Berger J T, Rosner F, Kark P, Bennett A J
Winthrop University Hospital, Mineola, NY, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA.
J Gen Intern Med. 2000 Sep;15(9):667-72. doi: 10.1046/j.1525-1497.2000.04309.x.
Physicians routinely care for patients whose ability to operate a motor vehicle is compromised by a physical or cognitive condition. Physician management of this health information has ethical and legal implications. These concerns have been insufficiently addressed by professional organizations and public agencies. The legal status in the United States and Canada of reporting of impaired drivers is reviewed. The American Medical Association's position is detailed. Finally, the Bioethics Committee of the Medical Society of the State of New York proposes elements for an ethically defensible public response to this problem.
医生经常会诊治一些患者,这些患者驾驶机动车的能力因身体或认知状况而受到损害。医生对这些健康信息的管理具有伦理和法律意义。专业组织和公共机构对这些问题的关注还不够充分。本文回顾了美国和加拿大关于报告受损驾驶员的法律状况。详细阐述了美国医学协会的立场。最后,纽约州医学协会生物伦理委员会提出了一些要素,以便从伦理角度对这一问题作出合理的公众回应。