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New rights for patients “from legitimacy” to a “good basic foundation” Volume 94, issue 5, Mai 2018

Authors
1 Psychologue-assistant de Pôle, diplômé en droit et philosophie, membre du conseil d’orientation de l’Ererc (Espace de réflexion éthique de la Région Centre)
2 PMPEA (Pôle médico-psychologique de l’enfant et de l’adolescent), Centre hospitalier George-Sand, 77, rue Louis-Mallet, 18000 Bourges, France
3 Psychologue, Centre hospitalier Ardèche Nord, Annonay, détaché comme élève directeur à l’EHESP, Rennes, France
4 Psychologue, Docteur en psychologie, Emeraude 58, Comité nivernais de soins palliatifs 58400 La Charité-sur-Loire, France
5 Pédopsychiatre, praticien hospitalier, médecin chef de pôle
6 Pédopsychiatre, praticien hospitalier
7 Pharmacien, praticien hospitalier, vice-présidente de la plate-forme éthique, Centre hospitalier George-Sand, Bourges, France
8 Médecin Gériatre, 14, rue du Félibre Gaut, 13100 Aix-en-Provence, France
9 Enseignant spécialisé, détaché au PMPEA
10 Cadre supérieure de santé
11 Cadre de santé, Président de la plate-forme éthique
* Correspondance

Medical and nursing practice, particularly in hospitals, seem more and more subject to legal regulations, less because of the law itself (even if in this domain, particularly since the law of March, 2002 called Kouchner's law, where more and more standards have been devised) than that of praetorian will and consequently by jurisprudence. This opposition of legal rule, with its associated fears, which seems recent in the Medical Surgical Obstetrics departments (MCO), is already dated in psychiatry, and has existed in jurisprudence since the law of 1838 concerning psychiatric internment. This law, contrary to the preconceived idea, was a regulation to protect the new laws for the ill. It previously defined new rights for patients, which later, in a different way, led to the psychiatric sector movement. Therefore, the new normative constraints cannot be considered surprising in psychiatry. Subsequently, we suggest to always remember what patient's rights consist of, their origin, identification, and foundation, which is one of dignity. That is why we shall list the various individual rights or characteristics of the patients. These are linked to a broader research movement for patient consent, the model of private law, contract law, applied in an analogous way to situations that are somewhat governed by public law, but which explains the considerable development of an obligation to provide information to patients.

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