Bird Sara
MBBS, MFM(clin), FRACGP, is Manager, Medico-Legal and Advisory Services, MDA National.
Aust Fam Physician. 2014 Jul;43(7):481-2.
The availability and frequency of genetic testing is increasing. Genetic testing poses some unique ethical and legal issues for medical practitioners because of the potential to identify genetic variants that carry implications for the risk of disease in the future for the patient and their relatives. The regulatory framework within which genetic testing is provided in Australia is also changing.
This article examines some medico-legal issues associated with genetic testing that general practitioners (GPs) are likely encounter in their practices.
There is inevitable involvement of the GP in the long term care of a patient (and possibly their family) following genetic testing, regardless of whether or not the GP has ordered the testing. Cases are presented to illustrate some of the medico-legal issues that may arise from direct-to-consumer genetic testing, information disclosure to genetic relatives and requests for parentage testing.
基因检测的可及性和频率正在增加。由于基因检测有可能识别出对患者及其亲属未来疾病风险有影响的基因变异,因此它给医学从业者带来了一些独特的伦理和法律问题。澳大利亚提供基因检测的监管框架也在发生变化。
本文探讨了全科医生(GP)在其医疗实践中可能遇到的一些与基因检测相关的医学法律问题。
无论全科医生是否下令进行检测,在基因检测后,全科医生都不可避免地会长期参与患者(可能还有其家人)的护理。文中列举了一些案例,以说明直接面向消费者的基因检测、向基因亲属披露信息以及亲子鉴定请求可能引发的一些医学法律问题。