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[牙科与健康法 4. 对未成年人及无法给予知情同意的成年人的治疗]

[Dental and health law 4. The treatment of minors and of adults who are unable to give informed consent].

作者信息

Brands W G, van der Ven J M, Brands-Bottema G W

出版信息

Ned Tijdschr Tandheelkd. 2013 Jul-Aug;120(7-8):394-8.

Abstract

When minors are treated, a complex triangular relationship can emerge among dentist, patient and the individual legally responsible for the patient. Generally speaking, both parents are those legally responsible for a child. This might not be the case if the parents are not married to each other or have divorced, or when there is a question of a child protection ruling. The governing rule is that dentists are required to honour the obligations to the legal representatives thatfollow from the patients' rights concerning the treatment of children under the age of 12. In the case of patients between the ages of 12 and 16, dentists are required to act in accordance with their obligations to both those legally responsible and to the patients. Finally, in the case ofpatients who are 16 and older, dentists are required to act only in accordance with their obligations to the patients. There are, however, various exceptions to this governing rule. One of the most common examples is the patient who is a minor of 16 or older who is unable to determine what is in his own best interest. That criterium is also used in determining the capability to give informed consent in adults.

摘要

在治疗未成年人时,牙医、患者以及对患者负有法律责任的个人之间可能会出现复杂的三角关系。一般来说,父母双方是对孩子负有法律责任的人。但如果父母未结婚或已离婚,或者存在儿童保护裁决问题时,情况可能并非如此。适用的规则是,牙医必须履行对法定代表人的义务,这些义务源自患者在治疗12岁以下儿童方面的权利。对于12至16岁的患者,牙医必须按照对法定责任人和患者双方的义务行事。最后,对于16岁及以上的患者,牙医只需按照对患者的义务行事。然而,这一适用规则存在各种例外情况。最常见的例子之一是16岁及以上的未成年人患者无法确定什么对自己最有利。这一标准也用于确定成年人是否有能力给予知情同意。

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