Franco G, Mora Erika
Dipartimento Integrato di Medicine e delle Specialità Mediche, Università di Modena e Reggio Emilia, Largo del Pozzo 71, 41100 Modena.
Med Lav. 2009 May-Jun;100(3):228-36.
Ethical behaviour consists ofindividual choices inspired by knowledge and professional experience derived from the universally acknowledged ethical principles of beneficience/nonmaleficience, autonomy and justice. However, in spite of the unanimous consent on their universal importance, such principles do not usually have the strength of a law.
The recently introduced Italian law on the protection of workers' health represents a novelty because it gives the Ethics Code of the International Commission on Occupational Health legal strength. This paper aims at examining article 25 of legislative decree 81/2008 by comparing the points of the Ethics Code and the Deontology Code of the Italian medical profession.
The relationships between the 12 points of paragraph 1 of article 25, the 26 points ofthe Code ofEthics and the 75 articles of the Deontology Code are described with regard to the occupational health physician's duties (i) of collaboration with other occupational health professionals, (ii) of organization and execution of health surveillance, (iii) of recording, securing, transmitting of medical files on workers' health and (iv) of employee and employer information on the importance and meaning of health surveillance.
道德行为由基于知识和专业经验的个人选择构成,这些知识和经验源自普遍认可的行善/不伤害、自主和公正的道德原则。然而,尽管人们一致认同这些原则具有普遍重要性,但它们通常并不具备法律的强制力。
最近出台的意大利工人健康保护法具有创新性,因为它赋予了国际职业卫生委员会道德准则法律效力。本文旨在通过比较道德准则要点与意大利医学专业职业道德准则,审视2008年第81号立法令第25条。
就职业健康医生在以下方面的职责,阐述了第25条第1款的12点内容、道德准则的26点内容与职业道德准则的75条条款之间的关系:(i)与其他职业健康专业人员的协作;(ii)健康监测的组织与实施;(iii)工人健康医疗档案的记录、保管与传递;(iv)就健康监测的重要性和意义向员工及雇主提供信息。