Taub Sara, Morin Karine, Spillman Monique A, Sade Robert M, Riddick Frank A
American Medical Association, Chicago, IL 60610, USA.
Genet Test. 2004 Fall;8(3):356-9. doi: 10.1089/gte.2004.8.356.
Increasing numbers of people are seeking genetic testing and uncovering information that directly concerns their biological relatives as well as themselves. This familial quality of genetic information raises ethical quandaries for physicians, particularly related to their duty of confidentiality. In this article, the American Medical Association's Council on Ethical and Judicial Affairs examines the informed consent process in the specific context of genetic testing, giving particular consideration to the handling of information that has consequences for biological relatives. Furthermore, it addresses the question of whether physicians' obligation to warn biological relatives ever should override the obligation to protect patient confidentiality.
越来越多的人正在寻求基因检测，并发现与他们的生物学亲属以及他们自己直接相关的信息。基因信息的这种家族性特征给医生带来了伦理困境，特别是与他们的保密义务相关的困境。在本文中，美国医学协会伦理与司法事务委员会审视了基因检测特定背景下的知情同意过程，特别考虑了对生物学亲属有影响的信息的处理。此外，它还探讨了医生警告生物学亲属的义务是否应优先于保护患者保密义务的问题。
