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Legal medecine

D Giorgi
The French medicine pricing committee (CEPS), a governmental and inter-institutional body exercises essential competences for the regulation of the economy of the reimbursable drugs in France. It provides a good example of administered price regulation. It also supervises the proper use of products (control of promotion, conventional control of sales volumes). Finally, it regulates the annual envelope of drug expenditures by means of discounts paid by pharmaceutical companies. The article presents the legal criteria and the doctrine of price setting used in France...
May 15, 2017: Annales Pharmaceutiques Françaises
Isabelle Gaboury, Noémie Johnson, Christine Robin, Mireille Luc, Daniel O'Connor, Johane Patenaude, Luce Pélissier-Simard, Marianne Xhignesse
OBJECTIVE: To determine whether medical training prepares FPs to meet the requirements of the Collège des médecins du Québec for their role in advising patients on the use of complementary and alternative medicine (CAM). DESIGN: Secondary analysis of survey results. SETTING: Quebec. PARTICIPANTS: Family physicians and GPs in active practice. MAIN OUTCOME MEASURES: Perceptions of the role of the physician as an advisor on CAM; level of comfort responding to questions and advising patients on CAM; frequency with which patients ask their physicians about CAM; personal position on CAM; and desire for training on CAM...
December 2016: Canadian Family Physician Médecin de Famille Canadien
Catrin Schulte-Hillen, Nelly Staderini, Jean-François Saint-Sauveur
MSF responds to needs for the termination of pregnancy, including on request (TPR); it is part of the organization's work aimed at reducing maternal mortality and suffering; and preventing unsafe abortions in the countries where we work. Following the publication of "Why don't humanitarian organizations provide safe abortion care?" we offer an insight into MSF's experience over the past few years. The article looks at the legal concerns and proposes that the importance of addressing maternal mortality should replace them and the operational set-up and action organized in a way that mitigates risks...
2016: Conflict and Health
Kamalini Lokuge, Meggy Verputten, Maryanne Ajakali, Bianca Tolboom, Grace Joshy, Katherine A Thurber, Daisy Plana, Steven Howes, Anastasia Wakon, Emily Banks
BACKGROUND: Levels of gender-based violence in Papua New Guinea (PNG) are high; health services for survivors are limited. Evidence from the few existing health services for survivors can inform improvements in care in this and similar settings. METHODS: Médecins Sans Frontières supported health services for survivors in Lae, PNG from 2008-2013. Routine monitoring data from August 2010-April 2013 were used to describe patient and service characteristics. RESULTS: 5,892 individuals received care over 6,860 presentations, the majority self-referred or referred by friends and family...
2016: PloS One
A Prouteau, A Stéfan, L Wiart, J M Mazaux
UNLABELLED: Behavioural changes are the main cause of difficulties in interpersonal relationships and social integration among traumatic brain injury (TBI) patients. The Société française de médecine physique et réadaptation (SOFMER) decided to develop recommendations for the treatment and care provision for these problem under the auspices of the French health authority, the Haute Autorité de la santé (HAS). Assessment of behaviour is essential to describe, understand and define situations, assess any change and suggest lines for intervention...
February 2016: Annals of Physical and Rehabilitation Medicine
Charles Dussault, Nathalie Saad, Johanne Carrier
Since 1 July 2012, as a result of a labour arbitration ruling in the province of Quebec and the subsequent agreement negotiated by the Fédération des médecins résidents du Québec, all 3,400 medical residents training in Quebec have been on a 16-hour duty schedule for in-house calls. This is a major change within medical teaching sites, as well as a professional and educational challenge for physicians-in-training and their supervisors. The Quebec ruling now raises similar issues for all medical residents in Canada because of its legal basis, namely the Canadian Charter of Rights and Freedoms...
2014: BMC Medical Education
François Goulet, André Jacques, Robert Gagnon, Bernard Charlin, Abdo Shabah
INTRODUCTION: Evaluation of poorly performing physicians is a worldwide concern for licensing bodies. The Collège des Médecins du Québec currently assesses the clinical competence of physicians previously identified with potential clinical competence difficulties through a day-long procedure called the Structured Oral Interview (SOI). Two peer physicians produce a qualitative report. In view of remediation activities and the potential for legal consequences, more information on the clinical reasoning process (CRP) and quantitative data on the quality of that process is needed...
2010: Journal of Continuing Education in the Health Professions
G De Korvin, A Delarque
The European Community is based on a series of treaties and legal decisions, which result from preliminary documents prepared long before by different organizations and lobbies. The European union of medical specialists (Union européenne des médecins specialists [UEMS]) came into being in order to address the questions raised by European directives (e.g., free circulation of people and services, reciprocal recognition of diplomas, medical training, quality improvements). The specialty sections of the UEMS contribute actively to this work...
September 2009: Annals of Physical and Rehabilitation Medicine
B Seguy
The implication of obstetricians in case of an unfavourable parturition ending is not a particularism nor an innovation of our present times, as modern practitioners may believe. In fact, implications in court cases and public contests are as old as the practice of midwifery itself. So it sounds interesting to present to modern obstetricians the atmosphere around contentious matters in midwifery practice along the xviith and xviiith centuries, in France, which was at thoses times the preeminent country in Europe in medecine and midwifery domains...
December 2008: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
B Guery, B Guidet, S Beloucif, D Floret, C LeGall, P Montravers, C Chouaid, P-H Jarreau, B Régnier
No abstract text is available yet for this article.
