PATIENT-CENTRICITY: A NEW MODEL OF MORAL AND LEGAL IMPROVEMENT

The article is devoted to the problem of the moral and legal field through the prism of such an innovation as “patient-centric”. The analysis of the category “patient-centric”, which in domestic medicine is interpreted as providing patients with better conditions. Researched, the domestic understanding of the moral content of the category of “patient-centric” does not always coincide with foreign experience, where it is provided as one of the mandatory and important components of the quality of care, defined as ensuring that the patient's personal values are decisive in acceptance. all medical decisions and is committed to meeting the individual preferences of patients, their needs and values. Because, in our state, there are no moral and legal prescriptions which would clearly establish legal responsibility for violation of moral bases by doctors, and “patientcentric” is characteristic mainly of the system of “paid health care”, because for a person the main factor in choosing paid medical care is not only quality medical care, but also humanity, a high degree of morale of doctors. Thus, patient-centrism becomes a method of service component of medical services aimed at the consumer needs of patients. In such a situation, there is a danger of a situation where the patient is morally satisfied with his attitude, but medical control over his chronic diseases deteriorates, because it is not uncommon for patient orientation to be only a slogan or marketing tool that is far from moral precepts and rights. after all, for a person, the main factor in choosing paid medical care is not only quality medical care, but also humanity, a high degree of morale of doctors. Thus, patient-centrism becomes a method of service component of medical services aimed at the consumer needs of patients. In such a situation, there is a danger of a situation where the patient is morally satisfied with his attitude, but medical control over his chronic diseases deteriorates, because it is not uncommon for patient orientation to be only a slogan or marketing tool that is far from moral precepts and rights. after all, for a person, the main factor in choosing paid medical care is not only quality medical care, but also humanity, a high degree of morale of doctors. Thus, patient-centrism becomes a method of service component of medical services aimed at the consumer needs of patients. In such a situation, there is a danger of a situation where the patient is morally satisfied with his attitude, but medical control over his chronic diseases deteriorates, because it is not uncommon for patient orientation to be only a slogan or marketing tool that is far from moral precepts and rights. The article analyzes foreign experience and medical reform in Ukraine on the issue of moral and legal principles of the patient-oriented model. Emphasis is placed on the need to include the category of “patient-centric” in the component of medical ethics, a list of principles of the category of “patient-centric”, and an approach that artificially corrects the behaviour of the doctor. The article attempts to prove that the moral principles of the doctor should prevail over the principles of patientcentric ethics.