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HEALTH

France to ban vaginal exams without consent

France has moved to ban vaginal and rectal exams on unconscious patients after a study found that many were being performed without patient consent.

France to ban vaginal exams without consent
One in three pelvic examinations by first-year students are carried out without consent. Photo: AFP
It might sound like common sense, but France is set to put an end to the practice of doctors and their students carrying out rectal and vaginal examinations on patients who haven't expressly given their permission. 
 
The reason? It was revealed that some doctors have been using patients under general anesthetic as teaching tools for their students. 
 
While doctors claimed it was simply medical teaching, others were outraged that male and female patients hadn't given their permission. 
 
Among the most vocal were a group of fifty doctors, feminists, and social workers, who wrote an open letter to the French government in February demanding a change to the system. 
 
The group noted that medical directors had been quoted as saying they didn't ask for permission because patients “might say no”, or even that it was “preferable” that the patients “don't remember that people unknown to them have 'had a look'”.
 
Women's rights group Osez Le Féminisme said the examinations met the legal definition of rape in that they were “An act of sexual penetration committed on another, either by violence, restraint, threat or surprise”. 
 
One former student doctor told L'Express that she remembered carrying out gynocology exams on unconscious patients at a Paris clinic. 
 
“Before the operation, we were told we could make a vaginal examination when the patient was asleep. We all took turns without asking any questions,” she said.
 
In response to the revelations, Health Minister Marisol Touraine asked for an official report to be carried out by teaching hospital medical deans, who came back with troubling figures. 
 
They said no patient consent had been obtained for for one in three pelvic examinations by first-year students, or one in five such procedures carried out by more experienced students. 
 
Touraine said the report was “very worrying” and “condemned with the utmost firmness these illegal practices”.
 
“The state will be extremely firm against these unacceptable practices which undermine the integrity of the human body and the human rights of patients,” she said in a statement
 
The minister added that new measures would be taken to ensure no one in France would be examined by third parties if they hadn't given prior permission. 

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HEALTH

Lengthy waiting times at Danish hospitals not going away yet: minister

Danish Minister for the Interior and Health Sophie Løhde has warned that, despite increasing activity at hospitals, it will be some time before current waiting lists are reduced.

Lengthy waiting times at Danish hospitals not going away yet: minister

The message comes as Løhde was set to meet with officials from regional health authorities on Wednesday to discuss the progress of an acute plan for the Danish health system, launched at the end of last year in an effort to reduce a backlog of waiting times which built up during the coronavirus crisis.

An agreement with regional health authorities on an “acute” spending plan to address the most serious challenges faced by the health services agreed in February, providing 2 billion kroner by the end of 2024.

READ ALSO: What exactly is wrong with the Danish health system?

The national organisation for the health authorities, Danske Regioner, said to newspaper Jyllands-Posten earlier this week that progress on clearing the waiting lists was ahead of schedule.

Some 245,300 operations were completed in the first quarter of this year, 10 percent more than in the same period in 2022 and over the agreed number.

Løhde said that the figures show measures from the acute plan are “beginning to work”.

“It’s positive but even though it suggests that the trend is going the right way, we’re far from our goal and it’s important to keep it up so that we get there,” she said.

“I certainly won’t be satisfied until waiting times are brought down,” she said.

“As long as we are in the process of doing postponed operations, we will unfortunately continue to see a further increase [in waiting times],” Løhde said.

“That’s why it’s crucial that we retain a high activity this year and in 2024,” she added.

Although the government set aside 2 billion kroner in total for the plan, the regional authorities expect the portion of that to be spent in 2023 to run out by the end of the summer. They have therefore asked for some of the 2024 spending to be brought forward.

Løhde is so far reluctant to meet that request according to Jyllands-Posten.

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