• Legal Issues and Countermeasures of Transcranial Magnetic Stimulation for Mental Disorders from the Perspective of Brain Science

    Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-10-07 Cooperative journals: 《中国全科医学》

    Abstract: In the context of brain science research strategy in China,transcranial magnetic stimulation,as an input brain-computer interface technology,is able to improve the pathology of patients with mental disorders in a noninvasive way. However,new risks arising from the new technology have been ignored by the legislation,and there is a risk of privacy leaks of the neurological data presented by the patient's brain. The legal issues of physicians neglecting to inform patients of the risks of personality changes and the off-lable use of transcranial magnetic stimulation devices need to be explored. The legal issues of physicians neglecting to inform patients of the risks of personality changes and off-label use of transcranial magnetic stimulator devices need to be urgently explored. Multidisciplinary literature in the fields of trade-off between the right to health and privacy protection,principle of informed consent and use of privacy protection,data and application of off-label use for devices was searched and analyzed by using literature review and case analysis methods,to summarize the key points of the adjudication documents on off-label use for transcranial magnetic stimulation devices. It was found that the legal interpretations and value balances between the right to health and protection of privacy,physician's right of diagnosis and treatment and patient's right of informed consent,as well as the accessibility and safety of the devices,should be clarified and the adequate notification of new risks in the application of new technologies should be improved; it should be clarified that physicians and medical institutions should respect the privacy of the patients and the obligation to protect the security of neurological data,expand the scope of risk notification,clarify the risks of personality,prohibit the off-label use of the devices and establish a mechanism for risk analysis and dynamic monitoring of adverse reactions.

  • Palliative Care Service Development Experience in Singapore and Its Implications for China

    Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-09-27 Cooperative journals: 《中国全科医学》

    Abstract: Palliative care is one of the effective means to protect the rights of good death and improve the quality of life in end-stage patients. Palliative care in Singapore is developing rapidly and a comprehensive palliative service system has been gradually established,ranking in the top of Asia in the latest national quality of death ranking. This paper proposes that the social awareness,education and training of palliative care should be strengthened,the power of charities and NGOs should be utilized,the existing palliative care carrying capacity should be improved,palliative care related system and legal protection should be established in China,by sorting out the current situation of hospice care,the practical experience in public education,personnel training,charitable support,related policies and legal protection in Singapore,in order to achieve the hospice needs of end-stage patients.