This thesis deals with the responsibility associated with the provision of health care, specifically it deals with the problem of causal link in medical disputes, its peculiarities, its obstacles related to its proving and possible ways of burden-of-proof- easement in relation to causation, including in particular the loss of chance concept. Second section of the thesis is dedicated to the brief introduction to the issue of liability, as a specific phenomenon necessary for the functioning of the human community, which is in the provision of health care represented not only by civil liability, but also by ethical disciplinary or labour liability. Legal liability is however clearly the dominant and most efficient instrument to regulate the conduct of the legal norm addressees. Legal liability, defined as secondary legal obligation, arising as a result of a breach of the primary legal obligation, is described in the third section of this thesis according to its basic structural elements. These basic structural elements are: infringement, emergence of damage, fault and finally causal link between the unlawful conduct and the damage. Crucial attention is paid to the causal link, to the specification of the causal link concept, to the requirement for level of proof in the Czech legal system and also in...

This thesis critically examines recent developments in Swedish tort law, regarding compensability of an elevated risk of future harm as a distinct injury in itself. The theme of the study is based upon a recent ruling by the Swedish Supreme Court on December 5, 2023, marking the first instance of Swedish legal scrutiny on the concept of elevated risks as compensable injuries. The case involved a compensation claim for personal injury arising from an exposure to PFAS substances and it is highlighting the challenges in both categorizing as well as compensating elevated risks of future harm in a Swedish legal context. The ruling clarified that the mere presence of an elevated risk cannot constitute a personal injury according to traditional Swedish tort law.  The primary objective of this study is to stimulate a broader legal discussion on how Swedish tort law should and could navigate the complex notion of compensating injuries in the form of elevated risks of future injury. The study unfolds in two interconnected parts. Initially, it scrutinizes the conventional concept of personal injury under Swedish law as well as the relationship between the elevated risk of future injury and the traditional personal injury concept. Subsequently, the focus shifts to discussing the need for incorporating the concept of elevated risks as a new category of compensable injury under Swedish tort law, with the legal approach adopted in the United States serving as backdrop for the discussion.  Using a legal dogmatic approach as a primary research method, the study involves an analysis of legal sources to comprehend the current legal landscape and to identify the need for potential reforms. The study also includes a comparative aspect, drawing upon American legal sources, to shed light on how injuries in the form of elevated risks are treated in various American jurisdictions. The American approach, as presented in this study, consists of a two-step process for qualifying elevated risks as compensable injuries. The discussion also touches upon the compensation issue for risk injuries, highlighting the challenge of compensating a potential injury before it manifests. The "loss of chance" doctrine, which is adopted in American law, is introduced to provide a predictable compensation model for lost opportunities as well as elevated risks.  The presentation of the American approach serves as a basis for a discussion of several considerations and issues that the Swedish legislator must address if compensation for risk-based injuries were to be established in Swedish law.  The discussions set forth in this thesis extend to the challenges arising when valuing an elevated risk as a form of personal injury and the complexities of fitting such risks into existing compensation frameworks. The discussions conclude that the concept of an elevated risk as an injury in itself should be classified as a distinct type of compensable injury under Swedish law. After this conclusion the focus of the discussion shifts towards the legislator’s challenging task of establishing a rational compensation model for this type of injury in Swe- dish tort law. The discussion includes some aspects that motivate the need for legislation, as well as reasons speaking against it, which highlights the complexity of balancing the legislator’s considerations in the context of Swedish legal traditions and systems.  In summary, this thesis serves the purpose of contributing to the legal discourse on compensating injuries arising from elevated risks within Swedish tort law. Using a legal dogmatic methodology, including comparative elements, it analyzes recent legal developments, explores challenges, draws comparisons with international practices, and reviews potential legal reforms. The study aims to inform and encourage Swedish legal practitioners, policymakers and scholars to initiate a discussion about the concept of compensating elevated risks, as well as advocate for a nuanced legislative approach to address these challenges effectively.

