Riekenbrauck W
Justizvollzugskrankenhaus Nordrhein-Westfalen, Fröndenberg.
Z Arztl Fortbild Qualitatssich. 2000 Apr;94(4):277-81.
The basic principle of medical discretion within the prisons and penal organs is regulated under section 182 StVollzG. It is advisable for the physicians as well as for the members of penal organs to handle the principle of medical discretion in prison with a great care and hence to encourage a better understanding and cooperation between the physicians and the patients in custody. The physicians should have the responsibility to administer the adequate diagnostic, treatment and meet relevant decisions within the existing regulations. The primary medical examination within the first 24 hrs in custody should be regarded as the central issue of the health care for the prisoners. The results of the examination should as well be under the above mentioned medical discretion. The section 182 StVollzG should be explained in a simplified and understandable form prior the primary medical examination has been done.
《刑事执行法》第182条对监狱及刑罚执行机关内医疗保密的基本原则作出了规定。医生以及刑罚执行机关的工作人员在处理监狱内的医疗保密原则时应格外谨慎,从而促进医生与被羁押患者之间更好地理解与合作。医生有责任在现有规定范围内进行充分的诊断、治疗并作出相关决定。被羁押后24小时内的初次体检应被视为囚犯医疗保健的核心问题。体检结果也应遵循上述医疗保密原则。应在初次体检进行之前,以简单易懂的形式对《刑事执行法》第182条进行解释。