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[医生告知驾驶机动车存在健康禁忌的义务]

[Physicians' duty to inform about the presence of health contraindications to driving motor vehicles].

作者信息

Zajdel Justyna, Wagrowska-Koski Ewa

机构信息

Uniwersytet Medyczny, Łódź Zakład Prawa Medycznego.

出版信息

Med Pr. 2009;60(6):501-12.

Abstract

BACKGROUND

The issue concerning the duty of physicians to inform about health problems, which could be a contraindication to driving a motor vehicle, give in practice rise to many questions. Existing regulations do not apply to this issue directly, and the available literature lacks a definite stand on this matter. Information collected by the competent authorities about health problems, which may be a contraindication to driving a motor vehicle could contribute enormously to reducing or eliminating health risks among drivers and other potential road users.

MATERIAL AND METHODS

Current legislation that could in any way refer to the discussed problem were subjected to a thorough analysis and interpretation. with reference to the existing case law.

RESULTS

Despite the lack of clear regulations, physicians are obliged to provide the authorized agencies with the information about health problems, which could be a contraindication to driving a motor vehicle. The transfer of this kind of information is a legitimate exemption from doctor-patient confidentiality, therefore, physicians who transfer it do not expose themselves to bearing the responsibility. In the absence of clear standards governing the scope of information that physicians should make available for relevant authorities, the information does not need, but may include a specific medical diagnosis.

CONCLUSIONS

This article presents first comprehensive approach to the exchange of information between physicians and the body entitled to obtain information on medical unfit to drive motor vehicle, which is a helpful guide in daily practice.

摘要

背景

医生有责任告知可能成为驾驶机动车禁忌的健康问题,这一问题在实际操作中引发了诸多疑问。现行法规并未直接适用于此问题,且现有文献对此事也没有明确立场。主管部门收集的有关可能成为驾驶机动车禁忌的健康问题的信息,可能对降低或消除驾驶员及其他潜在道路使用者的健康风险有极大帮助。

材料与方法

对任何可能涉及所讨论问题的现行立法进行了全面分析和解释,并参考了现有判例法。

结果

尽管缺乏明确规定,但医生有义务向授权机构提供可能成为驾驶机动车禁忌的健康问题的信息。这种信息的传递是对医患保密的合法豁免,因此,传递此类信息的医生不会承担责任。在缺乏明确规范医生应向相关当局提供信息范围的标准的情况下,信息不需要,但可能包括具体的医学诊断。

结论

本文首次全面探讨了医生与有权获取医学上不宜驾驶机动车信息的机构之间的信息交流问题,这对日常实践是一个有益的指导。

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