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Hot Topic:: Beijing's health-care doctor was informed how to open a non-Medicare drug do?


User question:I am a unit run by medical insurance, holding a blueprint to the Dental Hospital to see teeth, and finally to unit for reimbursement of the money is not coming back to 1 / 3, due to read more than 300 and was told that there are over 200 things at their own expense. But I did not know there are so many are not reimbursed at their own expense, how should I do? Is there any set limits on the hospital such acts? I do not pay a single on the last line of a signature line, write: "The payment of various fees by government doctors informed me that I understand and agree to pay the cost of treatment and agree to pay the fees according to regulations," but it is empty, do not let me sign-off, nor has it specified.
Experts answer: for Medicare patients required the use of drugs or implementing their own expense, at their own expense prior to surgery, patients or their families should go ahead with the project agreement entered into at their own expense, did not operate in accordance with relevant procedures, the hospital's conduct violated the informed consent of patients and their families the right to make patients and their families have lost the right to choose other treatments. Patient's informed consent, the hospital has always been difficult to deal with the issue in legal practice, many lawsuits because of inadequate communication between doctors and patients, there is no good due to the exercise of informed consent. The so-called patient's informed consent, is that patients in medical institutions for treatment and treatment process may require to understand all the necessary information, and information to make choices, decisions. Patients with rights to informed consent can be divided into direct and indirect rights to informed consent informed consent. A direct right of informed consent is the "Regulations on Handling Medical Accidents," aware of the provisions of the rights enjoyed by patients, including: 1. Medical information to know. Patients have the right to copy or reproduction of medical records information on the medical records of the right to know, health care institutions have to provide free. You can copy medical records, including outpatient, emergency medical records, hospital medical records of hospital-chi, body temperature alone, living wills orders, laboratory orders, consents and other records of surgical patients with the objective of objective medical records; 2. Medical treatment right to know. Patients in the medical treatment on their own illness, health measures, the right to know the medical risks, medical institutions have the obligation of disclosure; 3. Medical right to know. Patients with medical malpractice, medical negligence and so enjoy the right to medical institutions, after the discovery of a notification to explain the obligations. Indirectly, the right of informed consent is the "regulations" are not expressly provided for patients to know, including: 1. Medical expenses right to know. Patients in the examination, treatment before the right to know the charges in order to make a rational choice; the end of treatment, the right of access to medical care of the cost breakdown; 2. Medical records archive right to know. After the medical dispute in the event of the death Case Records of the record of the discussions difficult cases, the higher rounds physician records, opinions should be consultations between doctors and patients are the presence of the seal and unsealed; 3. Evidence that preservation of the right to know. Suspected transfusion, blood transfusions, injections, drugs, adverse effects, patients and medical agencies have sealed the scene in kind, the common right of the designated inspection agency; 4. Medical identification of the right to know. Medical dispute occurred after the patients or their families and medical institutions, technical appraisal of experts from the medical library group members randomly selected by experts may be required to identify experts in evasive; 5. Autopsy, the right to know. Death in an autopsy, the patient's family the right to request staff to participate in forensic pathology, is entitled to appoint representatives to observe the autopsy process, the right to know the whereabouts of examination the deceased organs. These are an extension of the right to informed consent of patients. Elements of tort liability infringement should assume that the conditions of tort liability, medical institutions and medical staff in the medical activities in violation of this obligation does not mean that their share tort liability only in the conduct of medical personnel available at the same time is illegal, damage to the facts, causality and the subjective fault cases, the medical institutions in order to assume responsibility for these conditions is a tort liability against the patient's right to know the composition of elements. Illegal acts of violation is defined as medical staff in the medical activities, in violation of national laws, administrative regulations, the Ministry of Health regulations, and technical practices and clinics operating specifications, failure to fulfill the obligation of disclosure. In medical activities, medical institutions and medical staff should be patient's condition, health care measures, truthfully inform patients of medical risks. Patient information