Manning Joanna
Faculty of Law, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
J Law Med. 2009 Dec;17(3):314-26.
This column discusses some key issues considered in the third review of New Zealand's Code of Patients' Rights and its complaints regime, a system which is generally working well. The review considered whether a broad access right should included in the Code, and supported a narrower right in the disability area. In a notable omission the Code has never included a right to the confidentiality of health information. The review would remedy this gap. An intriguing submission sought the inclusion in the Code of a right to be treated with compassion. Legislative amendment of a narrow definition of "aggrieved person", which has the effect of restricting access to the tribunal with a damages jurisdiction, was recommended. A recommendation to allow research on incompetent patients to proceed if "not known to be contrary to the best interests" of the consumer warrants consideration of further options before implementation.
本专栏讨论了新西兰《患者权利守则》第三次审查及其投诉制度中考虑的一些关键问题,该制度总体运行良好。审查考虑了《守则》是否应纳入广泛的获取权,并支持在残疾领域设立更狭义的权利。《守则》有一个明显的疏漏,即从未纳入健康信息保密权。此次审查将弥补这一空白。一份引人关注的意见书寻求在《守则》中纳入受到同情对待的权利。有人建议对“受侵害者”的狭义定义进行立法修订,该定义实际上限制了向具有损害赔偿管辖权的法庭提起诉讼的机会。一项关于允许在“未知与消费者的最佳利益相悖”的情况下对无行为能力患者进行研究的建议,在实施前值得考虑进一步的选择。