The issue of causality in the suits for damages The subject of this thesis is the issue of causality in disputes relating to compensation for damage to health. Causation is a considerably miscellaneous institute, therefore, this paper deals with various aspects of this topic and its context. The writing focuses on cases in which damage was caused to health through providing health services, as this legal field is characterized by many specifics from other areas of liability. Firstly, the thesis aims at explanation of the concept of causation, its importance and development not only in law but also in other areas of human activity. Subsequently, the attention is focused on the significance of causation in law; after theories of causation are compared, its substantial features are described in comparison to the other elements of liability. Consequently, the work concentrates on processes through which the causal link is determined, on the selection of relevant causes and consequences and the relationship between them in cases involving their plurality. It does not forget to mention the importance of causation in the context of strict liability, particularly in its specific cases relating to the provision of health services. The core of this work is the issue of causation in disputes in which the...

Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2017-05-23T12:47:38Z No. of bitstreams: 1 Brunize Altamiranda Finger_.pdf: 1231234 bytes, checksum: 5863465b7d0df74824a26e837f64f964 (MD5) / Made available in DSpace on 2017-05-23T12:47:38Z (GMT). No. of bitstreams: 1 Brunize Altamiranda Finger_.pdf: 1231234 bytes, checksum: 5863465b7d0df74824a26e837f64f964 (MD5) Previous issue date: 2017-02-20 / Nenhuma / A dissertação objetiva verificar se o Estado pode ser responsabilizado civilmente, e em que condições, pela perda da chance de cura ou de sobrevida das pacientes com câncer de mama que não tiveram acesso ao tratamento médico pelo SUS em até 60 dias após o diagnóstico – prazo legal fixado pela Lei 12.732/2012. Para tanto, utilizaram-se o método fenomenológico-hermenêutico e o método indutivo. A partir (i) de dados coletados no Integrador RHC sobre o intervalo de tempo entre diagnóstico e primeiro tratamento médico, (ii) de pesquisa bibliográfica sobre escassez de recursos financeiros e não-financeiros e (iii) de investigação sobre a trajetória peculiar do Estado Social brasileiro, concluiu-se que o Estado pode ser responsabilizado pela perda da chance de cura ou de sobrevivência. Defende-se a aplicabilidade da teoria da responsabilidade objetiva para esses casos. Contudo, antes de imputar essa responsabilidade, entende-se necessário avaliar três fatores: Universalidade do acesso ao tratamento contra o câncer de mama em até 60 dias, Tratamento contra o câncer de mama materialmente possível e Acessibilidade ao tratamento médico frente às barreiras geográficas. / The dissertation aims to verify if the State can be held civilly responsible, and under what conditions, for the loss of the chance of cure or survival of patients with breast cancer who did not have access to medical treatment by the SUS within 60 days after diagnosis - term established by Law 12.732/2012. For that, the phenomenological-hermeneutic method and the inductive method were used. From (i) data collected in the RHC Integrator about the time interval between diagnosis and first medical treatment, (ii) bibliographical research on the scarcity of financial and non-financial resources, and (iii) research on the peculiar trajectory of the Brazilian Welfare State, it was concluded that the State can be held liable for the loss of the chance of cure or survival. The applicability of the theory of objective liability to such cases is defended. However, before imputation of this responsibility, it is necessary to evaluate three factors: Universality of access to treatment against breast cancer in up to 60 days, Treatment against breast cancer materially possible and Accessibility to medical treatment against geographical barriers.

