Improving organizational aspects of maintenance of medical documentation (based on the example of a review of the decision of the Constitutional Court of the Russian Federation)

Abstract


The article examines the judicial practice of the Russian Federation — the resolution of the Constitutional Court of the Russian Federation dated July 13, 2022 №31-P «In the case of checking the constitutionality of paragraphs 11 and 12 of Part 1 of Article 79 of the Federal Law «On the basics of protecting the health of citizens in the Russian Federation» in connection with the complaint of citizen F.», and also considers the issue of informed voluntary consent to provision of medical care without the consent of the person.
Procedures and methods. The main content of the study is a review of the decision of the Constitutional Court of the Russian Federation of July 13, 2022 №31-P, as well as 16 publications that examined clinical and legal aspects related to the maintenance of medical records. The study also used private scientific and general scientific research methods (analysis and synthesis), as well as a comparative method, which made it possible to formulate ideas about reforming the current legislation in terms of improving approaches to the legal regulation of registration and storage of medical documentation.
Theoretical and/or practical relevance. The conducted research allows us to improve the legal regulation of informed voluntary consent. The study can be used for scientific and educational purposes in studying the features of the organization of healthcare and the health of citizens in terms of organizing the maintenance and storage of medical records.


About the authors

Aleksandr B. Umnov

State budgetary healthcare institution of the city of Moscow «Psychiatric Clinical Hospital №1 named after N.A.Alekseeva Department of Health of the City of Moscow»;
State University of Education

Author for correspondence.
Email: umnoff2011@yandex.ru
ORCID iD: 0009-0009-5506-8962

Russian Federation, Moscow, Russian Federation; Moscow region, Mytishchi, Russian Federation

References

  1. Lapina A.K., Vagner V.D., Gatsenko S.M., Martin A.A., Stavskaya S.V., Yanovskaya M.L., Konovalenko V.G., Zmeikova V.B. Assessment of the quality of medical documentation in dental clinics in Volgograd. Volgograd scientific and medical journal. [Volgogradskiy nauchno-meditsinskiy zhurnal]. 2017;(3):3—10(in Russian).
  2. Lyalina E.A., Novoselov V.P. Defects in maintaining medical records identified during forensic medical examinations of living persons. Siberian Medical Journal. [Sibirskiy meditsinskiy zhurnal].2008;(1):34—37 (in Russian).
  3. Zigangareeva G.G., Koroleva O.I., Khusainova D.K. Medical documentation as an element of the medical care quality management system. Public health and healthcare. [Obshchestvennoye zdorov'ye i zdravookhraneniye]. 2021;(3):24—28 (in Russian).
  4. Starchenko A.A. Medical documentation: for the prosecutor or for the lawyer, for the patient or for the doctor? Healthcare manager. [Menedzher zdravookhraneniya]. 2016;(4):58—68 (in Russian).
  5. Bobrovskaya O.N. Maintaining medical records as an essential feature (criterion) of proper quality of medical care (using the example of outpatient clinics). Medical law. [Meditsinskoye pravo].2017;(2):32—36 (in Russian).
  6. Sergeev Yu.D., Bisyuk Yu.V., Golova I.V. Medico-legal significance of medical documentation. Medical law. [Meditsinskoye pravo].2020;(2):3—12 (in Russian).
  7. Downing NL, Bates DW, Longhurst CA. Physician burnout in the electronic health record era: are we ignoring the real cause? Ann Intern Med. 2018;169(1):50—51. doi: 10.7326/M18-0139
  8. Kroth PJ, Morioka-Douglas N, Veres S, et al. Association of electronic health record design and use factors with clinician stress and burnout. JAMA Netw Open. 2019;2(8):e199609. doi: 10.1001/jamanetworkopen.2019.9609
  9. Davydovsky I.V. Medical errors. Soviet medicine. [Sovetskaya meditsina]. 1941;(3):3—18 (in Russian).
  10. Potseluev E.L., Gorbunov A.E. Medical error and crime: equivalent concepts? The science. Society. State. [Nauka. Obshchestvo. Gosudarstvo]. 2017;(1):17—24 (in Russian).
  11. Pestrikova A.A. Problems of obtaining informed consent when conducting genomic and genetic research. Current problems of Russian law. [Aktual'nyye problemy rossiyskogo prava]. 2022;(1):5—9 (in Russian).
  12. Ostanina E.A. On the nature and content of informed consent for medical care. Bulletin of Chelyabinsk State University. Series: Law.[Bulletin of Chelyabinsk State University. Series: Law]. 2022;(1):29—37 (in Russian).
  13. Fomina V.G. Illegality of actions (inaction) of the performer in cases related to improper provision of medical services. Current problems of Russian law. [Aktual'nyye problemy rossiyskogo prava].2022;(10):167—175 (in Russian).
  14. Argunova Yu.N. rights of citizens when providing mental health care (questions and answers). Moscow: Gryphon; 2014. 432 p. (in Russian).
  15. Aleksandrova O.Yu., Grigoriev I.Yu., Gorelov M.V. Systematization of citizens' rights in the field of health protection in order to monitor the quality and safety of medical activities in a medical organization. Problems of standardization in healthcare. [Problemy standartizatsii v zdravookhranenii]. 2013;(11—12):22—27 (in Russian).
  16. Akimtseva Ya.V.Constitutional and legal aspects of biomedical research on humans. PhD dissertation. Moskva; 2023. 183 p. (in Russian).

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