Hanoa Rolf
Avdeling for hjerte-, lunge- og karkirurgi Universitetssykehuset i Nord-Norge 9038 Tromsø.
Tidsskr Nor Laegeforen. 2002 Jan 30;122(3):290-2.
From 1 January 2001, a new Patients Rights' Act came into force in Norway that regulates many aspects of clinical work, including patients' right to be adequately informed, the right to a second opinion, the right to choose hospital, the right to refuse a blood transfusion, and the terminally ill patient's right to refuse further treatment. This study aims at assessing the impact of the new legislation on given cases in vascular surgery and to clarify in what ways work procedures in a vascular surgical department should be changed in view of the new rules.
Ten cases drawn from our department between autumn 2000 and January 2001 were analysed in relation to the new legislation, each case representing a specific medico-legal issue regulated by the new act.
By and large, established practice in our department is in line with the new legislation. However, better documentation is required, as well as more emphasis on integrity in relation to competing hospitals.
Surgeons should be well informed on regulations directly affecting the practice of surgery.
从2001年1月1日起，挪威一项新的《患者权利法案》生效，该法案对临床工作的许多方面进行了规范，包括患者获得充分信息的权利、获得第二诊疗意见的权利、选择医院的权利、拒绝输血的权利以及晚期患者拒绝进一步治疗的权利。本研究旨在评估新立法对血管外科特定病例的影响，并阐明鉴于新规则，血管外科部门的工作程序应在哪些方面做出改变。
对2000年秋季至2001年1月期间从我们科室选取的10个病例进行了与新立法相关的分析，每个病例代表新法案规定的一个特定的医疗法律问题。
总体而言，我们科室的既定做法符合新立法。然而，需要更好的记录，以及更加强调与竞争医院相关的诚信问题。
外科医生应充分了解直接影响手术实践的法规。
