Medical Sorting (TRIAGE): Implementation Problems and Legislative Ways to Overcome Them
DOI:
https://doi.org/10.21564/2414-990X.160.271191Keywords:
medical triage, emergency, patients' rights, medical assistance, health careAbstract
The relevance of the topic chosen for research is due to the situation in which Ukraine and the entire civilized world found themselves, – the war and the pandemic of the acute respiratory disease COVID-19, which is caused by the SARS-CoV-2 coronavirus. How it is possible to provide medical care to as many people as possible without violating the principles of reasonableness and fairness in its provision is a question that both medical professionals and legal scholars of all democratic countries of the world are trying to answer. And one of the ways to solve this problem is the use of medical triage (TRIAGE). The purpose of this article is to consider medical triage as one of the forced measures of providing medical aid in emergency conditions, when there is a lack of medicines, medical personnel, medical equipment, etc., with a large number of victims. With the help of an empirical research method, as well as methods of analysis, generalization and explanation, the author managed to consider the history and reasons for the emergence of medical triage, investigate and determine the prerequisites for its use, positive and negative features, the possibility and necessity of its use during pandemics and states of war. The author identified the problems that arise in the application of medical triage and proposed ways to overcome them, which is the result of this study.
References
Adakhovska, N. (2020, November). To the question of the possibility of recognizing the actions of the state in the conditions of the pandemic as an extreme necessity. Civil problems of the conflict of private and public interests in the conditions of the COVID-19 pandemic: materials of All-Ukrain. scient. and pract. conf. (рр. 33-36). Odesa.
Belov, D.M. (2020). Legal nature and types of human rights of the fourth generation. In S.B. Buletsa, & M.V. Mendzhul (Eds.). The fourth generation of human rights: peculiarities of legal regulation, problems and prospects for development in the field of health care (pp. 7-20). Uzhgorod: Publishing House of UzhNU "Hoverla".
Boldizhar, S. (2021). Defects in the provision of medical care. In S.B. Buletsa, & M.V. Mendzhul (Eds.). Medical law (pp. 519-543). Uzhhorod: RIK-U.
Buletsa, S., Zaborovskyi, V., & Stoyka, A. (2020). Some problematic issues of legal protection of human rights of the fourth generation. In S.B. Buletsa, & M.V. Mendzhul (Eds.). The fourth generation of human rights: peculiarities of legal regulation, problems and prospects for development in the field of health care (pp. 59-68). Uzhgorod: Publishing House of UzhNU "Hoverla".
Buletsa, S., & Kharitonova, O. (2021). Medical legal relations. In S.B. Buletsa, & M.V. Mendzhul (Eds.). Medical law (pp. 47-66). Uzhhorod: RIK-U.
Nechiporuk, M., & Vatashchuk, Yu. The price of unpopular decisions in difficult times. Retrieved from https://jurliga.ligazakon.net/analitycs/199914_tsna-nepopulyarnikh-rshen-u-skladniy-chas.
Volyanskyi, P.B., Dolgiy, M.L., Drozdenko, N.V., Makarenko, A.M., & Stryuk, M.P. (2016). Ways of coordinating actions in preventing and responding to emergency situations. Institute of State Administration in the Field of Civil Protection, 4, 16-21.
Guriev, S.O., Shishchuk, V.D., & Shkatula, Yu.V. (2010). Emergency medicine. Emergency medical assistance. Sumy: Sumy State University Publishing House. Retrieved from https://emergency.med.sumdu.edu.ua/wp-content/uploads/2020/09/Навчальний-посібник-Медицина-надзвичайних-ситуацій.-Екстрена-медична-допомога..pdf.
Gutorova, N., Zhytnyi, O., & Kahanovska, T. (2019). Medical negligence subject to criminal law. Wiadomości Lekarskie, 1(1), 2161–2166. Retrieved from https://www.researchgate.net/profile/Nataliya-Gutorova-2/publication/338102335_Medical_negligence_subject_to_criminal_law/links/5f2d0370a6fdcccc43b0436b/Medical-negligence-subject-to-criminal-law.pdf.
Korobtsova, N. (2021). Defects of free will when concluding contracts for the provision of medical services. Scholarly notes of V. I. Vernadsky Tavri National University, 1(32), 29-33.
