Macedonia Pilot Curriculum Draft: "Law and Public Health"

Name:

Surname:

Academic Degree:

Academic Title:

Name Surname and Academic Degree:

Other Engaged Lecturers:

- eminent field experts

Title:

Law and Public Health

Subject Code:

Credits:

6 (six)

Hours in total: 42

Amount of obligatory literature: up to330 pages

Week 1:

Topic: THE SYSTEM AND ORGANIZATION OF HEALTH PROTECTION IN THE REPUBLIC OF MACEDONIA

1. Definition and types of institutions

1.1. Health institutions, management, quality, equipment/technology and ethics

1.2. Public and private institutions

2. Definition of public health sector

2.1.Models of remuneration, provision, distribution and financing health services

3. Organization of public health

3.1.Registration, operations and accreditation

2. Public health legal framework in the Republic of Macedonia

2.1.Law on Institutions

2.2.Law on health care

2.3. Law on health insurance

Methodology: Class/Lecture (due to the nature of subject this topic will be covered through interactive lectures)

Number of hours for topic: 4,5 hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public Health

Additional literature:

1.Law on Institutions,

2.Law on Health Care,

3.Law on Health Insurance,

4.Health Systems in transition The former Yugoslav Republic of  

    Macedonia, Gjorgjev D. and other authors: Copenhagen, WHO (on behalf of the

    European Observatory on Health Systems and Policies), 2006

5. BIS Health Care: Strategy for licensing and accreditation of doctors in the Republic

    of Macedonia

Estimated time for preparation: 2-3 hours

Week2:

Topic: THE SYSTEM AND ORGANIZATION OF HEALTH PROTECTION IN THE REPUBLIC OF MACEDONIA

1.Administrative authorities competent for public health in the Republic of Macedonia

1.1. Ministry of Health

1.1.1.Organizational structure of the Ministry of Health

1.1.2.  Competence of the Ministry of Health

1.1.3. Expert supervision                      

1.1.4. Issuing licenses and permits

1.2. Health Insurance Fond of Macedonia(HIFM)

1.2.1. Organizational structure and legal framework of HIFM

1.2.2. HIFM Competence

1.2.3. Legal procedure for the realization of insurance rights

1.2.4. Contracts for paid health services

2. Public health staff and medical practice: quality control, process of licensing and accreditation

2.1. Chamber of Medicine, Chamber of Dentists, Chamber of Pharmacology;

Methodology: Class/Lecture (due to the nature of subject this topic will be covered through interactive lectures)

Number of hours for topic: 4,5 hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public Health

Additional literature:

1.Law on the organization and operation of administrative authorities

2.Law on Health Care

3.Law on Health Insurance,

4.Code of Medical Deontology

5.Code of Dentist Deontology

6.Code of Professional Ethical Duties and Rights of Pharmacists in Macedonia

7.Rulebook on the doctors of medicine expert exam for issuing a professional license

8.Rulebook on the methodology for issuing, extending, renewing and revoking a professional license

Estimated time for preparation: 2-3 hours

Week 3:

Topic:PATIENS RIGHTS PROTECTION AND HEALTH CARE WORKERS ACCOUNTABILITY

1. Patients rights protection

1.1 Law on patient protection

1.2 Judicial protection of patients rights

2. Criminal accountability for health care workers

            2.1  Criminal accountability for incriminating acts according to the Criminal Code

2.2  Criminal accountability for acts provided in specific, non criminal laws

3. Administrative and disciplinary accountability

Methodology:Lectures and Exercises

Number of hours for topic: 3,5 hours(lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public Health

Additional literature:

1.Criminal Code

2.Law on state servants

3.Law on administrative disputes

4.Law on patients rights protection

5. Practitioner’s Guide for Patients Rights, OSI Foundation-Medical Faculty

6. Law on the Ombudsman

7.Coteof Medical Deontology

Estimated time for preparation: 2-3 hours

Week 4:

Topic:HEALTH POLITCY AND PUBLIC HEALTH

1.Health perspectives form the aspect of human rights

2.Global trends in public health and a new concept of public health in international and national legislation

3.Health strategies, health policies and national programs – review of Macedonian national health legislation

4. Law, policy and ethics in relation to environmental, labor and social factors of health and disease

5.Human rights in public health policy, health reforms and development

Methodology:Lectures and exercises

Number of hours for topic: 4hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public Health

Additional literature:

1. OxfordTextbook of Public Health. 4th edition. Detels R, McEwen J, Beaglehole R, Tanaka H. editors. Oxford: Oxford University Press, 2004.
2. National Health Strategy of the Republic of Macedonia2006-2015– Ministry of Health

3.Prevention programs – Government of the Republic of Macedonia and the Ministry of Health

4.The New Public Health. Tulchinsky H. Theodore, Varavikova A. Elena: 2000

Estimated time for preparation: 2-3 hours

Week  5:

Topic: PROMOTING PUBLIC HEALTH AND DISEASE PREVENTION

1.Assessment and evaluation of populous health

2. Defining priorities in public health and promotion of public health and disease prevention as primary course of action for the preparation of legal regulations in the public health sector

3. Legal regulations for specific community health risks: improper nutrition, tobacco consumption, drugs, alcohol, medicine, bioterrorism, non contagious diseases, mental health, HIV/AIDS etc.