Em um contexto de demandas sociais tendencialmente crescentes, uma das alternativas para o aumento da arrecadação de receitas pelo Estado reside no manejo de aplicações financeiras. Os investimentos financeiros estatais, a rigor, já acontecem, mas nem sempre o objetivo claro e explícito de obtenção de resultados financeiramente interessantes e, eventualmente ou mesmo por isso , sob gestão economicamente ineficiente. Às vezes, até se enxerga o foco na obtenção de rendimentos relevantes na ação estatal, mas sem uma disciplina específica, o que pode abrir espaço a uma gestão de ativos desqualificada ou mesmo fraudulenta, com sérios prejuízos aos cofres públicos e, em situações extremas, ampliação ainda maior das despesas públicas. O objetivo desta tese, portanto, é reconhecer que nem sempre o Estado atua na economia com propósito interventivo e que, na qualidade de investidor institucional vale dizer, de ente que tem o dever de proceder aos investimentos e às aplicações financeiras que digam com as melhores práticas de administração dos ativos públicos , precisa atuar sob o jugo de normas jurídicas claras, que permitam ao Estado ampliar suas receitas dentro de limites razoáveis de exposição a risco financeiro e disponibilizem aos órgãos de fiscalização e controle da Administração Pública as ferramentas necessárias para, também quanto a esse aspecto, aferir a eficiência da ação estatal. Para tanto, têm-se como pressupostos o anacronismo da resistência cultural às aplicações financeiras dos entes da Administração Pública e a noção de que quaisquer ferramentas de obtenção de receitas pelo Estado estão sujeitas a algum grau de risco. Com base nas bem-sucedidas experiências nacionais e internacionais, será possível concluir, ao final, que é admissível, do ponto de vista constitucional e legal, a ação do Estado como investidor nos mercados financeiro e de capitais e que é viável a formulação de parâmetros gerais para a disciplina jurídica do Estado investidor. / In a context of growing social demands, financial investments become one of the alternatives for the State to increase its revenues. State investments, as a matter of fact, already do happen, but not always with the clear and explicit objective of obtaining financially interesting earnings, often due economically inefficient management. Sometimes it is possible to see in government investments some focus on obtaining relevant income, but not under a specific regulation, which can lead to an unqualified or even fraudulent management that may cause serious damage to the exchequer and, in extreme situations, expansion of the government spending. Hence the intent of this thesis is to acknowledge that the State does not always act in the economy with regulatory purposes and that, as an institutional investor i.e., an organization which has the duty of making financial investments in accordance to the best practices in public asset management , it must be framed by clear legal rules, which should allow the State to maximize its revenues within reasonable limits of financial risk exposure and the oversight and control agencies to assess the State efficiency and compliance. It is assumed that the cultural resistance to state financial investments is anachronistic as well as every state means of obtaining revenues is subject to some level of financial risk. Based on well succeeded experiences in Brazil and abroad, it will be possible to conclude, in the end, that it is constitutionally and legally admissible that the State acts as an investor in financial and stock markets and that it is possible to suggest some standards on legal regulation for this issue.

La chance est une notion hétérogène en droit administratif. Les manifestations de ses différentes acceptions sont en effet nombreuses tant le hasard, les probabilités et le risque auxquels la chance renvoie sont riches d’applications concrètes. Les effets de ceux-ci sont donc également, et sans surprise, très variés, de sorte que la perméabilité du droit administratif est à leur égard teintée de singularité selon qu’ils sont respectivement considérés comme bénéfiques ou néfastes. Ainsi, les probabilités sont l’illustration de ce que la chance peut être un outil utile au juge administratif dans le prononcé de ses jugements, tandis que le hasard et le risque renvoient tous deux à la survenance d’événements ou de phénomènes imprévisibles qui cherchent à être évités. Malgré toutes les subtilités déployées par la chance en droit administratif, celle-ci se révèle néanmoins comme une notion dont l’unité apparaît au stade de l’étude de sa fonction. La chance est alors une notion fonctionnelle qui a vocation à être de plus en plus employée par le juge administratif pour améliorer l’indemnisation délivrée aux administrés, tant d’un point de vue qualitatif que quantitatif. / Chance is an heterogeneous notion in administrative law. The manifestations of its different meanings are indeed quite abundant in the sense that the coincidences, the probabilities and the risk that chance refers to are full of tangible applications. Their effects are equally, and unsurprisingly, very varied which means that the permeability of administrative law towards them is quite unique, depending on whether they are considered to be beneficial or adverse. So, probabilities illustrate how chance can be a useful tool for the administrative judge when pronouncing a judgment, whereas coincidences and risk both reflect back on the occurrence of events or unpredictable phenomenons which one would aim to avoid. Inspite of all the subtleties deployed by chance in administrative law, it nevertheless seems to be a notion, the unity of which appears to be at the study stage of its function. Chance is then a functional notion, the vocation of which is to be used more and more often by the administrative judge in order to improve the compensation awarded to citizens both from a qualitative and quantitative point of view.

