Arzt G
Institut für Strafrecht und Kriminologie, Universität Bern.
Schweiz Med Wochenschr. 1999 Apr 24;129(16):607-12.
The author discusses the legal implications of medical guidelines. If treatment differs from such guidelines and the results for the patient are negative, the physician will come under considerable pressure to explain why the treatment was correct lege artis, deviation from guidelines notwithstanding. Sense or nonsense of guidelines is a matter to be discussed among the medical profession. However, if guidelines should attempt to limit or lower the quality of care for financial reasons, we are faced with the issue of priorities in a world where resources are limited. This is a legal issue which society as a whole has to decide; it is not a matter to be left to medical experts.
作者探讨了医学指南的法律影响。如果治疗与这些指南不同,且对患者的结果是负面的,医生将面临巨大压力,需要解释尽管偏离了指南,但治疗为何在技术上是正确的。指南是否合理是医学界需要讨论的问题。然而,如果指南出于财务原因试图限制或降低医疗质量,在资源有限的世界里,我们就面临着优先事项的问题。这是一个整个社会都必须决定的法律问题;而不是留给医学专家的事情。