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[庸医、替代医学与法医专家]

[Quackery, alternative medicine and the forensic expert].

作者信息

Harsányi L

机构信息

Pécsi Orvostudományi Egyetem Igazságügyi Orvostani Intézet.

出版信息

Morphol Igazsagugyi Orv Sz. 1990 Jan;30(1):69-75.

PMID:2407947
Abstract

The crime of charlatanism can be committed only by individuals having not qualified as physician, who perform regular healing activity or accept any kind of compensation for such activity. Health workers with secondary qualification and those who graduated from colleges of medicine also commit charlatanism if their healing activity is out of their professional competence. When a physician performs unprofessional activity breaking the rules of his profession, which is colloquially interpreted as charlatanism, the term "malpractice" is used. Charlatanism may directly endanger the patient in case the drug used is deleterious or the applied procedure causes damage. The indirect danger manifesting itself in the lack of setting the diagnosis and starting the necessary treatment is much more significant. Quite a few of the drugs applied in folk medicine and alternative medicine are undoubtedly useful and advantageous, they may well complement scientifically-based medication. Occasionally the improvement achieved in this way is objective and measurable, however, in cases it is subjective. In more than one cases the psycho-therapeutical effect is amazingly significant. Subjective improvement is of great importance from the patient's point of view. "Official" medicine should never ignore the psycho-therapeutical effect. No negative preconception should be expressed about unknown new possibilities in advance, only checked experiments and scientific disputes my lead to taking objective stand-points. Any individual is in the right of doing scientific research, including making and discovering new medicaments. However, no-one is in the right of applying and selling drugs to patients by neglecting the national practice of medicament registration.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

庸医罪只能由未取得医生资格的个人实施,这些人进行常规治疗活动或因该活动接受任何形式的报酬。具有中等资质的卫生工作者以及医学院毕业的人员,如果其治疗活动超出专业能力范围,也构成庸医行为。当医生进行违反其职业规则的非专业活动,通俗地解释为庸医行为时,使用“医疗事故”一词。如果使用的药物有害或所应用的程序造成损害,庸医行为可能直接危及患者。因未能确诊和开始必要治疗而表现出的间接危险则更为严重。民间医学和替代医学中应用的不少药物无疑是有用且有益的,它们完全可以补充基于科学的药物治疗。偶尔通过这种方式取得的改善是客观且可衡量的,但在某些情况下是主观的。在不止一个案例中,心理治疗效果惊人地显著。从患者的角度来看,主观改善非常重要。“官方”医学绝不应忽视心理治疗效果。对于未知的新可能性,不应预先表达负面偏见,只有经过检验的实验和科学争论才能导致采取客观立场。任何人都有进行科学研究的权利,包括制造和发现新药物。然而,任何人都无权在忽视国家药物注册规定的情况下向患者应用和销售药物。(摘要截选至250字)

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