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治疗伙伴关系:消费者健康信息的法律与伦理问题

The therapeutic partnership: legal and ethical aspects of consumer health information.

作者信息

Gann R

机构信息

Help for Health Trust, Winchester, UK.

出版信息

Health Libr Rev. 1995 Jun;12(2):83-90.

Abstract

Patients' rights to information in the UK are based on a mixture of statute (including legislation on access to medical records) and case law (principally revolving around the issue of informed consent). These rights are set out in the Patient's Charter, which is itself a mixture of rights based on legislation and those enforced by management practice. Failure to provide adequate information to a patient could expose a medical practitioner to action for negligence or battery. Negligent information-giving could also expose consumer health information services to damages, for which the best defence is a high standard of professional competence and adequate professional indemnity insurance. Sharing information about the risks and benefits of treatment to enable truly informed decision making and consent by the patient is a key element of an ethical relationship between care giver and consumer--the therapeutic partnership.

摘要

在英国,患者的信息权基于法规(包括获取医疗记录的立法)和判例法(主要围绕知情同意问题)的混合。这些权利在《患者宪章》中有规定,该宪章本身就是基于立法的权利和管理实践所执行的权利的混合体。未能向患者提供充分信息可能会使医生面临过失或殴打指控。提供疏忽信息也可能使消费者健康信息服务面临损害赔偿,对此最佳的抗辩是高标准的专业能力和充足的专业 indemnity insurance(此处“indemnity insurance”直译为“赔偿保险”,可能结合上下文有更准确的专业术语表达,但仅按要求翻译)。分享治疗的风险和益处信息,以使患者能够真正做出明智的决策并给予同意,是护理者与消费者之间道德关系的关键要素——治疗伙伴关系。

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