Faculty of Law “Iustinianus Primus” and

Faculty of Medicine /Center-School of Public Health University”St.Cyril and Methodius”,Skopje, R

Macedonia

HOW TO TEACH TOGETHER: LAW AND PUBLIC HEALTH

Teaching Law and Health: Courses on Law, Human Rights and Patient Care

May 18-21, 2010, Skopje, Macedonia

New Public Health

“organized efforts of society to develop healthy public policies : to promote health and to prevent disease at individual and population level; and to foster social equity within a framework of political governance and sustainable development”*

“The health of the individual depends on the health of the society just as the well-being of a society depends on the health of its citizens” *

* Tulchinsky T, Varavikova E, “New Public health”, 2000

Law and Public Health

International and regional treaties

- Basic documents (the International Covenant on Civil and Political Rights, the International Covenant on Economic, Social and Cultural Rights, and the European Convention on the Protection of Human Rights and Fundamental Freedoms etc)

-Specific regulatory documents ( Strategies, Programs etc)

National legislation in the domain

Public Health and Law

A Powerful Combination

Legislation and regulation : Constitutional, Administrative, Criminal, Civil law

Legal and Ethical issues: Individual and Community Rights and Responsibility

Combination of the regulatory, persuasive, and financing approaches and functions of PH

( prevention and control of diseases, health promotion, assurance of health care-equity, availability, quality)

Design and Teaching a Joint Course

Faculty of Law and Faculty of Medicine/Center-School of Public Health)

Target Audience

Graduate Law Students –Master’s Degree (actual 2009/2010) Elective course

Graduate Public Health Students (next step 2010/2011)

Motivation and interest to teach and to learn L&PH

actual, attractive, emerging, comprehensive, focused, demanded, new, contemporary, provocative, challenged, complex…

OSI and FOSIM- initiative and support

Faculty of Law “Iustinianus Primus” and Faculty of Medicine /Center-School of Public Health- interest and realization

Curriculum -Bridges Law and Public Health-

Basic concepts How to teach

“law for non-lawyers”

“health science for non-medical professionals”

to achieve the common goal:to improve the health of the community andto promote the human rights in patients care

Curriculum:MAIN TOPICS

SYSTEM AND ORGANIZATION OF HEALTH PROTECTION IN THE REPUBLIC OF

MACEDONIA (Definition and types of institutions, PH Legal framework; Administrative authorities in PH; Public

health staff and medical practice :quality control, process of licensing and accreditation, Medical Chamber)

PATIENS RIGHTS PROTECTION AND HEALTH CARE WORKERS ACCOUNTABILITY ( Law for Patients’ Rights Protection ; Criminal accountability, Administrative and disciplinary accountability –HCW)

HEALTH POLICY AND PUBLIC HEALTH (Global trends in public health; Health strategies, health policies and national programs; environmental, labor and social factors of health and disease-law and ethics)

PROMOTING PUBLIC HEALTH AND DISEASE PREVENTION (TOBACCO, HIV/AIDS, MENTAL HEALTH, BIOTERRORISM,

LEGAL PROBLEMS IN PRACTICING CERTAIN MEDICAL INTERVENTIONS (TRANSPLANTATION, CLONING, BOIMEDICAL TECHNOLOGICAL AIDS FOR REPRODUCTION, BIOMEDICAL RESEARCH)

BIOETICHAL AND LEGAL MEDICAL ASPECTS OF PUBLICH HEALTH PRIORITIES (Legal and ethical aspects of human rights -European Charter of Patients Rights and the Macedonian Law on Patients Rights)

Teaching Materials

Textbook “Law and Public Health”- Davitkovski B. and all; 2009

Additional literature:- Relevant legislative and regulatory documents in the domain- Human Rights in Patient Care:  A Practitioner Guide.( in the phase of

publishing) 

- The New Public Health. Tulchinsky H. T, Varavikova A. E; 2003

- Oxford Textbook of Public Health. 4th edition. Detels R, and all ed. Oxford: Oxford University Press,2004

Relevant web sites, electronic sources

Specific methodology

Lectures (interactive approach)

Class discussion

Group work

Essay

Reading brief

Exercises

Seminar with class presentation and handout

My experience teaching Law and Public Health

(one example)

To teach graduate law students-great challenge and responsibility-good feedback and great satisfaction!

Specific topic Global trends in public health: - Process of globalization (positive and negative

impacts)- Changes in health determinants- Changes in global burden of diseases- Social and health inequities within and between

the countries

Burden of diseases-in the picture

•New communicable diseases-increased risk•Non-communicable diseases-increased prevalence

Public Health, Law and Ethics

Challenge and threats

Alert system and health surveillance Implementation of the international health

regulations

Tuberculosis, SARS, HIV/AIDS, Influence A (H1N1)……………..

-governmental responsibilities and obligations ( respect, protect, fulfill human rights)

-every person’s right to achieve the highest attainable standard of health

-prevention and control of communicable diseases ( legal enforcement)

-public health policies and programmes

Communicable diseases-Public Health, Law and Human Rights

Teaching method-Guided Discussion verbal interaction among a group of persons on a

specified topic with a purposeBenefits: active learning role to listen to and learn from each other (cooperative

learning) high level thinking ( critical thinking skills) exposing students to viewpoints other than their own. develop oral advocacy opportunity for students to bring their opinions and

feelings to the study of law

PH&L –Human rights Q/A

Tuberculosis, SARS, HIV/AIDS, Influence A (H1N1)……………..

Examples for discussion:

Immunization Quarantine and isolation Availability of health services Treatment, drug administration Stigmatization Discrimination

Humman rights -questions

PH&L –Humman rightsDiscussion and Answers

Please, your opinions

ACCTING ON DIFFERENT WAYS

•Authorities, agencies, ministries, government;

•Advocacy in the community –academic, professional and consumers’ interest;

•Companies and enterprises, insurance agencies and funds, pharmaceutical and other industries;

•Media and information networks, NGOs;

•Legal agencies, judicial administration etc.

WORKING TOGETHER IN THE COMMUNITY