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ISSN2719-5996 eISSN 2616-6208 Biomedical and Biosocial Anthropology
Assessment of the quality of medical services to relatives of the mentally ill who are in inpatient treatment
workers to patients, ie non-compliance Oaths of the doctor
of Ukraine, the text of which was approved by the Decree of
the President of Ukraine dated 15.06.1992 № 349, and
which consists of all graduates of medical institutions of
higher education of Ukraine [16].
The main international instruments governing patients'
rights in the field of medicine are the WIA Lisbon Declaration
on Patients' Rights (World International Association, 1981);
Declaration on Patient Rights Policy in Europe, 1994;
Council of Europe "Convention on Human Rights and
Biomedicine", 1996; The EU Charter of Fundamental
Rights, which in Article 6 declares the human right to safety
and access to health care and medical assistance in order
to achieve a high level of health care; WHO Patient Safety
Program (World Alliance for Patient Safety, 2004); The WHO
program for 2008-2009, which identified priority areas in
the fight for safe health care [11].
However, ethical and deontological issues, namely the
concept of "deontological culture", are ignored and do not
find a place in the hearts of medical staff who work with the
mentally ill and constantly communicate with their relatives
or guardians. Every medical professional should have a
basic understanding of the origins of medical deontology
in order not to indulge in immoral things with patients, and
especially with the mentally ill. Deontology is a science
that studies the rules and norms of the duty of a specialist
in the field of his professional activity. The term "deontology"
was introduced into scientific circulation at the beginning
of the nineteenth century by the English philosopher and
jurist Jeremiah Bentham (1748-1832), to define the science
of the professional duty of man [2, 10].
Summarizing the retrospective approaches and
scientific statements of prominent scientists on the study
of medical ethics and deontology, we recommend
considering "deontological culture" as one of the most
important components of professional culture and
characterize it as a set of spiritual, intellectual and
intellectual, which will help determine the significance and
specificity of their professional activities [21].
Thus, the reflection of deontological requirements,
professional norms in the mind of a medical professional
will allow him to more fully and adequately perceive
professional reality, navigate in it, develop strategy and
tactics, goals and specific plans of professional activity,
and recognition and acceptance of these norms as basic
principles. professional duty will help him to form a proper
attitude to the chosen profession and professional activity
in general.
Under no circumstances should not patients' rights to
emergency, highly qualified medical care be fully violated
to all those who need it, regardless of age, social status,
religion or race; humane treatment of the patient, and
especially to patients with severe, incurable diseases or
mental disorders; observance of confidentiality and medical
secrecy as specified in the International Code of Medical
Ethics "Geneva Declaration" adopted in 1949 [23].
Another problem of modern medical deontology in
Ukraine is the stigmatization of health workers to HIV-
infected patients, tuberculosis patients, currently COVID-
19 patients, and especially to patients with mental disorders
and any mental health problems, which lead to self-
stigmatization of both patients and their families, who are
left alone in solving this problem.
In the EU countries, various measures have been
introduced to stigmatize health workers in relation to
patients, and measures are constantly taken to prevent
and prevent such phenomena in society. The main
principles in treatment in the EU are "restoration of human
life", spiritual recovery of patients, reintegration into society
and a full life. Forms for overcoming the stigma of health
care workers in European countries are different, for
example: training, coaching, psychological consultations
with health care workers and relatives who care for relatives;
persons caring for patients (for money or free of charge),
etc. [12].
The Law of the Republic of Poland "On the Protection of
Mental Health" ("Ustawa o ochronie zdrowia
psychicznego"), which has been in force for 26 years
(adopted on 19.08.1994) defines the term "mental health
is the main personal good of a person, and protection the
rights of persons with mental disorders are the duty of the
state". This law regulates the rights of a psychiatric hospital
patient who has the right to appoint an ombudsman, whose
responsibilities include protecting the rights of patients with
mental disorders in matters related to admission,
treatment, conditions of stay and discharge from hospital,
as well as access to medical care. documentation with the
consent of the patient, guardian. Consultation, treatment
of such patients is free, comprehensive (medical, social,
legal) which is a great support for Polish citizens with
mental disorders and the prospect of their socialization.
The purpose of the study is to enable the relatives of
mentally ill people undergoing long-term inpatient
treatment, to determine the quality of medical services in a
psychoneurological hospital, to identify ethical and
deontological shortcomings in the doctor's relationship with
relatives of mentally ill, determine the level of self-
stigmatization in relatives of the patient by medical staff.
Materials and methods
The analysis of domestic and foreign scientific sources,
bibliosemantic, analytical and statistical research methods
were used in the work.
92 respondents, relatives of the mentally ill, took part in
the survey with elements of the interview. Patients with
mental disorders were treated at the Vinnytsia Regional
Clinical Psychoneurological Hospital named after
Academician O. I. Yushchenko of the Vinnytsia Regional
Council, of which men - 29.3 % and women - 70.7 %, (under
the age of 20 - 3.3 %, from 21 to 30 years - 9.8 %, from 31
to 40 years - 17.4 %, from 41 to 50 years - 33.7 % and over
50 years - 35.9 %). Respondents with basic secondary