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Zbornik radova Pravnog fakulteta u Nišu
2019, vol. 58, iss. 85, pp. 37-54
article language: English
document type: Review Paper
published on: 06/03/2020
doi: 10.5937/zrpfn0-23577
Creative Commons License 4.0
Civil liability in medicine in the legal system of the Republic of North Macedonia
Goce Delchev University, Faculty of Law, Shtip, Republic of North Macedonia

e-mail: marija.ampovska@ugd.edu.mk

Abstract

The Macedonian legal system does not contain special rules on the liability of medical institutions and medical staff for damage that is caused while providing health services. This implies that the general rules of civil liability, which can be found in the Macedonian Obligation Relations Act (ORA), apply to professional liability of physicians and medical institutions. The comparative law shows that the rules of contractual and non-contractual liability, fault and strict liability as well as vicarious liability can be applied in cases of medical liability. The aim of this paper is to present the existing rules on liability in the Macedonian legal system that may apply in cases of civil liability in medicine, as well as to present cases involving different kinds of liability and analyze the specific differences among them. A clear distinction among different types of liability is essential for deciding which liability rules apply in a particular case: the rules on contractual liability or non-contractual (tort) liability. The legal relationship between a patient and a physician is primarily a contractual relationship and, in these cases, a medical treatment contract is the legal ground of the patient's and the physicians' rights, duties and obligations. The application of the fault liability rules is predominant in comparative law but the mass usage of medical devises and the introduction of high technology into medicine in general have resulted in the tendency to increase the application of strict liability in practice. In this paper, the author addresses the following questions: which of these tendencies and cases are accepted in the Macedonian legal system, and under what conditions are they applied in the Macedonian legislation and in practice.

Keywords

civil liability in medicine; fault liability; strict liability; patient; physician; pecuniary damages; non-pecuniary damages

References

*** (2019) Constitution of the Republic of Macedonia. in: Assembly of the Republic of Macedonia, Skopje, 11 January 2019, available at https://www.sobranie.mk/the-constitution-of-the-republic-of-macedonia-ns_article-constitution-of-the-republic-ofnorth-macedonia.nspx
*** Dutch civil code. Book 7; (Special contracts; Article 446-468); available at http:// www.dutchcivillaw.com/civilcodegeneral.htm, accessed 30.12.2019
*** (2012-2019) Health protection act. Official Gazette of the Republic of Macedonia + Official Gazette of the Republic of North Macedonia, no. 43/2012; 145/2012; 87/2013; 164/2013; 39/2014; 43/2014; 132/2014; 188/2014; 10/2015; 61/2015; 154/2015; 192/2015; 17/2016; 37/2016, 20/2019; no. 101/2019; available in English at https://www.refwo
*** (2008/2015) Zakon za zaštita na pravata na pacientite / Act on protection of patients' rights. Sl. vesnik na R Makedonija, br.82/2008, 12/2009, 53/2011, 150/2015; available at. http://zdravstvo.gov.mk/zakon-za-zashtita-na-prava-na-pacienti/; accessed 10.04.2019
*** (2016) Decision of the Basic Court in Stip. P4-46/2016 of 16.11.2018
*** (2011-2013) Decision of the Court of Appeal in Stip, GZ and Supreme Court of R.M. Rev. n. 358/2011 of 12.05.2011; no. 879/201 of 3.05.2013
*** (1981) Decision of the Supreme Court of Serbia. Pravni život, Rev.2066/80 of 14.01.1981; br. 11/1981; str.120-121
*** (2007) Decision of the Constitutional Court of Croatia. U-III -3002/2005 from 21.11.2007
*** (2007) Decision of the constitutional court of Croatia. U-III-1062/2005 of 15.11.2007
*** (1988) Decision of the Constitutional Court of Croatia. Vs, Rev-298/88 of 13.10.1988.; PSP-43/76; https://hrcak.srce.hr > file; accessed 30.12.2019
*** (1964) Decision of Turkish Court of Cassation. Decision from 6 July 1964; E 964/37; K 40
*** (2004) Compensation in the health care sector. in: Koch, B.; Koziol, H. [ed.] No-fault compensation in the health care sector, Wien: Springer-Verlag, pp. 89-120
*** (2010) Pravilnik za imunoprofilaksa, hemioprofilaksa, licata koi podležat na ovie merki, načinot na izveduvanje i vodenje na evidencija i dokumentacija. Služben vesnik na Republika Makedonija, br 65/2010; available at http://zdravstvo.gov.mk/wp-content/uploads/2012/12/imunizacijapravilnik.pdf; (accessed 10.04.2019)
*** (2001) Zakon za obligacionite odnosi / Obligation Relations Act. Sl. vesnik na R Makedonija, br. 18 od 5.03.2001. g
Apostolska, Z., Tozija, F. (2010) Annual national report 2010: Pensions, health and long-term care. Skopje, Available at http://www.socialprotection.eu/files_db/903/asisp_ANR10_FYR_Macedonia.pdf
Crnić, I. (2009) Odgovornost liječmika za štetu. Zagreb: Organizator
Dute, J. (2004) A comparison of no-fault compensation schemes. in: Dut J.; Faure M.; Koziol H. [ed.] No-fault compensation in the health care sector, Vienna: Springer, pp. 444-484
Galev, G., Anastasovska, J.D. (2009) Obligaciono pravo. Skopje: CEPPE
Klarić, P. (2003) Odstetno pravo. Narodne novine ( Zagreb)
Knežić, D.P., Dabić, L. (2009) Slobodne profesije - pravni aspekti. Beograd: Institut za uporedno pravo
Lekarska Komora Na Makedonija (1992) Kodeks na medicinska deontologija / Codex of medical deontology. Available at http://www.lkm.org.mk/mk/zapis.asp?id=278; (accessed 08.04.2019)
Özsunay, E. (2007) Medical liability and liaility of health institutions in Turkish law. European Journal of health law, pp. 355-367)
Radišić, J. (2007) Odgovornost zbog štete izazvane lekarskom greškom u lečenju i u obaveštavanju pacijenta. Beograd: Nomos
Radišić, J.D. (1992) Pravna priroda odgovornosti medicinskih poslenika i njihovog odnosa s pacijentima. Pravni život, vol. 41, br. 11-12, str. 1759-1771
Unver, Y. (2016) The legal nature of doctor patient relationship in Turkish medical law. Medicine, Law & Society, pp. 59-71
Wendehorst, C. (2004) Compensation in the German health care sector. in: No-fault compensation in the health care sector, Wien: Springer-Verlag