Methodology:Lectures and exercises

Number of hours for topic: 4hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public

Additional literature:

1. Promotion of health and disease prevention
   Donev D, Pavlekovic;G, Zaletel Krageq L.
2. Population health in the Republic of Macedonia – National Health Office

Law on Mental Health - Government of the Republic of Macedonia and the Ministry of Health

1. Law Against Smoking - Government of the Republic of Macedonia and the Ministry of Health
2. Law on Protection Against Contagious Diseases
3. WHO/Europe, WHO Technical Consultation on the Criminalization of   

         HIV and Other Sexually Transmitted Infections

Estimated time for preparation: 2-3 hours

Week 6:

Topic: LEGAL PROBLEMS IN PRACTICING CERTAIN MEDICAL INTERVENTIONS

1. Contemporary normative – legal basis for human organ and tissue transplantation
2. Definition of human organ and tissue transplantation
3. Transplantation according to the Law on acquisition, exchangeand transplantation of human body parts for healing purposes
4. International standards for human organ and tissue transplantation
5. Human Rights and Biomedicine Convention
6. Protocol  for the Human Rights and Biomedicine Convention for human organ and tissue transplantation

Methodology:Lectures and exercises

Number of hours for topic: 4hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public

Additional Literature:

1.Law on the terms for acquisition, exchange, transfer and transplantation of human body parts for the purpose of healing

2.Human Rights and Biomedicine Convention

3.Protocol  for the Human Rights and Biomedicine Convention for human organ and tissue transplantation

Estimated time for preparation: 2-3 hours

Week 7: 

Topic: LEGAL PROBLEMS IN PRACTICING CERTAIN MEDICAL INTERVENTIONS

1. Biomedical technological aids for reproduction

• Definition and types of biomedical technological aids for reproduction
• Modern reproductive technologies according to the Law on biologically aided reproduction
• International standards for biomedical technological aids for reproduction
• Cloning
• Definition and types of cloning
• Cloning in Macedonian legislation: review of relevant provisions from the Law on biomedical aided fertilization
• International standards for cloning and prohibition of reproductive cloning
• Protocol for the Convention for Human Rights and Biomedicine for the Ban of Cloning

Methodology:Lectures and exercises

Number of hours for topic: 4hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public

Additional Literature:

1.Law on Patients Rights Protection

2. Practitioner’s Guide for Patients Rights, OSI Foundation-Medical Faculty

3.Law on biological aided fertilization

4.Convention for Human Rights and Biomedicine for the Ban of Cloning

Estimated time for preparation: 2-3 hours

Week8:

Topic:LEGAL PROBLEMS IN PRACTICING CERTAIN MEDICAL INTERVENTIONS

1. Legal basis for biomedical research
2. Definition of biomedical research
3. National regulation for biomedical research
4. Law on patient protection: review of relevant provisions
5. Law on biologically aided fertilization: review of relevant provisions
6. International standards for medical research
7. Protocol for the Convention for Human Rights and Biomedicine for biomedical research

Methodology:Lectures and exercises

Number of hours for topic: 4,5hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public

Additional Literature:

1.Law on patients rights protection

2. Practitioner’s Guide for Patients Rights, OSI Foundation-Medical Faculty

3.Law on biologically aided fertilization                     

4..Council of Europe: Ethical eye: Biomedical Research, CoE, 2004

Estimated time for preparation: 2-3 hours

Week9:

Topic:BIOETICHAL AND LEGAL MEDICAL ASPECTS OF PUBLICH HEALTH PRIORITIES

1. Criminal behavior prevention in the field of voluntary sterilization, abortion, in vitro fertilization, artificial fertilization, euthanasia, transplantation and research over people, cloning and limitations

2. Patient care: modern medicine, traditional medicine, alternative medicine

3. Legal and ethical principles for utilization of IT and resources in public health institutions

4. Legal and ethical aspects of human rights(EuropeanCharterofPatients Rights and the Macedonian Law on Patients Rights)

5. International Cooperation: organization, legislation and conventions for human rights

Methodology:Lectures and exercises

Number of hours for topic: 4,5hours (lectures)

Lecturer(s):

Literature:

Relevant chapters from the textbook Law and Public

Additional Literature:

1.Law on Patients Rights Protection

2. Practitioner’s Guide for Patients Rights, OSI Foundation-Medical Faculty

3.EuropeanCharterofPatients Rights

4.Medical Code of Deontology

5. Law on Pregnancy Termination

Estimated time for preparation: 2-3 hours

Week10:

Discussions and preparation for Essays on given topics

Number of hours for topic: 4hours (lectures)

Lecturer(s):

Literature: after prior consultation with teachers, depending on selected topics.

Estimated time for preparation: 3-4hours.