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Tunisia seeks to achieve a difficult social equation in the reality of the health crisis, based on equity between patients and doctors when medical errors, increasing number, occur, protecting the rights of patients and increasing insurance doctors
The issue of medical errors and abuse is at the forefront of Tunisians' concerns, who visit public hospitals and private clinics for treatment, surgery and other medical procedures. Patients' fears and worries about the logical direction of citizens of all countries are increasing in these institutions, following the repetition of medical accidents and abuses that have shaken civil society. Civil society organizations have embarked on an issue of public opinion that has eliminated the remaining trust in the sector. Health, and helped to upset the image of the doctor to the citizen.
In the absence of official statistics, the numbers differ from medical abuses and errors, but the figures announced by nongovernmental organizations dedicated to the defense of medical errors are alarming and confusing. According to identical reports, the number of medical errors ranges from 10,000 to 15,000 per year at a time when the Ministry of Health has no figures, considering that the clbadification of errors, excesses, medical offenses and reparations is due to the judiciary.
The head of the Tunisian Society of Assistance to Victims of Medical Errors and Physical Accidents, Saber Ben Ammar, said in an interview with "The New Arab" that the number of errors Medical in Tunisia is about 15,000 cases per year, pointing out that the majority of the victims are dead pregnant women. During the birth process, ask the authorities to reveal that the actual numbers are complete. Ben Ammar, an expert in health law, said Tunisia had gone beyond the concept of medical error to tackle organized medical crime. Ben Ammar reveals that pregnant women account for the highest percentage of medical errors victims by nearly 40%, as well as infants and children, pointing out that medical specialties are experiencing a surge in medical crimes such as infant medicine , obstetrics and cardiovascular, as well as pediatric errors.
Various Solitaire
Tunisia has witnessed cases and incidents in hospitals and sanatoriums that upset public opinion and society and remained stuck as painful memories in the popular imagination. Tunisians did not go beyond the tragedy of the deaths of 13 babies in March at the pediatric hospital of the Association in Tunis, adding to the deaths of seven more children in June last in a hospital in the province of Nabeul. The first incident ended with the resignation of the Minister of Health, Abdul Raouf Sharif, and the dismissal of several officials of the Ministry of Health, while the second incident in Nabeul took place without investigation or justification.
The issue of infants at the capital's hospital has raised public opinion. Tunisians have sought to discover the real causes of the deterioration of public health and the frequency of abuse and abuse in public hospitals, but without much effect.
The tragedy of children was not the first to shake Tunisian society: in 2016, under former minister Said al-Ayadi, the problem of outdated heart valves, making more than 1,300 wounded, was reported by the Tunisian Association for Assistance to Victims of Medical Errors and Physical Accidents.
The corrupt case of Benej in Tunisia was marked in 2014 and 2015. The judicial authorities have received dozens of cases of permanent death and disability in patients anesthetized locally by an expired narcotic, imported into the country through active personalities.
Re-confidence
The Ministry of Health wants to accelerate the establishment of a legal framework guaranteeing the rights of patients and establishing medical liability after consulting various health professionals, badociations and medical organizations that have agreed to this request, Following which he set up a series of protest movements and public strikes. In the health sector, accused of medical error.
The Tunisian parliament has begun to examine the new law prepared by the Ministry of Health. Dr. Suhail al-Alwaini, Chair of the Parliament's Health and Social Affairs Committee, told the New Arab that he wanted to pbad the bill on patient rights and medical liability, which lasted three years. years, and hoped that it would be ratified before the end of the session. Legislative elections in progress. He notes that, despite the observations, this project is of interest to all parties.
Al-Alwaini pointed out that the observations of professionals, doctors, health badociations and the dean of doctors are procedural and technical differences that can be overcome, stressing that these observations should not require any discrimination between the private health sectors and governmental in determining the responsibility of physicians, emphasizing the importance of all physicians. Law.
Al-Alwaini added that there are legislative developments and solutions that will advance the health sector in Tunisia and go beyond many issues among patients and doctors, such as the fund. compensation, consensual conciliation committees and the Observatory of Transgressions and Medical Errors. It shows that work will be underway to include the Appropriations Fund in the State Budget for 2020 so that it can initiate compensatory actions for the affected people, as well as discussions on others. sources of funding and nutrition. He added that the Observatoire du conquer, which consists of discussions aimed at giving it the independence needed to do its part, will strengthen trust between the patient and the doctor and restore public confidence in public health.
Important step
Al-Nahda party MP Jamila Dabash also called on the "new Arab" to protect whistleblowers from corruption, mistakes and abuse, especially those working in the health sector. and to guarantee the independence of the monitoring observatory, which will receive complaints and communications and ensure direct access to this observatory. Without barriers or administrative constraints. Suggest that the goal is not to punish, but not repeated medical error, restore the quality of medical services, eliminate corruption and abuse in the health sector and to restore bonds of trust between the patient, the doctor and the public hospital.
During last week's session of the Tunisian Parliament, representatives of health sector-related organizations and badociations pointed to the importance of this law in addressing the lack of legal framework governing medical liability in Tunisia, which has hindered practitioners in the performance of their duties. Attacks against doctors, nurses and paramedics, lack of law protecting professionals during the escape of doctors and executives abroad and abandonment of public health facilities.
The attending physicians and nurses emphasized that this project was an important step towards improving the quality of services and guaranteeing patients' right to compensate for medical errors. In addition, it was pointed out that 80% of cases brought by citizens to claim financial compensation were medical accidents, while medical errors did not exceed 20% of the total. The attending physicians also pointed out that the project on patient rights and medical liability required the court system to use the test to confirm whether or not the medical error hypothesis, in noting that public law had previously left the door open for a judge to use the test.
Representatives of the private health sector have called for the need to involve them in consensual reconciliation committees, offering financial compensation according to a specific ceiling, so that reconciliation committees can not be bypbaded. Finance. The symposium focused on the need for the state to contribute to the funding of medical error reparations.
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