Em um contexto de demandas sociais tendencialmente crescentes, uma das alternativas para o aumento da arrecadação de receitas pelo Estado reside no manejo de aplicações financeiras. Os investimentos financeiros estatais, a rigor, já acontecem, mas nem sempre o objetivo claro e explícito de obtenção de resultados financeiramente interessantes e, eventualmente ou mesmo por isso , sob gestão economicamente ineficiente. Às vezes, até se enxerga o foco na obtenção de rendimentos relevantes na ação estatal, mas sem uma disciplina específica, o que pode abrir espaço a uma gestão de ativos desqualificada ou mesmo fraudulenta, com sérios prejuízos aos cofres públicos e, em situações extremas, ampliação ainda maior das despesas públicas. O objetivo desta tese, portanto, é reconhecer que nem sempre o Estado atua na economia com propósito interventivo e que, na qualidade de investidor institucional vale dizer, de ente que tem o dever de proceder aos investimentos e às aplicações financeiras que digam com as melhores práticas de administração dos ativos públicos , precisa atuar sob o jugo de normas jurídicas claras, que permitam ao Estado ampliar suas receitas dentro de limites razoáveis de exposição a risco financeiro e disponibilizem aos órgãos de fiscalização e controle da Administração Pública as ferramentas necessárias para, também quanto a esse aspecto, aferir a eficiência da ação estatal. Para tanto, têm-se como pressupostos o anacronismo da resistência cultural às aplicações financeiras dos entes da Administração Pública e a noção de que quaisquer ferramentas de obtenção de receitas pelo Estado estão sujeitas a algum grau de risco. Com base nas bem-sucedidas experiências nacionais e internacionais, será possível concluir, ao final, que é admissível, do ponto de vista constitucional e legal, a ação do Estado como investidor nos mercados financeiro e de capitais e que é viável a formulação de parâmetros gerais para a disciplina jurídica do Estado investidor. / In a context of growing social demands, financial investments become one of the alternatives for the State to increase its revenues. State investments, as a matter of fact, already do happen, but not always with the clear and explicit objective of obtaining financially interesting earnings, often due economically inefficient management. Sometimes it is possible to see in government investments some focus on obtaining relevant income, but not under a specific regulation, which can lead to an unqualified or even fraudulent management that may cause serious damage to the exchequer and, in extreme situations, expansion of the government spending. Hence the intent of this thesis is to acknowledge that the State does not always act in the economy with regulatory purposes and that, as an institutional investor i.e., an organization which has the duty of making financial investments in accordance to the best practices in public asset management , it must be framed by clear legal rules, which should allow the State to maximize its revenues within reasonable limits of financial risk exposure and the oversight and control agencies to assess the State efficiency and compliance. It is assumed that the cultural resistance to state financial investments is anachronistic as well as every state means of obtaining revenues is subject to some level of financial risk. Based on well succeeded experiences in Brazil and abroad, it will be possible to conclude, in the end, that it is constitutionally and legally admissible that the State acts as an investor in financial and stock markets and that it is possible to suggest some standards on legal regulation for this issue.

The aim of this thesis is to provide an insight into the topic of causation in law and to acquaint its reader with the common methods of proving the causation before courts. Among the most used methods such as the 'but for' test, this paper focuses on specific aspects of this topic which were introduced to the Czech legal system together with the adoption of the Civil Code 2014. The thesis also includes description and analysis of alternatively used methods of proving 'multiple causation' cases such as the theory of 'loss of chance' and 'pure economic loss'. Among this analysis the comparison between Czech and British legal system is used extensively. The core of this thesis is the effort to confirm or to refute the hypothesis that despite the Czech legal system does not officially recognize distinction between 'factual causation' and 'legal causation' as it is done in the British legal system, methods from both categories are actively used by Czech courts. This paper also aims to analyze whether, due to the fact that recognition between 'factual causation' and 'legal causation' is not explicitly expressed in the Czech legal system, does exist any negative or positive impact on judicial decisions. The last goal of this thesis is to demonstrate whether, similarly as in the British law, the significant number...

