The role of the ECtHR in the investigation and prevention of medical crimes: Impact on national practice

Authors

  • Constantin Pisarenco Free International University of Moldova (ULIM)
  • Serghei Pisarenco Chiril Draganiuc Institute of Pneumology

Keywords:

COVID-19 Pandemic, European Court of Human Rights, Medical Liability, Medical Negligence, Positive Obligations, Right to Life, Transparency of Investigations

Abstract

This article examines the role of the European Court of Human Rights (ECtHR) in shaping standards for the investigation and prevention of medical crimes, as well as the impact of its decisions on the development of national medical liability mechanisms. The study covers the period from 2010 to 2024 and is based on an analysis of twenty-six key cases included in the official HUDOC database. Using systemic, comparative-legal, and content-analytical methods, the study combines legal and institutional analysis of judicial practice. The Court has established an integrated approach to state obligations, viewing the right to life as comprising both substantive and procedural guarantees. Particular attention is paid to the impact of the COVID-19 pandemic on the development of judicial doctrine. The article emphasizes that the ECtHR performs not only a judicial but also a normative function, shaping a humanistic model of medical liability and demonstrate that the ECtHR's practice contributes to strengthening the rule of law and fostering a pan-European culture of medical justice.

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References

Aftanache v. Romania. European Court of Human Rights, Judgment of 26 May 2020, Application No. 999/19. Available at: https://hudoc.echr.coe.int/eng?i=001-202732 (accessed on 10 August 2025).

AKANDJI-KOMBÉ, J.-F. Positive Obligations under the European Convention on Human Rights: A Guide to the Implementation of the European Convention on Human Rights. Strasbourg: Council of Europe, 2007. Available at: https://rm.coe.int/168007ff4d (accessed on 10 August 2025).

Arskaya v. Ukraine. European Court of Human Rights, Judgment of 5 December 2013, Application No. 45076/05. Available at: https://hudoc.echr.coe.int/fre?i=001-138590 (accessed on 10 August 2025).

Cantaragiu v. Republic of Moldova. European Court of Human Rights, Judgment of 15 June 2021, Application No. 13013/11. Available at: https://hudoc.echr.coe.int/eng?i=001-201865 (accessed on 10 August 2025).

CHEVALIER-WATTS, J. Effective investigations under article 2 of the European Convention on Human Rights: securing the right to life or an onerous burden on a State?. European Journal of International Law, 2010, 21(3), 701–721. https://doi.org/10.1093/ejil/chq045

COUNCIL OF EUROPE; EUROPEAN COURT OF HUMAN RIGHTS. Guide on Article 2 of the European Convention on Human Rights-Right to Life. Strasbourg: Council of Europe, 2025. Available at: https://ks.echr.coe.int/documents/d/echr-ks/guide_art_2_eng (accessed on 10 August 2025).

Eugenia Lazăr v. Romania. European Court of Human Rights, Judgment of 16 February 2010, Application No. 32146/05. Available at: https://hudoc.echr.coe.int/eng?i=001-123214 (accessed on 10 August 2025).

EUROPEAN COURT OF HUMAN RIGHTS. Health Care in Prison. Strasbourg: Council of Europe, 2025. Available at: https://ks.echr.coe.int/documents/d/echr-ks/health-care-in-prison (accessed on 10 August 2025).

Garrido Herrero v. Spain. European Court of Human Rights, Judgment of 26 January 2022, Application No. 61019/19. Available at: https://hudoc.echr.coe.int/eng?i=001-219650 (accessed on 10 August 2025).

GENNET, É. The Council of Europe’s Underrated Role in Fostering Equitable Access to Quality Health Care in Times of Pandemic. Health and Human Rights Journal, 2024, 26(1), 45–56. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC11197862/ (accessed on 10 August 2025).

Gray v. Germany. European Court of Human Rights, Judgment of 22 May 2014, Application No. 49278/09. Available at: https://hudoc.echr.coe.int/?i=001-144123 (accessed on 10 August 2025).

HORODOVENKO, V. V. et al. Protection of Patients’ Rights in the ECtHR. Wiadomości Lekarskie, 2018, 71(6), 1200–1206. Available at: https://wiadlek.pl/wp-content/uploads/2020/01/WL-6-2018.pdf (accessed on 10 August 2025).

Isayeva v. Ukraine. European Court of Human Rights, Judgment of 4 December 2018, Application No. 35523/06. Available at: https://hudoc.echr.coe.int/fre?i=001-187919 (accessed on 10 August 2025).

