines concerning the endocrine treatment of hormonodependant breast cancers are plentiful. In January 2010, the HAS and the French National Institute for Cancer (Institut national du cancer) issued a “Guide for long-term illnesses – Breast cancer” (Guide ALD - Cancer du sein). In addition to these nation-wide guidelines, the Regional Networks for Cancer (réseaux régionaux de cancérologie) issued their own recommendations. Other guidelines are also set out in the framework of consensus conferences, such as the Nice Saint-Paul-de-Vence (France) and St. Gallen (Switzerland) conferences. In the United States, the National Comprehensive Cancer Network (NCCN) and the American Society of Clinical Oncology (ASCO), and in Europe, the European Society of Medical Oncology (ESMO) make recommendations as well. Therefore, the HAS recommendations are hardly the sole source of information for physicians and these documents sometimes contradict each other. Besides, these can quickly become obsolete, what still limits their relevance. Nevertheless, in the judge's mind, there is no place for conflicting interpretations; scientific knowledge must be consistent, homogeneous and objective. However, the reality is quite the opposite. This simplistic vision shared by judges does not seem to grasp the complexity of everyday medical practice. After a critical reading of the Conseil d’État judgment, we shall consider the potential issues and concerns raised by this ruling in medical practice using the example of hormone therapy for breast cancer patients.     

山龙眼科至蓼科法定药用植物基源考证

目的 厘清由于分类系统和种分类等级的变化、种鉴定等原因引起的药材标准中法定药用植物基源混乱的情况。方法 查询我国国家和各省市自治区的相关药材标准及权威分类学著作，对植物基源存疑的种，从植物系统分类、分类群等级和种鉴定等各方面进行考证。结果 我国国家和地方标准收载的法定药用植物中，来源于恩格勒系统山龙眼科至蓼科的共有105种，其中基源鉴定清晰，分类无问题，中文名和拉丁学名无混淆的63种，基源存疑有5个科共42种，其中由于属名的异名充作正名而引起拉丁名混乱的1种，属分类系统变化而造成种混淆的5种，种等级分类群的鉴定、归并不同而造成混淆的11种，中文名混淆的25种，并对有混淆的种进行考订纠正。结论 檀香科、桑寄生科、马兜铃科、蛇菰科及蓼科法定药用植物基源有一定问题，经过研究考订，这些问题得以厘清解决。