Les recherches biomédicales se sont imposées comme une nécessité sociale et leur place n’a pas cessé de prendre de l’importance dans le domaine médical. Leur encadrement juridique commence en 1988 avec la loi « Huriet », qui vient de mettre en place un régime de responsabilité civile régissant cette activité.Ce régime renforce la protection des victimes (et de leurs ayants droit) de recherches biomédicales en simplifiant la procédure d’indemnisation. Seul le tribunal de grande instance est compétent pour connaître des litiges en la matière et ce même s’il s’agit d’un promoteur du secteur public qui relève normalement du juge administratif. Le délai de prescription est de dix ans car les dommages ne peuvent pas apparaître immédiatement après la fin de la recherche. La victime et ses ayants droit peuvent demander l’indemnisation des dommages matériels et moraux subis à l’occasion de la réalisation de la recherche. Dans les cas où la responsabilité du promoteur n’est pas engagée, la victime peut toujours demander une indemnisation à l’ONIAM, en déposant une demande auprès de la CRCI. La loi « Huriet » devrait concilier l’intérêt de la société avec ses valeurs fondamentales, et trouver le juste équilibre permettant d’assurer une protection parfaite aux individus se prêtant à ces recherches, sans entraver leur développement. / Biomedical research has emerged as a social necessity. Its importance has continued to grow in the medical field. Its legal framework began in 1988 with the law "Huriet", which established a civil liability governing this activity.Today’s legal system increases the protection of victims (and their dependents) of biomedical research by simplifying the procedures for plaintiffs to receive compensation. Only the High Court has the jurisdiction to hear disputes in this area and even if he is a proponent of the public sector is normally the administrative judge. The limitation period is ten years since the damage may not appear immediately at the end of the research. The victim and his/her dependents are entitled to compensation for material and moral damages incurred in connection with the conduct of research. In cases where the liability of the promoter is not involved, the victim can still claim compensation from the ONIAM by filing an application with the CRCI.The law "Huriet" should reconcile the interests of the society with its core values, and find the right balance to ensure a perfect protection to individuals suitable for this research, without hindering their development. / لقد فرضت الابحاث الطبية الحيوية كضرورة اجتماعية واتخذت أهمية لا يمكن الاستغناء عنها في المجال الطبي. وحيث ان تنفيذها على الكائن البشري أصبح مطردا، فان إحاطتها بقانون متكامل أصبح امرا لا مفر منه، وقد بدأ ذلك الأمر بتشريع قانون عام 1988 والذي اتى بالجديد عندما أحاط تنفيذ الابحاث الطبية على الكائن البشري بنظام مسؤولية مدنية. هذا النظام هدفه تدعيم حماية المشاركين بالبحث من خلال تعويض المتضرر منهم او خلفه العام من خلال تبسيط اجراءات التعويض. فحدد هذا القانون الاختصاص حصريا بالمحكمة البدائية في النظر بالخصومات المتعلقة بتنفيذ الابحاث الطبية على الكائن البشري، حتى لو كان القائم على تنفيذ البحث شخص من القانون العام. والذي من المفترض ان يكون الاختصاص حينها للقاضي الاداري. هذا وقد حدد قانون عام 1988 مدة التقادم بعشرة سنوات من وقت انتهاء تنفيذ البحث، لان الاضرار قد لا تظهر إلا بعد مدة من تنفيذ البحث. فالمتضرر أو خلفه العام يستطيعون المطالبة بالتعويض على الاضرار المادية والادبية التي نجمت عن تنفيذ البحث الطبي. لكن في حالة اثبات عدم وجود خطا من القائم بالبحث الطبي أي انه غير مسؤول عن الاضرار، فان المتضرر يحق له حينها بموجب هذا القانون اللجوء إلى المطالبة بالتعويض من خلال الهيئة الوطنية للتعويض عن الحوادث الطبية. خلاصة القول، إن قانون عام 1988 سعى لايجاد موازنة ما بين الفائدة التي تعود على المجتمع من تنفيذ البحث وبين ضمان حماية المشارك بالبحث بالشكل الذي يكفل حرمة الجسد البشري دون ان يؤدي ذلك إلى وضع العقبات أمام تنفيذ الابحاث الهامة للمجتمع