The USA Journals Volume 03 Issue 04-2021
132
The American Journal of Political Science Law and Criminology
(ISSN
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2693-0803)
Published:
April 30, 2021 |
Pages:
132-137
Doi:
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2021:
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‘
ABSTRACT
In the article, the issues of regulation of medical service and the concept of patient rights are analyzed.
The quality and directions of the system of qualified medical services are discussed. The activities of
entities providing medical service in ensuring the rights of patients were studied. In addition, proposals
were put forward to amend norms related to the introduction of telemedicine and to improve the
existing legislation in the Law of the Republic of Uzbekistan “On Public Health”.
KEYWORDS
Qualified medical care, health care, patient, right to health, telemedicine, e-medicine, medical care,
medical staff.
INTRODUCTION
These days, in Uzbekistan, the process of
reforming the legislation on the protection of
public health and the provision of qualified
medical services is being carried out. The
President of the Republic of Uzbekistan Sh.
Mirziyoyev stated that “... the main goal of all
reforms is to improve people’s lives, and
Issues Of Regulation And Protection Of Patient Rights In The
Sphere Of Medical Service In Uzbekistan
Safarova Hulkar Norbek Qizi
Teacher Of The Department Of Constitutional Law, Tashkent State University Of Law,
Independent Researcher Of The Academy Of Public Administration Under The President Of
The Republic Of Uzbekistan
Journal
Website:
http://usajournalshub.c
om/index,php/tajpslc
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
The USA Journals Volume 03 Issue 04-2021
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The American Journal of Political Science Law and Criminology
(ISSN
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April 30, 2021 |
Pages:
132-137
Doi:
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quality medical care plays an important role” [
].
It should be noted that the rights of the patient
are an integral part of human rights. When it
comes to patient rights, there is a need to
define the concept of patient. The Law of the
Republic of Uzbekistan “On Public Health”
does not define the concept of patient.
According to the analysis, national and foreign
sources provide unambiguous and not clear
definition of the concept of patient. A patient
is an abnormally disturbed, sick, diseased state
of the div. [ , –P.589-599] This definition is
given in the Annotated Dictionary of the Uzbek
Language, published in 2008, which evaluates
the human being as a whole living organism
and suggests that the violation of its normal
state leads to the status of the disease.
A.G. Blinov refers that patient is a person who
has entered into a legal relationship in the
sphere of health or is invited to participate in a
biomedical experiment in order to receive
medical, psychiatric, pharmaceutical services in
specialized institutions of any organizational
and legal form to exercise subjective rights. [ ,
–P.18, 26]
D. Babadjanov’s definition of the concept of
patient
is
characterized
by
its
comprehensiveness. According to him, “a
patient is a person who receives medical care,
undergoes medical supervision and / or
treatment due to any disease, pathological
condition or other health and life disorders,
uses medical services regardless of the disease,
as well as participates in medical experiments;
a person who is treated in a medical institution
of any organizational and legal form, in a
private practice doctor, or in places where he
or she has no consent or on a paid or free basis
under a contract or law”. [ , –P.63, 68]
Despite the different views and approaches, it
should be noted that the legal status of the
disease in a person arises from the moment of
the relationship between the person and the
health care organization (public or private),
regardless of the issue.
In our opinion, it is proposed to amend the first
part of Article 24 of the Law of the Republic of
Uzbekistan “On Public Health” with a provision
“regardless of illness or condition, a patient is
a person who applies for medical care or
recieves medical care”.
An important point in this proposed
understanding is that a person who applies to
a medical facility thinking that he or she is ill
due to feeling unwell or panic, even if his or her
illness has not been confirmed by medical staff,
should enjoy all the rights of a patient.
It should be noted that A.N. Pishita in the
research proposed a comprehensive approach
to patient rights, taking into account not only
medical activities, but also ethics and moral
norms in defining and ensuring patient rights,
as well as their age, gender, health status,
professional suggests not to neglect its
activities either. [ , –P.107]
The rights of the patient are an issue that
depends not only on him, but also is one of the
duties and functions of the state. It should be
noted that the national legislation, in particular
the Law of the Republic of Uzbekistan “On
Public Health”, distinguishes the right of
citizens to medical and social assistance as a
separate general right.
Another important right of the patient is the
right to demand that this disease be kept
The USA Journals Volume 03 Issue 04-2021
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The American Journal of Political Science Law and Criminology
(ISSN
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2693-0803)
Published:
April 30, 2021 |
Pages:
132-137
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secret by medical institutions and doctors. The
fact that a citizen seeks medical help, the state
of health, the diagnosis of the disease and
other information obtained during the
examination and treatment constitute a
doctor’s secret.