Maidanik, R.A. (2010). Agreement on the provision of medical services. In P.A. Stefancuk (Еd.). Personal non-property rights: problems of theory and practice of application (pp. 390-424). Kyiv: Yurynkom Inter.
Senuta, I.Ya. (2022). Legal positions of the European Court of Human Rights in the field of health care. Kharkiv: Factor.
Senuta, I.Ya. (November, 2020). Medical triage (TRIAGE) in the context of COVID-19: balance of public and private interest. Civil problems of the conflict of private and public interests in the conditions of the COVID-19 pandemic: materials of All-Ukrain. scient. and pract. conf. (рр. 29-33). Odesa.
Stages of scientific research. Retrieved from https://studfile.net/preview/5265096/page:3/.
Resolution of the Cabinet of Ministers of Ukraine No. 368 "The order of classification of man-made and natural emergency situations according to their levels" (2004, March). Retrieved from https://www.kmu.gov.ua/npas/5390215.
Order of the Ministry of Health of Ukraine No. 366 "General requirements for the medical triage of the injured and sick at the pre-hospital stage and in the reception departments (emergency medical care departments) of health care institutions, including during the hospitalization of the injured as a result of an emergency situation during the preparation and holding of the final part of the 2012 European Championship in Ukraine from football" (2012, May). Retrieved from: https://zakon.rada.gov.ua/laws/show/z0884-12.
Medical triage: a lecture of the online course gtd of primary medical care. Retrieved from http://1staidplast.org.ua/tccc-тактична-медицина/лекція-6-медичне-сортування/.
Order of the Ministry of Health of Ukraine No. 34 "Medical triage. Adapted evidence-based clinical practice" (2014, January). Retrieved from https://dec.gov.ua/wp-content/uploads/images/dodatki/2014_34_ekstrena_MD/2014_akn_medychne_sortuvannya.pdf.
Constitution of Ukraine. (1996, June). Retrieved from https://zakon.rada.gov.ua/laws/show/254к/96-вр#Text.
Criminal Сodе of Ukraine (2001, April). Retrieved from https://zakon.rada.gov.ua/laws/card/2341-14.
Civil Сodе of Ukraine (2003, January). Retrieved from https://zakon.rada.gov.ua/laws/show/435-15#Text.
The concept of updating the Civil Code of Ukraine (2020). Kyiv: Ed. House "ArtEK".
Order of the Ministry of Health of Ukraine No. 366 "Regulations on medical ethics in emergency situations" (2012, May). Retrieved from https://dec.gov.ua/wp-content/uploads/images/dodatki/2014_34_ekstrena_MD/2014_akn_medychne_sortuvannya.pdf.
Order of the Ministry of Health of Ukraine No. 722 "Organization of medical assistance for patients with the coronavirus disease (COVID-19)" (2020, March). Retrieved from https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-28032020--722-organizacija-nadannja-medichnoi-dopomogi-hvorim-na-koronavirusnu-hvorobu-covid-19.
Fawzi, I.M., Mahdi, S.A., Fawzi, S.M., & Jaafar, I. (2022). Assessment of interns`training in the teaching hospitals of Baghdad medical city complex. Wiadomości Lekarskie, 1, 304-309. Retrieved from https://wiadlek.pl/wp-content/uploads/archive/2022/01/WLek202201227.pdf.
Vus, V.V., Omelchenko, L.M., Boiko, O., Papathanasiou, I.V., Fradelos, E.C., Zharin, V., & Zharina, K. (2021). Public confidence in formal medicine: current context. Wiadomości Lekarskie, LXXIV(11), 2711-2716. Retrieved from https://wiadlek.pl/wp-content/uploads/archive/2021/WLek202111105.pdf.
Deshko, I., Lotiuk, O., Sinkevych, O., Kravtsova, Z., Kudriavtseva, O., & Cherniak, I. (2021). The human rights to quality medical care: changing the paradigm of international cooperation between states and interaction of public authorities and local self-government in foreign countries. Georgian medical news, 10(319), 160-165. Retrieved from https://www.geomednews.com/Articles/2021/10_2021/160-165.pdf.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Наталія Коробцова
This work is licensed under a Creative Commons Attribution 4.0 International License.