KAPELAŃSKA-PRĘGOWSKA, J. Medical negligence, systemic deficiency, or denial of emergency healthcare? Reflections on the European Court of Human Rights Grand Chamber Judgment in Lopes de Sousa Fernandes v. Portugal of 19 December 2017 and previous case-law. European Journal of Health Law, 2019, 26(1), 26–43. https://doi.org/10.1163/15718093-12550407

KARAČIĆ J, VIĐAK M, MARUŠIĆ A. Reporting violations of European Charter of Patients’ Rights: Analysis of patient complaints in Croatia. BMC Medical Ethics, 2021, 22(1), 148. https://doi.org/10.1186/s12910-021-00714-3

Ketreb v. France. European Court of Human Rights, Judgment of 19 July 2012, Application No. 38447/09. Available at: https://hudoc.echr.coe.int/eng?i=001-112285 (accessed on 10 August 2025).

Khan v. France. European Court of Human Rights, Judgment of 28 February 2019, Application No. 12267/16. Available at: https://hudoc.echr.coe.int/eng?i=001-191587 (accessed on 10 August 2025).

Magnitskiy and Others v. Russia. European Court of Human Rights, Judgment of 27 August 2019, Application Nos. 32631/09 and 53799/12. Available at: https://hudoc.echr.coe.int/fre?i=001-195527 (accessed on 10 August 2025).

MIZIARA, I. D.; MIZIARA, C. S. M. G. M. Medical Errors, Medical Negligence and Defensive Medicine: A Narrative Review. Clinics, 2022, 77, article 100053. https://doi.org/10.1016/j.clinsp.2022.100053

MURGEL, J. Medical Negliegence and Liability of Health Professionals in the European Court of Human Rights Case Law. Medicine, Law & Society, 2020, 13(1), 21–44. Available at: https://doi.org/10.18690/mls.13.1.21-44.2020 (accessed on 10 August 2025).

Pindo Mulla v. Spain. European Court of Human Rights, Judgment of 4 April 2024, Application No. 15541/20. Available at: https://hudoc.echr.coe.int/eng?i=001-236065 (accessed on 10 August 2025).

PRANKA, D. The Price of Medical Negligence-Should It Be Judged by the Criminal Court in the Context of the Jurisprudence of the European Court of Human Rights? Baltic Journal of Law & Politics, 2021, 14(1), 124–152. https://doi.org/10.2478/bjlp-2021-0006

S.F.K. v. Russia. European Court of Human Rights, Judgment of 11 October 2022, Application No. 5578/12. Available at: https://hudoc.echr.coe.int/eng?i=001-219642 (accessed on 10 August 2025).

Salakhov and Islyamova v. Ukraine. European Court of Human Rights, Judgment of 14 March 2013, Application No. 28005/08. Available at: https://hudoc.echr.coe.int/fre?i=001-117134 (accessed on 10 August 2025).

SĂRARU, I. C. Medical Malpractice Regulation: Civil, Administrative, and Criminal Liability. Romanian Journal of Ophthalmology, 2018, 62(2), 93–95. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC6117522/ (accessed on 10 August 2025).

Savca v. Republic of Moldova. European Court of Human Rights, Judgment of 21 June 2016, Application No. 17963/08. Available at: https://hudoc.echr.coe.int/eng?i=001-168551 (accessed on 10 August 2025).

Scripnic v. Republic of Moldova. European Court of Human Rights, Judgment of 13 April 2021, Application No. 63789/13. Available at: https://hudoc.echr.coe.int/eng?i=001-144985 (accessed on 10 August 2025).

STOYANOVA, V. Fault, Knowledge and Risk within the Framework of Positive Obligations under the European Convention on Human Rights. Leiden Journal of International Law, 2020, 33(3), 601–620. https://doi.org/10.1017/S0922156520000163

Traskunova v. Russia. European Court of Human Rights, Judgment of 30 August 2022, Application No. 21648/11. Available at: https://hudoc.echr.coe.int/eng?i=001-218919 (accessed on 10 August 2025).

WICKS, E. The Role of the Right to Life in Respect of Deaths Caused by Negligence in the Healthcare Context. Medical Law Review, 2024, 32(1), 81–100. https://doi.org/10.1093/medlaw/fwad037

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Published

31-12-2025

How to Cite

“The role of the ECtHR in the investigation and prevention of medical crimes: Impact on national practice” (2025) Cadernos de Dereito Actual, (30), pp. 1–18. Available at: https://cadernosdedereitoactual.es/index.php/cadernos/article/view/1389 (Accessed: 8 January 2026).