Russians Do Not Support The Idea Of ​​"modernizing" The Criminal Code For "iatrogenic Crimes"

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Russians Do Not Support The Idea Of ​​"modernizing" The Criminal Code For "iatrogenic Crimes"
Russians Do Not Support The Idea Of ​​"modernizing" The Criminal Code For "iatrogenic Crimes"

Video: Russians Do Not Support The Idea Of ​​"modernizing" The Criminal Code For "iatrogenic Crimes"

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Russians do not support the idea of ​​"modernizing" the Criminal Code for "iatrogenic crimes"

This was shown by an all-Russian poll conducted by the All-Russian People's Front, the National Council of the Russian Federation and the TV program "Health". Most of our compatriots consider it unacceptable to be criminally liable for doctors who made an unintentional mistake in a difficult clinical situation. And also in conditions when the equipment of hospitals often does not meet modern requirements for diagnosis and treatment.

Россияне не поддерживают идею «модернизировать» Уголовный кодекс под «ятрогенные преступления»
Россияне не поддерживают идею «модернизировать» Уголовный кодекс под «ятрогенные преступления»

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Это показал всероссийский опрос, проведенный ОНФ, Нацмедпалатой и телепрограммой «Здоровье». Большинство наших соотечественников считают недопустимой уголовную ответственность для медиков, допустивших неумышленную ошибку в сложной клинической ситуации. А также в условиях, когда оснащение больниц зачастую не соответствует современным требованиям к диагностике и лечению. В качестве альтернативы часть респондентов видит лишение допустивших ошибку врачей права заниматься медицинской деятельностью сроком на 1-3 года.

Результаты опроса о степени ответственности за врачебные ошибки, проведенного ОНФ совместно с Национальной медицинской палатой и телепрограммой «Здоровье», обнародовала телеведущая Елена Малышева на круглом столе «Защита жизни и здоровья пациентов и медицинских работников». В опросе приняли участие около 9 тыс. респондентов, из которых более 5 тыс. – медработники и более 3 тыс. – граждане России, не связанные с медицинской профессией.

More than 56% of respondents consider it unacceptable to introduce criminal liability for doctors, since "medical errors are possible in a number of complex cases of the course of the disease." The fact that a complex and unpredictable course of the disease can lead to "medical error" is considered by 58% of doctors and 46% of patients. In addition, 15% of all respondents believe that the possibility of criminal liability for mistakes will lead to doctors refusing to manage difficult patients, and 17% fear that the relatives of patients will start speculating on difficult cases of diagnosis and treatment. In addition, 16% of patients believe that it is unacceptable to judge a doctor in an environment where hospital equipment often does not meet modern requirements. 11% of the surveyed doctors agree with this.

Another 65% of all respondents believe that in the event of an unintentional mistake in the complex diagnosis of the disease and / or the absence of modern equipment and treatment, the doctor should not bear any responsibility . Another 14% supported that doctors who made a mistake should be deprived of the right to engage in medical activities for a period of 1-3 years. At the same time, in the opinion of 66% of respondents, the examination of the presence of "medical errors" should be carried out only by independent expert groups consisting of medical doctors, and the decision to deprive them of the right to engage in medical activities should be made by a medical expert commission (35% of respondents).

At present, the Investigative Committee of the Russian Federation (IC) is developing a draft of amendments to the Criminal Code of the Russian Federation concerning liability for poor quality medical care. Close attention to medical errors is associated with an increase in the number of calls from the population dissatisfied with the quality of medical care, the department says. So, in 2012, the UK received 2,100 such applications, in 2017 this figure increased to 6,050, and in 9 months of 2018, 4,868 applications were filed, according to which 1,500 criminal cases were initiated. As a result, the UK came to the conclusion that the current Criminal Code does not take into account the specifics of medical activities and it is necessary to highlight the responsibility of doctors in a special separate article.

In response, the National Medical Chamber proposed to create a joint working group, believing that the bill, adopted without the participation of the medical community, could lead to more active prosecution of doctors by the investigating authorities and toughened criminal prosecution. “The main result of our joint work with the Investigative Committee will be such an article in the Criminal Code, where it will be written that for unintentional complications the doctor will not go to prison,” says the President of the Chamber, Leonid Roshal. "Now we insist on considering other forms of punishment, except for material and prison, up to depriving the guilty doctor of the right to engage in medical activities." And the results of the ONF poll confirmed that our position is supported by the society."

The experts of the National Medalata propose to legislatively regulate the insurance of the risk of professional liability of medical workers, to exclude the term "iatrogenic crimes" from official use and not to "modernize" the Criminal Code of the Russian Federation for them. In addition, it is necessary to legislatively ensure the publication in the media of information about the unconfirmed facts of accusations of doctors, the organization believes. Now, according to the experts of the IMP, the main flow of negative information about medical errors throughout the country is formed by the press services of the regional offices of the RF IC, which distribute materials about the beginning of pre-investigation checks against doctors, accusing them of a crime in advance. At the same time, information about the results of such checks, when doctors are found to be innocent, remain outside the field of view of the media.

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