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Biomedical subjects

M G Broglie

Publications and source records attributed to M G Broglie.

36 records · Page 2Linked to original sources
PubMed1992

[The physician as an accident witness: emergency treatment and the problem of failure to treat].

As a witness of an accident the physician has always the duty to render first aid. At least he has to examine carefully whether his help is not or no more necessary. On account of his professional abilities the duty to first aid may concern him as the only person also among several participants, and he must always care to take the best possible measures for the prevention of dangers. In the other case he exposes himself the danger of culpability for not having performed first aid. Apart from a penal verdict also the possibility of a verdict by a professional court of justice for the same offence can be added. In the process before the professional court of justice is examined, whether or not the physician failed in his professional duty to protect and restore health as well as to reduce complaints (section 1, number 2 MBO).

Accidents↗
PubMed1991

[Legal code for public health physicians and compensation].

The complete, updated laws governing doctors subject to the National Health Insurance System are to be found in volume V of the Social Legislation Statutes which went into effect on 1 January 1989. In this work there ist a description of the structure and the mission of the Association of National Health Insurance Doctors and of the Medical Board. Claims für services rendered by doctors are to be forwarded to the Association for collection from the insurance carriers. To monitor said services both financial and technical control procedures have been established by the Association. Medicines prescribed by the doctors are also subject to control by the carriers and/or a commission of the Association to ascertain whether a medicine prescribed is the most appropriate for the particular situation and whether such medicine is really required in said situation.

Fees, Medical↗
PubMed1991

[Professional confidentiality of the physician].

Summarizing it is to be mentioned that, concerning the professional secrecy, the principle is held that the physician is allowed to speak as much as it is necessary and he must be silent as far as it is possible. The physician is entitled to reveal but not obliged to do so as far as he has been exonerated from the professional secrecy or as far as the revelation is necessary for the protection of a higher legal proceeding. This is taken into consideration also for evidence in judicial proceedings. Apart from legal informational obligations at first, however, not the physician but the patient defines the breadth of allowable infringements. Only when the professional secrecy collides with the legal matters of third persons the physician himself gets into compulsions of decision. Taking into consideration the criminal law the maintenance as well as the infringement of the professional secrecy remain without consequences for the physician, if the translegal critical state is present. In such cases, however, he should endeavour to keep the dangers which brings his silence for others as insignificant as possible.

Confidentiality↗
PubMed1990

[The physician as an accident witness: emergency care and problems of failure to provide first aid].

As a witness of an accident the physician has always the duty to render first aid. At least he has to examine carefully whether his help is not or no more necessary. On account of his professional abilities the duty to first aid may concern him as the only person also among several participants, and he must always care to take the best possible measures for the prevention of dangers. In the other case he exposes himself the danger of culpability for not having performed first aid. Apart from a penal verdict also the possibility of a verdict by a professional court of justice for the same offence can be added. In the process before the professional court of justice is examined, whether or not the physician failed in his professional duty to protect and restore health as well as to reduce complaints (section 1, number 2 MBO).

Accidents↗
PubMed1990

[Participation by the established physician in clinical drug trials].

After performance of the phases I to III of the drug test which is carried out in clinics and special institutions into the phase IV, the ambulatory test, mainly the physician with own practice is included. This test is performed either as a controlled study with clearly outlined test aim and methodology or as open study in which physician and patient known which medicaments are used. Before the physician participates in a clinical study he should for himself carry out a preliminary test. Thereby he should carefully consider the proportionality of the necessity of the testing against possible dangers for the individual and also the feasibility of the test in his practice with its patients. An important prerequisite is the presence of a test plan, whereby the information and the consent of the patients or test person is decisive for the permissibility of the test. The producer of the test preparation takes the total responsibility for the clinical test including the liability.

Clinical Trials as Topic↗
PubMed1990

[What does the established physician expect from the West German health system? Fee reduction and drug control as a consequence of economic assessment. What can be done?].

We have briefly tried to inform about the fact why controls of profitableness have to be carried out, how is their course and by virtue of which standards the unprofitableness is assessed. In form of a randomized summary we will once more specify what the physician by all means should do if the fee is reduced or a drug recourse takes place: 1. The date of receipt is to be written clearly visible on the control rescript, since this is of importance for the grace when legal remedies may be applied. 2. Test the rescript, whether or not the reducing or the recourse seems to be justified or whether you have the impression that the data of your activity and management of your practice have not been fully taken into consideration. In this case you at once object and announce a detailed argument. 3. Test quietly, after the first irritation has subsided, whether the points of view explained in the paragraphs 3 and 4 have been taken into consideration, in particular: a. Is the comparative group right? b. Is the present elevation of the average values suited to justify the reducing measure performed? c. Are all peculiarities of the practice taken into consideration? d. Are the peculiarities of the practice sufficiently exactly quantified? e. Was a possible compensatory less expenditure taken into consideration? 4. Summarize the result of your own inquires, as they are described in item 3, in a relevant argument as short as possible. If you need statistical data, which are not at your disposal, for writing this argument, so request such data from the control department of your health-insurance company. 5. In a drug recourse you control, whether or not you can acknowledge the judgment of the arguments for reducing declared. Otherwise you request from your health insurance company the examination into the adequate prescriptions, in which case you probably have to go into the business premises of your health insurance company, in order to be able to take notes there.(ABSTRACT TRUNCATED AT 250 WORDS)

Cost Control↗