December 2007: Médecine et Maladies Infectieuses
Jerome Amir Singh
Several international legal instruments and ethical guidelines bestow rights and impose duties on detainees and military physicians, respectively. Ideological totalism, moral disengagement, and victim blame can facilitate the abuse of detainees, and this mindset must be avoided by military physicians. Physicians should report suspected violations of detainee rights to the U.N. Special Rapporteur on Torture or organizations such as the International Committee of the Red Cross, Médecins Sans Frontières, Amnesty International, Physicians for Human Rights, or Human Rights Watch...
December 2007: Military Medicine
Les Roberts
BACKGROUND: This paper is an attempt to review the advances and shortfalls in data collection and use of health data that have occurred during health emergencies in recent decades for the opening session of the Humanitarian and Health Conference at Dartmouth University in September of 2006. METHODS: Examples of various kinds of successes and failures associated with health data collection are given to highlight advances with an effort to emphasize multi-agency efforts reviewed by outside scholars...
September 2007: Prehospital and Disaster Medicine
F Leduc
Official médecine, as we know it now, is about one hundred and fifty years old. By the same token, the origins of the real traditional médecine are lost in far away times. More than a century ago, we have seen doctors trained in a university setting involved in serious power games of allopathic orientation so that restrictive laws would sanction their control and their near total monopoly in the dispensation of health-care. It is therefore normal to be surprised at the emergence of other types of médecine which also appear effective in the treatment of disease and in the preservation of health...
1986: Santé Mentale Au Québec
Alan Wayne Jones
The Journal of Analytical Toxicology (JAT) recently celebrated its 25th anniversary as an international periodical devoted to publishing scholarly articles in the field of analytical and forensic toxicology. Over the years many important papers spanning the entire field of chemical toxicology have appeared in JAT. One way to assess the usefulness of these papers is by looking at the number of times they subsequently become cited in the reference lists of papers published in other peer-reviewed journals including JAT itself (self-citations)...
October 2004: Journal of Analytical Toxicology
Jean Pouillard
The origin of the French Medical Authority ("Conseil de l'Ordre des Médecins") can be dated back to the second half of the 19th century when the idea of medical councils was proposed. The legal project of a French Medical Authority dates from 1923 but it was only in 1928 that the legal basis was created after the "Academie de Medecine" proposals. After the period of the Occupation "l'Ordre des Médecins" was definitively created in 1944 and the first professional code of ethics was edited in 1947 as it was dedicated to the medical practitioners who had been victims of the World War 2...
April 2005: Histoire des Sciences Médicales
L Fanton, K Jdeed, S Tilhet-Coartet, D Malicier
We report a study of 40 burnt bodies on which an autopsy was carried out at the Institut de Médecine Légale in Lyon (28 men/12 women, average age = 41 years, minimum age = 3 years, maximum age = 86 years). Criminal deaths (31%) represented the second cause of death after accidents (52%), and before suicide (16%). Criminal burning seemed mainly to be means of covering up homicide, whereas criminal immolation was rarer. The particular characteristics of each of these situations have been highlighted (tying or poisoning in criminal immolation)...
May 10, 2006: Forensic Science International
Albert John Roche, Gilles Fortin, Jean Labbé, Jocelyn Brown, David Chadwick
The first important monograph describing the battered child syndrome was written in 1860 by Ambroise Tardieu, a French forensic physician. Here is a translation of his article, published in the Annales d'hygiene publique et de medecine legale, with the title "Etude medico-legale sur les sevices et mauvais traitements exerces sur des enfants." The first part of his article is entirely translated. A brief summary of the 32 cases report described by Tardieu in the second part of his article is presented.
April 2005: Child Abuse & Neglect
Jean Baptiste Paolaggi
Are we going to change the way we practice medicine? There are two kinds of medical knowledge: one is impersonal and results from research based on scientific methodology and scientific reasoning; the other is personal and results from learning and apprenticeship with seniors and from individual experience. Evidence-based medicine (EBM) is a new approach to teaching the practice of medicine. Instead of using personal knowledge, intuition, unsystematic clinical experience, and pathophysiological reasoning, it stresses evidence from clinical research...
2004: Bulletin de L'Académie Nationale de Médecine
P François, J Labarère
In Quebec, the evaluation of health care providers' practices is organized for each professional group. It is an official part of the health care regulation policy and is defined by legal texts. Evaluation of medical practices is controlled by physicians through their professional order and consultative medical councils in hospitals. The role of the Collège des Médecins du Québec is to warrant the quality of medical acts. The College watches over the quality of the physician's initial education using a process of agreement for all training departments and for the medical school curriculum...
February 10, 2001: La Presse Médicale
M C Zarranz
The book, "L'Art Dentaire en Medecine Legale" by Dr. Oscar Amoedo was published in Paris in 1898. Before having passed two years from its edition, it was well spread in the main countries of Europe and America through the scientific press. A Japanese translation arriving at the dental school of Tokyo in 1900 influenced, later on, on the creation of the first Forensic Dental Institute, held in that country in 1964. This information was given by the History Professor at that institution, Dr. Kazuo Suzuki, during the Fourth International Meeting of Forensic Medicine, in Copenhagen, 1966...
1999: Revista del Museo de la Facultad de Odontología de Buenos Aires
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