is to inform the relevant legal obligations of medical personnel, but our current law does not specify the specific scope of this, leading to acts of unlawful sexual identified difficulties. Is generally believed that the patient's self-determination right to decide the scope of the disclosure obligation. Only the patient can have enough information to make a deliberate choice situation, to get the effective exercise of that right. Doctors told the scope must be determined according to the needs of patients, which needs the patient has an important role in the decision-making information. Thus, deciding whether to inform the criteria for a particular risk information in its decision-making if the patient has substantial effects, namely, the potential impact of all patients with the risk of decision-making must be disclosed. Damage to the fact that damage to the fact that certain conduct is the subject of rights led to the personal and property rights have been violated, and caused non-property and property interests and the interests of the reduction or loss of the objective facts. Damage to include property damage, personal injury and death, other personal rights are infringed, as well as moral damages and so on. Damage to the facts, as a factor in the determination of responsibility is a prerequisite for tort liability constituted. As the main function of tort liability is to compensate the victims, so it should be the main form of damages, but the application of this form of damage is identified as the prerequisite. Hence, sometimes, despite the medical staff failed to fulfill this obligation, but has not yet caused substantial damage in patients with any form (including moral damage), then the medical institutions do not assume liability for damages. Elements of causality violations in causal relationship between violation and the damage is the fact that the inevitable link between the intrinsic. Doctors did not fulfill the obligations and the patient alone can not constitute infringement liability. Such as general medical negligence cases, doctors failed to inform or not properly informed of the violation must be the consequences of the damage in patients with a causal relationship, either directly or indirectly. Subjective fault is when the perpetrator of offenses subjective state of mind. Subjective fault is divided into two forms of intentional and negligent. Deliberately refers to the perpetrator foresaw the results of their actions, still hope or laissez-faire outcome from happening. Fault refers to the act for their own actions the results, it should be foreseen or could have foreseen and did not foresee; or while foresaw such an outcome can be avoided but gullible. It should be foreseen or could have foreseen and unforeseen, known as negligence; have been foreseen and the gullible can be avoided, known as slack. Doctors breach of this obligation is a misdemeanor and a violation of due regard to its duty of care patients. Civil liability in medical litigation cases, liability for breach of frequently competing with the tort liability. The so-called competing responsibilities is defined as violation of certain civil obligations, the civil law is often a variety of responsibilities in line with the composition of elements, thus leading to a variety of legal liability and the coexistence of conflicting phenomena. From the right person (the victim) perspective, the result of the behavior of the multiplicity of violations, to make it happen because of multiple violations arising from a number of claims, so the responsibility of competing, also known as "competing claims . " In this breach of statutory duty by a doctor taking place against the patient's right to know cases, the same medical services, there is liability for breach of contract and violations of the right to life and health in patients with competing tort liability. In this case, as the suffering party and enjoy the responsibility of competing requests for the right to choose when, either hospital-based violation complaints filed breach of contract, but also can be based on tort brought in tort. Such cases in our court process, the Court first finds that medical institutions and patients with a contractual relationship exists between the medical service, which is handled by the courts and medical damages in cases of medical institutions of civil liability judgments prerequisite. However, in the application of substantive law, the court ruling is in accordance with tort tort of medical institutions to assume responsibility because tort liability is more conducive to protecting the interests of the victims. If the decision of medical institutions to assume responsibility for breach of contract, then the patients and their families will be unable to claim compensation for moral damage. Patient's right to know the case was an infringement of personal injury cases, if it constitutes a medical malpractice, then the cases are medical malpractice damages. In specific proceedings, the court may pursuant to "Regulations on Handling Medical Accidents," medical institutions to determine damages to be borne by the scope of a specific compensation include: medical expenses, lost income, fees, hospital food subsidies, escort fees, disability living allowance costs, disability equipment costs, funeral expenses, are Fu (Fu) dependent living expenses, transportation costs, lodging, and other moral damage solatium.

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