Arch Pathol Lab Med. 1992 Nov;116(11):1120-3.
The medical profession has long recognized the need to maintain the confidentiality of a patient's medical condition, particularly when stigmatizing conditions, like human immunodeficiency virus infections, are involved. The obligation to maintain confidentiality continues after the death of the patient. At the same time, there may be public health concerns that justify limited disclosure of a deceased person's human immunodeficiency virus status. This report provides guidelines that balance the need for confidentiality with public health concerns when a deceased person infected with the human immunodeficiency virus undergoes an autopsy.
长期以来,医学界一直认识到有必要对患者的病情保密,尤其是在涉及诸如人类免疫缺陷病毒感染等会带来污名化的病症时。即使患者去世后,保密义务依然存在。与此同时,出于公共卫生方面的考虑,可能有理由有限度地披露死者的人类免疫缺陷病毒感染状况。本报告提供了一些指导方针,用于在感染人类免疫缺陷病毒的死者进行尸检时,平衡保密需求与公共卫生关切。