Examining the ethico-legal aspects of the right to refuse treatment in Turkey

Sert, Gürkan; Güven, Tolga

doi:10.1136/medethics-2011-100408

Cited by 7 publications

(7 citation statements)

References 6 publications

(9 reference statements)

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“…However, there is no DNR Law in Turkey. Many researchers stressed the need for legal arrangements for end of life care and DNR policies [20,[217][218][219][220].…”

Section: Public Awareness Psychosocial Support and End Of Life Ethicsmentioning

confidence: 99%

Progress in palliative care for cancer in Turkey: a review of the literature

Kutluk¹,

Ahmed²,

Cemaloğlu³

et al. 2021

ecancer

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Background:The demographic transition in Turkey is shifting the burden of diseases towards non-communicable diseases including cancer. Palliative care (PC) as a component of Universal Health Coverage assures patient and family-centred care provision throughout the spectrum of cancer.Objectives: This study aimed to make a detailed evaluation of the progress achieved since the mid-90s and the current situation of cancer PC in Turkey.Methods: A literature review was conducted in PubMed,

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“…However, there is no DNR Law in Turkey. Many researchers stressed the need for legal arrangements for end of life care and DNR policies [20,[217][218][219][220].…”

Section: Public Awareness Psychosocial Support and End Of Life Ethicsmentioning

confidence: 99%

Progress in palliative care for cancer in Turkey: a review of the literature

Kutluk¹,

Ahmed²,

Cemaloğlu³

et al. 2021

ecancer

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“…47 Pacijent prema češkom Zakonu o zdravstvenoj zaštiti ima pravo odbiti bilo koji medicinski tretman, čak i ako će to neizbježno dovesti do njegove smrti, jer dužnost liječnika da pruži pomoć ne smije nikada biti jača od prava pacijenta da odbije tu pomoć. 48 Postupa li liječnik prema pravilima krajnje nužde kada za spas i dobrobit jednoga dobra može žrtvovati drugo? 51 U većini dvojbenih situacija liječnik postupa u skladu sa svojom savješću ili, pak, kodeksom svoje profesionalne etike ili deontologije 52 te se sve može svesti pojednostavnjeno na samo jedno pitanje: "Smijem li liječiti ovoga pacijenta?"…”

Section: Postupanje Zdravstvenog Radnika U Slučaju Odbijanja Medicinskog Tretmanaunclassified

“…Wood 2007Wood -2008Wood , 1172. Tako i Mrčela, Vuletić 2019, 33 48. Odluka češkog Ustavnog suda iz 2000. godine.…”

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Pravni aspekti odbijanja medicinskog postupka

Radanović

2021

God. Akad. prav. znan. Hrvat. (Online)

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Općeprihvaćen stav da sloboda pacijentove volje ima prevlast nad medicinskim razlozima, ipak, nije apsolutan jer se u novije vrijeme smatra da je načelo apsolutne prednosti prava na samoodređenje što se tiče života, tijela i zdravlja potrebno ograničiti. U radu se prikazuju međunarodni i domaći pravni okviri za pravo na odbijanje dijagnostičkog/terapijskog postupka te u kojim je slučajevima i pod kojim uvjetima to pravo ograničeno. Posebno se analizira postupanje liječnika i drugih zdravstvenih radnika te rješenje pitanja krše li oni prihvaćanjem odbijanja pravnu normu i pravila svoje struke ili postoji njihova obveza na neodgodivu intervenciju čije bi nepoduzimanje ugrozilo život i zdravlje ili izazvalo trajna oštećenja pacijentova zdravlja. Autorica obrađuje i pravne aspekte složene problematike odbijanja liječenja kod određenih kategorija vulnerabilnih osoba, djece, osoba s duševnim smetnjama, u odlukama o okončanju života umirućih bolesnika te štrajka glađu zatvorenika. U radu se naglašava da konflikt između prava na odbijanje medicinskog tretmana i interesa države za očuvanje života i zdravlja može otvoriti pitanja različitih vrsta odgovornosti zdravstvenih radnika, od nesavjesnog liječenja ili nepružanja hitne medicinske pomoći do odštetne i/ili disciplinske odgovornosti. Autorica posebno ističe neusklađenu i nejasnu pravnu regulativu koja dovodi zdravstvene radnike do njihove pravne nesigurnosti zbog dileme kojem propisu u praksi dati prednost.

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“…There are two cases I want to examine briefly. The first is reported by Sert and Guven where an old woman suffering from a disease that significantly diminishes her ability to use her limbs and therefore makes her extremely dependent on others, fell badly in an attempt to reach her bathroom and was taken to a hospital 1. She was forced to accept two tests (ECG and creatine kinase-MB) against her will.…”

Section: Physicians In Turkey and The Right To Refuse Treatmentmentioning

confidence: 99%

Right to refuse treatment in Turkey: a diagnosis and a slightly less than modest proposal for reform

Irmak¹

2016

J Med Ethics

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This paper examines the current state of right to refuse medical treatment in Turkey. Even though there are only a few studies carried out with Turkish physicians on their attitude towards the right to refuse treatment, I argue that recent studies on physicians' views on informed consent and honest disclosure show that Turkish physicians do not tend to recognise their patients' right to decline treatment. This is because the refusal of treatment crucially requires that patients be properly informed and asked for their consent before the treatment. Turkish physicians and healthcare providers' tendency to ignore the right to decline medical treatment cannot be separated from their paternalistic approach to patients and their rights. I argue that part of the problem is the legal framework, which, in essence, is still paternalistic. More specifically, the frequent appearance of the phrase 'medical necessity' in the relevant legislation is conveniently used to justify medical intervention against a patient's will. I conclude the paper by proposing reforms in the legal documents defining and regulating patient rights, including the Constitution of the Turkish Republic, and I will argue that these reforms will help enhance patient rights in Turkey. Turkey has been discussing a new Constitution for the past several years, so my proposal should best be understood as contributing to public discussion of the new Constitution by initiating debate about medical paternalism and patient autonomy in Turkish medicine.

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Examining the ethico-legal aspects of the right to refuse treatment in Turkey

Cited by 7 publications

References 6 publications

Progress in palliative care for cancer in Turkey: a review of the literature

Progress in palliative care for cancer in Turkey: a review of the literature

Pravni aspekti odbijanja medicinskog postupka

Right to refuse treatment in Turkey: a diagnosis and a slightly less than modest proposal for reform

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