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医生、道歉与法律:对道歉法的分析与批判

Doctors, apologies, and the law: an analysis and critique of apology laws.

作者信息

Wei Marlynn

机构信息

Yale Law School, USA.

出版信息

J Health Law. 2007 Winter;40(1):107-59.

Abstract

This Article analyzes and critiques apology laws, their potential use, and effectiveness, both legally and ethically, in light of the strong professional norms that shape physicians' reaction to medical errors. Physicians are largely reluctant to disclose medical errors to patients, patients' families, and even other physicians. Some states have passed so-called apology laws in order to encourage physicians to disclose medical errors to patients. Apology laws allow defendants to exclude statements of sympathy made after accidents from evidence in a liability lawsuit. This Article examines potential barriers to physicians' disclosure of medical mistakes and demonstrates how the underlying problem may actually be rooted in professional norms-norms that will remain outside the scope of law's influence. The Article also considers other legal and policy changes that could help to encourage disclosure.

摘要

本文根据塑造医生对医疗差错反应的严格专业规范,从法律和伦理层面分析并批判了道歉法、其潜在用途及有效性。医生大多不愿向患者、患者家属乃至其他医生披露医疗差错。一些州已通过所谓的道歉法,以鼓励医生向患者披露医疗差错。道歉法允许被告在责任诉讼中将事故后作出的同情声明排除在证据之外。本文探讨了医生披露医疗失误的潜在障碍,并表明潜在问题实际上可能源于专业规范,而这些规范将处于法律影响范围之外。本文还考虑了有助于鼓励披露的其他法律和政策变化。

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