Friday, March 4, 2011

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The Supreme Court says no to commercial logic and the earlier resignation of hospitals


The Supreme Court says no to "logical merchant "and the earlier resignation of hospitals. With the decision No 8254/11 of the Fourth Criminal Division Judges with ermine hospital doctors have warned that under business pressures behind the need to force the replacement of beds occupied, in accordance to "accountancy" drg and guidelines, they tend to discharge patients not yet come out of the budget that the clinical risk, they show Appenna "stabilized." The fact. One patient was hospitalized June 9, 2004 for myocardial infarction . angioplasty with use of a drug-eluting stent, was discharged after nine days, June 18, since they are "asymptomatic and stable." That night the man had a cardiac arrest and died. If it had not been dismissed, a finding of legal expertise, would have survived thanks to the care he would receive in the department. At first instance, the doctor who signed the resignation was sentenced to 8 months imprisonment and to pay moral damages to the families. On appeal, however, was acquitted "because the offense is not" as the doctor had followed the guidelines regarding resignation. A view not shared by the supreme judges of the Supreme Court which upheld the complaint of the Prosecutor of the Court of Appeal of Milan and his family. The Supreme Court has even openly criticized the guidelines, arguing that "nothing is known of their content, nor the authority from which they or their level of science, nor of the purposes to which they are intended to achieve, nor is it given to know whether they represent an additional guarantee for the patient or if are nothing but a tool to ensure the economic viability of the management of the hospital. " It's about time there was a ruling that, while once again hitting a doctor and already under pressure to a dangerously oriented difensivistica medicine, at least ends up defending the medical profession should be maintained with the clinic and not accounting. (Achilles Miglionico)

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