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Biomedical subjects

H D Abbing

Publications and source records attributed to H D Abbing.

4 recordsLinked to original sources

Genetic predictive testing and private insurances.

Genetic information is a potential tool for selection of job applicants and of candidates for insurance. Social implications of genetic information may represent a threshold for the access to health care facilities. Some of the issues related to the use of predictive genetic information by private life and health insurance companies are discussed. They include the potential threat for the privacy of the individual and his relatives, the pressure to undergo genetic testing and the social consequences of the use of genetic information by private insurance companies. The justified financial interests of insurance companies and the interests of the individual to have his privacy protected and to be able to partake in social attainments have to be brought into balance. A ban on genetic testing in connection with access to insurances and a limitation to the use of existing genetic information have been suggested by the Dutch Health Council. This approach to the problem should be adopted throughout the European Communities, so that medical progress does not turn out to be against the interests of the consumer.

AIDS Serodiagnosis↗

Organ donation, the legal framework.

Various factors influence the availability of post-mortem organs. The most important ones (systems to be applied for organ retrieval to be lawful, organizational and financial aspects, information of the public) are discussed. Because there will always remain some shortage of organs, the selection problem of recipients of an organ is also discussed. Its public acceptability and the possibility for scrutiny are pleaded for. Commercialization is rejected as being against the health interest of donor and recipient. A design for a European (legal) framework is given with a view to create optimal chances for a patient in need of an organ. Further cooperation in this field between the European Communities, the Council of Europe and the World Health Organization is recommended, which might result in the drawing up of a Convention on the subject matter.

Commerce↗

The licensing system of Dutch hospitals: a method for quality assurance in health care.

The Dutch licensing system for hospitals is an outstanding example of quality assurance through indirect legislation. In this method the government sets the general frame within which hospitals are free to establish their own procedures. Some requisites for effectiveness and efficiency of a licensing system are formulated. It is argued that if hospitals and health professionals do not fulfil certain requirements when establishing regulatory mechanisms on a voluntary basis, the government will have to intervene with a view to protect the patient.

Hospitals↗