United States medical facilities located overseas must comply with American laws and the laws that govern the host nation.
The Patient Self-Determination Act of 1990 is in direct conflict with Italian law.
Honoring the advance directives of American patients on Italian soil constitutes a criminal offense for the physician, who is subject to 15 years of imprisonment.
In response to issues identified in this case report, hospital staff have taken proactive steps to improve the management of dying patients overseas by establishing clearer hospital instructions, education, and training and by better managing the psychosocial concerns of family and staff.
Mots-clés Pascal : Système santé, Militaire, Aspect juridique, Région géographique, Entretien directif, Etude cas, Italien, Etats Unis, Amérique du Nord, Amérique, Aspect médicolégal, Responsabilité professionnelle, Homme, Politique sanitaire
Mots-clés Pascal anglais : Health system, Military, Legal aspect, Geographical division, Directive interview, Case study, Italian, United States, North America, America, Forensic aspect, Occupational responsibility, Human, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0436656
Code Inist : 002B31. Création : 19/12/1997.