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录像无能力同意患者的伦理问题。

Ethical issues in videorecording patients lacking capacity to consent.

机构信息

Unità di Bioetica, Presidenza, Istituto Superiore di Sanità, Rome, Italy.

出版信息

Ann Ist Super Sanita. 2011;47(3):247-52. doi: 10.4415/ANN_11_03_02.

DOI:10.4415/ANN_11_03_02
PMID:21952148
Abstract

Videorecording of patients requires the utmost respect for the privacy and confidentiality of the patients. Consent should be requested from patients for all videorecording. When a mental disability or mental or physical illness prevents patients from giving their permission, agreement to recording from a legal representative or from a close relative or carer are necessary. Three documents on this subject issued in the United Kingdom, the United State of America and Italy are briefly summarized and discussed. The problem of consent for videorecording is addressed particularly in reference to persons incapable of making decisions on their own, such as persons in vegetative state. The general ethical framework is outlined and a few practical proposals are given.

摘要

录制患者的视频需要对患者的隐私和保密性给予最大的尊重。应当事先征得患者同意,才能对其进行录像。如果患者因精神残疾或精神或身体疾病而无法同意,则需要从法定代表人或近亲或护理人员处获得同意进行录制。本文简要总结和讨论了英国、美国和意大利发布的三份关于这一主题的文件。录像同意的问题尤其针对那些无法自行做出决定的人,例如处于植物人状态的人。本文概述了一般的伦理框架,并提出了一些实际建议。

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