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[职业医学医生进行检查时患者签名的有效性]

[Efficiency of the patient's signature in examinations performed by the occupational medicine doctor].

作者信息

Zajdel Radosław, Zajdel Justyna

机构信息

Zakład Informatyki i Statystyki Medycznej, Uniwersytet Medyczny, Łódź.

出版信息

Med Pr. 2008;59(6):477-88.

Abstract

BACKGROUND

A special relationship occurring between the doctor and the patient, besides many stipulations of the ethical nature, is controlled by numerous legal regulations. In the Polish legislative system, there are no clear and unequivocal regulations that would precisely define the diagnostic-therapeutic process. Communication, namely the exchange of information between the doctor and the patient plays a particular role in this process in which the doctor bears much greater responsibility than the patient, and thus is obliged to provide the patient with the comprehensible information presented in such a way that he or she would be able to interpret it properly.

MATERIAL AND METHODS

The analysis comprised the binding legislation concerning prophylactic examination as well as drivers examination. The problem was discussed taking into account the current court judgments.

RESULTS

The doctor should pay particular attention to adjusting the quality, quantity and way of conveying the information to the patient's ability to acquire and interpret it properly. This ability is associated with the patient's personal traits. There are no algorithms for the doctor-patient communication. The occupational medicine doctors are in a better situation as legislative regulations pertaining to specificity of their health services may indicate proper communication between the doctor and the patient.

CONCLUSIONS

The importance of this communication has been notified in the legislative doctrine, where the idea of informative mistake has been formed. Such a mistake may have significant consequences especially for the occupational medicine doctors due to the specificity of performed functions. The article discusses legislative aspects concerning the exchange of information at the doctor-patient level, and presents some examples of judgments of Polish courts as well as numerous indications useful in everyday practice.

摘要

背景

医生与患者之间存在一种特殊关系,除了许多伦理性质的规定外,还受众多法律法规的约束。在波兰立法体系中,没有明确且毫不含糊的法规能精确界定诊断治疗过程。沟通,即医生与患者之间的信息交流,在这一过程中起着特殊作用,在此过程中医生承担的责任比患者大得多,因此有义务以患者能够正确理解的方式向其提供可理解的信息。

材料与方法

分析包括有关预防性检查以及驾驶员检查的具有约束力的法规。结合当前的法院判决对该问题进行了讨论。

结果

医生应特别注意根据患者获取和正确理解信息的能力来调整信息传达的质量、数量和方式。这种能力与患者的个人特质相关。医患沟通没有固定模式。职业医学医生的情况较好,因为与他们健康服务特殊性相关的立法规定可能表明医生与患者之间的恰当沟通方式。

结论

立法学说已认识到这种沟通的重要性,其中形成了信息性错误的概念。这种错误可能产生重大后果,尤其是对职业医学医生而言,因其履行职责的特殊性。本文讨论了医患层面信息交流的立法方面,并列举了波兰法院判决的一些例子以及日常实践中许多有用的提示。

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