In case of violation of their above rights, the
patient or his/her legal representative may file
a complaint directly to the head or other
official of the treatment and prevention
institution, a higher governing div or a court.
While the rights of patients are familiar with
their categories, the next issue is the legal
mechanisms for ensuring these rights. Today,
the improvement of normative legal acts in this
area is an important issue. [ –P.133]
The preamble to the Amsterdam Declaration
on Europe’s Patient Rights Policy states that
the concept of health care includes a wide
range of services aimed at health care and
protection, prevention, diagnosis, treatment,
care and rehabilitation. [ , – P.101-107]
It is obvious that qualified medical care
depends on the quality and direction of the
provided services, ensuring the rights of the
patients and the activities of the service
providers.
A person can strengthen his/her health in any
way that is not prohibited by law, and these
ways and methods, the amount of money
spent are determined independently.
However, the efforts of patients to restore
their health are limited to a certain extent. The
patient can apply for rehabilitation only to
medical institutions or private clinics that have
a license to engage in this activity. Medical
intervention is a process of interference with
the consent of the patient or his / her close
relatives. [ , –P.18] Undoubtedly, the consent of
the patient or his/her close relatives is
important in the provision of medical services.
Failure to obtain this consent is itself a violation
of patient rights.
Article 19 of the Law of the Republic of
Uzbekistan “On Public Health” stipulates that
the young over the age of fourteen have right
to voluntarily consent or refuse medical
intervention, or Article 24, which deals with the
rights of patients, strengthens the right to
voluntarily consent
or
refuse
medical
intervention, which is the legal basis for the
above. [ ].
As one of the main areas of patient rights and
the quality of services are enshrined in Article 3
of the Convention on Human Rights and
Biomedicine, which establishes a link between
equality and quality, according to this, Member
States of the Convention shall strengthen the
obligation to ensure “equal access to health
care and quality health care”. [ ].
In the scientific literature, the concept of
medical service for citizens means the
availability of sufficient entities to provide
these services, their location and quantitative
capacity, the proportion of payments for
services for all segments of the population. [ ,
–P.132, 138]
If people face obstacles in the medical care to
its free access (territorial, time or price), then
right to medical care is not fully guaranteed,
the principle of openness of medical care to all
is violated. As Y.Ji rightly points out, “the
importance of these principles and the role of
the population’s access to qualified health care
in human health was evident during the Covid-
19 coronavirus pandemic. [ , –P.480] If people
face various obstacles in using medical
The USA Journals Volume 03 Issue 04-2021
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The American Journal of Political Science Law and Criminology
(ISSN
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2693-0803)
Published:
April 30, 2021 |
Pages:
132-137
Doi:
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services, it is natural to give the impression that
this service is designed for certain categories of
people. The case of people who do not have
health insurance and cannot afford to pay for
treatment is another example. [ ].
Another important point to note is that as
important as the support with medical care is,
the quality of its delivery is very important as
well. These two elements are a key factor in
ensuring right to qualified medical care, as
stipulated in the Constitution of the Republic of
Uzbekistan, and ultimately in the formation of
a healthy nation.
In
our
opinion,
the
introduction
of
telemedicine in the Law of the Republic of
Uzbekistan
“On
Public
Health”,
the
introduction of it as part of qualified medicine
for patients, the qualification requirements for
consultants through this system, the limits of
their liability for damage, the time has come to
create a legal framework for the introduction
of this institution.
Normative legal acts aimed at regulating
medical services in our country are numerous,
but the rights of patients who are consumers
of the health care system are not sufficiently
ensured. Hence, patient rights are an integral
part of the internationally recognized right to
health. Its implementation requires social
activism from patients, and the responsibility
of the state authorities and relevant medical
institutions for their duties.
In addition, the introduction of telemedicine
into the Law of the Republic of Uzbekistan “On
Public Health” as part of qualified medicine,
the requirements for the qualification of
medical staff providing advice through this
system, the limits of their liability are proposed
to create a legal framework for the
introduction of this institution for patients.
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https://doi.org/10.37547/tajpslc/Volume03Issue04-20
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The American Journal of Political Science Law and Criminology
(ISSN
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2693-0803)
Published:
April 30, 2021 |
Pages:
132-137
Doi:
https://doi.org/10.37547/tajpslc/Volume03Issue04-20
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