Gordijn B
Universitätsklinikum St Radboud, Fachbereich für Ethik, Philosophie und Geschichte der Medizin, Nijmegen, Niederlande.
Dtsch Med Wochenschr. 2006 Mar 17;131(11):573-6. doi: 10.1055/s-2006-933700.
After a genetic diagnosis a physician might deem it important to inform family members of his counselee who might have an increased risk of having a certain genetic predisposition. Against this background this contribution analyzes the following ethical questions: 1. To what extent is the physician ethically obligated to see to it that the family members are being informed? 2. Are there circumstances under which the physician is ethically allowed to violate his obligation of confidentiality? 3. Is it ethically allowed to refuse a genetic test when the counselee does not agree with informing family members even if this might clearly be in their interest? 4. Is it ethically allowed to inform family members about an increased risk of a genetic predisposition in the family without their explicit request?
在进行基因诊断后，医生可能会认为告知其咨询对象的家庭成员很重要，因为这些家庭成员可能有更高的风险携带某种遗传易感性。在此背景下，本文分析了以下伦理问题：1. 医生在伦理上有多大义务确保家庭成员得到通知？2. 是否存在医生在伦理上被允许违反保密义务的情况？3. 当咨询对象不同意告知家庭成员时，即使这显然符合他们的利益，拒绝进行基因检测在伦理上是否被允许？4. 在没有家庭成员明确请求的情况下，告知他们家族中遗传易感性风险增加在伦理上是否被允许？
