Vacarezza Ricardo, Núñez Elena
Centro de Bioética Hospital del Salvador, Av. Salvador 364, Santiago, Chile.
Rev Med Chil. 2003 Jan;131(1):111-4.
It is not clear if medical records belong to the physician, the institution or the patient. There is a bill being discussed in the Chilean Congress that establishes that "the patient, personally or through a representative, has the right to access and review his medical record. In case of death, this right may be exerted by his inheritors". In this article we postulate that this bill infringes a number of legal norms in force and universally accepted ethical principles. We distinguish between patient's advocacy to be informed and their free access to medical records. The main ethical principles violated are those of beneficence and non maleficence.
目前尚不清楚病历属于医生、机构还是患者。智利国会正在讨论一项法案，该法案规定“患者本人或通过代表有权查阅和审查自己的病历。患者死亡的情况下，其继承人可行使这一权利”。在本文中，我们假定该法案违反了一些现行的法律规范和普遍接受的伦理原则。我们区分了患者被告知的主张和他们对病历的自由查阅权。主要违反的伦理原则是行善原则和不伤害原则。
