Mykitiuk Roxanne, Turnham Stephanie
Osgoode Hall Law School,York University,Toronto ON.
J Obstet Gynaecol Can. 2004 Nov;26(11):991-9. doi: 10.1016/s1701-2163(16)30421-2.
The ethical and legal obligations with respect to treating a minor can be confusing, particularly in the areas of consent to treatment, confidentiality, and parental involvement. The clinician must be aware of the appropriate course of practice when the patient is an adolescent seeking care for contraception, pregnancy, or sexually transmitted infections. This article examines a number of ethical and legal issues that arise when providing reproductive and sexual health care to an adolescent and offers recommendations for the physician's most appropriate courses of action regarding adolescent patients and the age of consent to sexual activity, reporting of child abuse, provision of reproductive and sexual health care to a minor, assessing an adolescent's capacity to consent to treatment, the physician's duty of confidentiality, and the exceptions to the rule of confidentiality.
在治疗未成年人方面的伦理和法律义务可能令人困惑，尤其是在治疗同意、保密和家长参与等领域。当患者是寻求避孕、怀孕或性传播感染治疗的青少年时，临床医生必须清楚适当的做法。本文探讨了在为青少年提供生殖和性健康护理时出现的一些伦理和法律问题，并就医生针对青少年患者及性行为同意年龄、虐待儿童报告、为未成年人提供生殖和性健康护理、评估青少年同意治疗的能力、医生的保密义务以及保密规则的例外情况等方面最适当的行动方案提出建议。
