Magistro darbe apžvelgiamos gydytojo profesinės atsakomybės, neturtinės žalos atlyginimo, medicinos darbuotojų civilinės atsakomybės draudimo istorinės ištakos ir dabartinis teisinis reguliavimas bei jo taikymo ypatumai Lietuvoje. Detaliai analizuojamas gydytojo padarytos žalos pacientui kompensavimas taikant gydytojo profesinę civilinę atsakomybę, atkreipiamas dėmesys į teorines ir praktines problemas. Ypatingas dėmesys skiriamas neturtinės žalos atlyginimui, nes didžiausi pacientų ieškiniai pareiškiami prašant atlyginti būtent neturtinę žalą. Nagrinėjamos neturtinės žalos atlyginimo galimybės dydžio ir subjektų, turinčių teisę į neturtinės žalos atlyginimą, atžvilgiu. Darbe akcentuojami medikų profesinės civilinės atsakomybės ypatumai, analizuojama Lietuvos teismų praktika pacientų sveikatos sužalojimo bylose. Dabartinės Lietuvos sveikatos sistemos būklės kontekste įvertinama Lietuvos Aukščiausiojo Teismo pozicija gydytojams keliamo maksimalių pastangų standarto klausimu. Svarbią vietą užima asmens sveikatos priežiūros įstaigų draudimo, kaip alternatyvaus pacientui padarytos žalos kompensavimo būdo, analizė. Darbe įvardijami privalomojo medicinos darbuotojų draudimo ypatumai ir trūkumai, tiriamos šios draudimo rūšies įgyvendinimo problemos Lietuvoje, jo santykis su savanoriškuoju medicinos darbuotojų draudimu. Autorė siūlo būdus, kurie galėtų padėti įgyvendinti asmens sveikatos priežiūros įstaigų privalomąjį draudimą Lietuvoje. / The Master thesis provides an overview of historical origins of the medical professional liability, compensation of non-material harm, insurance of civil liability of medical employees, as well as the current legal regulation of the field and the peculiarities of its application in Lithuania. A detailed analysis of the compensation of harm, caused by a doctor to a patient, with the application of the doctor’s professional civil liability, is provided, highlighting theoretical and practical problems. A special attention is accorded to the compensation for non-material harm, since the biggest claims of patients are usually related to this kind of harm. Possibilities of compensating non-material harm are considered, in terms of size and persons, possessing the right to such compensation. The thesis highlights singularities of medical professional civil liability, analyses the practice of Lithuanian courts of law in cases involving injuries to patients. In the current context of the Lithuanian healthcare system, the position of the Lithuanian Supreme Court in relation to the standard of maximum effort, applied to doctors, is evaluated. Analysis of insurance of personal healthcare institutions, as an alternative method of compensating harm done to the patient, is given an important place in the thesis. The study presents peculiarities and shortcomings of the obligatory insurance of medical employees, examines the problems of implementing such system in Lithuania, its relation to... [to full text]

Management of Public Health Estimation of health care services quality in department of Cardiology Intensive Therapy of Kaunas University Hospital Vaida Rupšytė-Jucienė Supervisor J. Braždžionytė, Prof., Dr. Faculty of Public Health, Kaunas University of Medicine, Department of Social medicine, Kaunas 2005. P67. Key words: quality of health care services, patients, medical professionals, satisfaction. Object of work: to estimate the health care services quality in department of Cardiology Intensive Therapy of Kaunas University Hospital. Task: to examine the opinion of patients about health care services quality in department of Cardiology Intensive Therapy of Kaunas University Hospital; to examine the opinion of staff (doctors and nurses) about the health care services quality; to compare the opinions of patients and staff:; to establish the problems of the health care services; to prepare the offer how to solve these problems and improve the quality of health care services in department of Cardiology Intensive Therapy. Methods: The comparable analysis of health care services was made among patients and staff in department of Cardiology Intensive Therapy. All doctors and nurses, working in March of 2005, and patients, treated in the hospital within December of 2004 – January of 2005, were invited to participate in survey. In anonymous questionnaire participated 358 patients (the response rate 89 %), 10 doctors (response rate -77%) and nurses (response rate – 89%)... [to full text]