Center for Bioethics and Humanities, State University of New York Upstate Medical University, 618 East Adams Street, Room 207, Syracuse, NY 13210, USA.
J Gen Intern Med. 2009 Dec;24(12):1333-5. doi: 10.1007/s11606-009-1127-1. Epub 2009 Sep 26.
Physicians often are asked for advice about medical matters by relatives and friends. These range from requests for simple information to requests for medical opinion and judgment and more substantial involvement by the physician. I comment on the motivations and expectations of the requester and the physician, and the legal, ethical, and practical considerations related to such requests. I recommend: (1) Be clear about the expectations of the requester and yourself, including whether you are being asked for simple factual information, your medical judgment and opinion, or more substantial involvement in the situation. (2) Treat your interactions with relatives or friends with the same professional expertise and judgment as you would any patient. (3) Be aware that a physical examination and especially charging a fee strengthen the establishment of a legal relationship with the requester as your patient. (4) Respect the requester's autonomy and confidentiality and conform to HIPAA requirements where applicable. (5) Be aware of the potential conflict between your roles as a relative or friend and as a physician.
医生经常会被亲戚朋友询问医学方面的建议。这些建议的范围从简单的信息请求到医疗意见和判断的请求，再到更实质性的医生参与。我对请求者和医生的动机和期望进行了评论，并对与这些请求相关的法律、伦理和实际问题进行了探讨。我建议：（1）明确请求者和你自己的期望，包括你是否被要求提供简单的事实信息、你的医学判断和意见，或者更实质性地参与这种情况。（2）以与任何患者相同的专业知识和判断来对待你与亲戚或朋友的互动。（3）要意识到身体检查，尤其是收费，会加强你与请求者之间作为患者的法律关系。（4）尊重请求者的自主权和保密性，并遵守适用的 HIPAA 要求。（5）要意识到你作为亲戚或朋友和作为医生的角色之间可能存在潜在冲突。
