Irvine D H
General Medical Council's Committee on Standards of Professional Conduct and on Medical Ethics, Northumberland.
J Med Ethics. 1991 Mar;17(1):35-40. doi: 10.1136/jme.17.1.35.
Medicine is unique among professions and trades, offering a 'product' which is unlike any other. The consequences for patients of being attracted by misleading information to an inappropriate doctor or service are such as to demand special restrictions on the advertising of doctors' services. Furthermore, health care in the UK is organised around the 'referral system', whereby general practitioners refer patients to specialists when necessary rather than have specialists accept patients on self-referral. But this need not inhibit the provision of helpful factual information to those who need it. Recent policy changes by the General Medical Council considerably broaden the scope for general practitioners to make factual information of their services available to local people, while safeguarding the public against promotional activities which are designed to increase demand for certain kinds of specialist service by playing upon individuals' fears and lack of medical knowledge.
医学在所有职业和行业中独具特色,它所提供的“产品”与众不同。患者若被误导性信息吸引,选择了不恰当的医生或医疗服务,可能会产生严重后果,这就要求对医生服务广告进行特殊限制。此外,英国的医疗保健是围绕“转诊系统”组织的,即全科医生在必要时将患者转诊给专科医生,而不是让专科医生接受患者自行转诊。但这并不妨碍向有需要的人提供有用的事实信息。英国医学总会最近的政策变化大大拓宽了全科医生向当地民众提供其服务事实信息的范围,同时保护公众免受旨在通过利用个人恐惧心理和医学知识匮乏来增加对某些专科服务需求的促销活动的影响。