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监狱医疗保健中的双重忠诚。

Dual loyalty in prison health care.

机构信息

Austrian Federal Ministry of Justice and Medical University Vienna, Austria.

出版信息

Am J Public Health. 2012 Mar;102(3):475-80. doi: 10.2105/AJPH.2011.300374. Epub 2012 Jan 19.

DOI:10.2105/AJPH.2011.300374
PMID:22390510
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3487660/
Abstract

Despite the dissemination of principles of medical ethics in prisons, formulated and advocated by numerous international organizations, health care professionals in prisons all over the world continue to infringe these principles because of perceived or real dual loyalty to patients and prison authorities. Health care professionals and nonmedical prison staff need greater awareness of and training in medical ethics and prisoner human rights. All parties should accept integration of prison health services with public health services. Health care workers in prison should act exclusively as caregivers, and medical tasks required by the prosecution, court, or security system should be carried out by medical professionals not involved in the care of prisoners.

摘要

尽管众多国际组织制定并倡导了监狱医学伦理原则,但世界各地的监狱医务人员仍继续违反这些原则,原因是他们对患者和监狱当局存在感知或真实的双重忠诚。医疗保健专业人员和非医疗监狱工作人员需要更多地了解和接受医学伦理和囚犯人权方面的培训。所有各方都应接受将监狱卫生服务与公共卫生服务相结合。监狱中的医疗工作者应只充当护理人员,而由检察机关、法院或安全系统要求的医疗任务应由不参与囚犯护理的医疗专业人员执行。

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本文引用的文献

1
The Istanbul protocol (manual on the effective investigation and documentation of torture and other cruel, inhuman or degrading treatment or punishment): implementation and education in Israel.《伊斯坦布尔议定书》(关于有效调查和记录酷刑及其他残忍、不人道或有辱人格的待遇或处罚的手册):在以色列的实施与教育
Isr Med Assoc J. 2014 Mar;16(3):137-41.
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PLoS Med. 2011 Apr;8(4):e1001027. doi: 10.1371/journal.pmed.1001027. Epub 2011 Apr 26.
3
Health services for prisoners.囚犯的医疗服务。
BMJ. 2011 Feb 22;342:d351. doi: 10.1136/bmj.d351.
4
Prisons and health reforms in England and Wales.英格兰和威尔士的监狱与医疗改革。
Am J Public Health. 2006 Oct;96(10):1730-3. doi: 10.2105/AJPH.2004.056127.
5
Hunger strikes at Guantanamo--medical ethics and human rights in a "legal black hole".关塔那摩的绝食抗议——“法律黑洞”中的医学伦理与人权
N Engl J Med. 2006 Sep 28;355(13):1377-82. doi: 10.1056/NEJMhle062316.
6
When law and ethics collide--why physicians participate in executions.当法律与伦理发生冲突时——医生为何参与死刑执行。
N Engl J Med. 2006 Mar 23;354(12):1221-9. doi: 10.1056/NEJMp068042.
7
Doctors and torture.医生与酷刑。
N Engl J Med. 2004 Jul 29;351(5):415-6. doi: 10.1056/NEJMp048065.
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Clinical loyalties and the social purposes of medicine.临床忠诚与医学的社会目的。
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