RESUMO
An analysis is given of the management and organization of out-patient medical care in 15 districts and of the District Physician's responsibilities as well as the profile of a District Health Department. Compared to the situation of a decade ago, substantial changes in the territorial health organization have occurred (decentralization, formation of care areas, affiliation of small health facilities to bigger ones). The District Physician's scope of responsibility is increasingly determined by activities within the framework of the District Council, the proportion of organizational work has increased. In order to be able to fulfill his tasks the District Physician needs the support of a special Health Department. Skeleton regulations for out-patient medical care are necessary.
Assuntos
Assistência Ambulatorial/organização & administração , Serviços de Saúde Comunitária/organização & administração , Encaminhamento e Consulta/organização & administração , Alemanha Oriental , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Ambulatório Hospitalar/organização & administração , Estatística como AssuntoAssuntos
Educação Continuada em Odontologia , Educação Médica Continuada , Odontólogas , Educação Continuada em Odontologia/legislação & jurisprudência , Educação Médica Continuada/legislação & jurisprudência , Feminino , Alemanha Oriental , Humanos , Médicas , Gravidez , Fatores de Tempo , TrabalhoRESUMO
Therapeutic heterologous inseminations violate neither the socialist law of the German Democratic Republic nor the standards of socialist moral. From the view of the G.D.R. family code and insemination child is considered as legitimate, as each other child born to a married couple. A later voidance of paternity because of the heterologous insemination is not possible for both, father and mother, from the very beginning disclaim it. According to the family code of the G.D.R. the donor is neither related to the child, nor his paternity can be determined later by legal proceedings. Because of this legal status insemination child or his parents cannot demand alimony from the sperm donor or the inseminator.
Assuntos
Inseminação Artificial Heteróloga , Inseminação Artificial , Jurisprudência , Feminino , Alemanha Oriental , Humanos , Legislação como Assunto , Masculino , Paternidade , GravidezRESUMO
Except of adoption the heterologous insemination has for some years in the GDR been a part of the therapeutic possibilities of a couple's androgen sterility. However, there is no uniform conception on practical proceeding, juridical problems, selection of sperm donors and documentation of data. This paper describes the practical proceeding at the women's hospital of Berlin's Humboldt University (Charité). It contains, among other things, an indication list, regulations for medical examination, instruction and juridical securing of both the donor and the married couple. Documentation of data under special regard of professional discretion is also dealt with.