{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T19:45:29Z","timestamp":1782675929153,"version":"3.54.5"},"reference-count":0,"publisher":"ALUNA","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiadomo\u015bci Lekarskie"],"abstract":"<jats:p>Aim: To examine the right to refuse medical treatment and resuscitation as a component of somatic rights, to analyze comparative legal frameworks in the\nUSA, EU member states and Ukraine, and to identify criteria for distinguishing lawful refusal of treatment from violations of medical and legal obligations.\nMaterials and Methods: The study employs a comparative legal method to analyze legislation across multiple jurisdictions, formal legal analysis of national\nand international normative acts, and case-law analysis of key ECtHR decisions, including Arskaya v. Ukraine, Pindo Mulla v. Spain, and Lambert v. France.\nDoctrinal legal sources on patient autonomy, informed consent, and advance directives were also examined.\nConclusions: The right to refuse medical treatment constitutes a fundamental somatic right grounded in personal autonomy and human dignity. Ukraine\nrequires systemic legislative reform to introduce legally binding advance directives and DNR orders, accompanied by safeguards including competency verification,\ncentralized registries, and guaranteed access to palliative care.<\/jats:p>","DOI":"10.36740\/wlek\/220843","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T19:30:14Z","timestamp":1782675014000},"page":"1127-1133","source":"Crossref","is-referenced-by-count":0,"title":["Patient autonomy and the right to refuse medical intervention: Medical and legal aspects"],"prefix":"10.36740","author":[{"given":"Maryna M.","family":"Vyshnevska","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleksandr O.","family":"Kotukha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viktoriia Yu.","family":"Svyshcho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serhii S.","family":"Pyroha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22436","published-online":{"date-parts":[[2026,5,29]]},"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"link":[{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-220843-141711","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-220843-141711","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T19:30:22Z","timestamp":1782675022000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/Patient-autonomy-and-the-right-to-refuse-medical-intervention-Medical-and-legal-aspects,220843,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"alternative-id":["220843"],"URL":"https:\/\/doi.org\/10.36740\/wlek\/220843","relation":{},"ISSN":["0043-5147","2719-342X"],"issn-type":[{"value":"0043-5147","type":"print"},{"value":"2719-342X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}