Hulst E H
Erasmus Universiteit, Instituut Beleid en Management Gezondheidszorg, Rotterdam.
Ned Tijdschr Geneeskd. 1999 Jun 12;143(24):1268-71.
The possibilities to exercise family authority over minors have been extended drastically since 1998. This has its consequences for the doctor with respect to medical treatment. According to the Dutch act on agreement concerning medical treatment the minor up to the age of fifteen needs his tutor in deciding about medical treatment. From the age of sixteen the child decides for himself. New family law offers the doctor many more representatives of the child. Representatives may be parents, tutors of special curators. Main changes in the family law are that since 1998 the partner of a parent or of a tutor may be given family authority. Furthermore this is now also possible for a parent or tutor living together with a partner of the same sex. The central issue is that the best interests of the child always prevail and that the physician has the legal obligation to act as a good assistant. This may entail the physician's ascertaining who represents the child and who is allowed to decide and to be informed. This is not necessarily the person accompanying the child.
自1998年以来,对未成年人行使家庭权威的可能性大幅增加。这给医生的治疗工作带来了影响。根据荷兰关于医疗协议的法案,15岁以下的未成年人在决定医疗事宜时需要其监护人。从16岁起,孩子可以自己做决定。新的家庭法为医生提供了更多孩子的代表。代表可能是父母、特别监护人的监护人。家庭法的主要变化是,自1998年以来,父母或监护人的伴侣可能被赋予家庭权威。此外,与同性伴侣同居的父母或监护人现在也有可能。核心问题是,孩子的最大利益始终优先,医生有法律义务充当好助手。这可能需要医生确定谁代表孩子,谁有权决定并被告知。不一定是陪同孩子的人。