van Dijk E Ivar, Dute Jos C J, ten Ham Peter B G
GGD Drenthe, Assen.
Ned Tijdschr Geneeskd. 2015;159:A8158.
To gain insight into the importance for medical disciplinary courts of the collective health interest in the prevention and control of infectious diseases.
Descriptive retrospective study.
The electronic databases of the Dutch government gazette (Staatscourant) and the Netherlands' medical disciplinary courts were searched for disciplinary court rulings on actions and negligence in the prevention and control of infectious diseases.
We found 67 verdicts relevant to our subject in the period 1995-2013. Of these 67 disciplinary hearings, 12 were filed by the Netherlands' health inspectorate, 29 by the patient and 26 by a representative or next of kin. The defendants included 31 medical specialists, 12 dentists and 11 general practitioners. The disciplinary tribunal imposed measures in 23 cases, including 5 suspensions.
In the case of serious infectious diseases the disciplinary courts decide that the caregiver also has to take into account the interests of other parties than caregiver and the patient. Medical microbiologists in hospitals should even go so far as to surrender their responsibility for general patient safety, if they are unable to comply with the applicable medical guideline. It is also striking that in questions of vaccination the disciplinary court judge is inclined to put a child's health interests before parental authority. One final striking point is that the health inspectorate plays an important role as complainant in disciplinary cases concerning prevention of infection.
深入了解集体健康利益在传染病预防和控制方面对医学纪律法庭的重要性。
描述性回顾性研究。
在荷兰政府公报（《国家公报》）和荷兰医学纪律法庭的电子数据库中搜索关于传染病预防和控制方面的行动及过失的纪律法庭裁决。
我们在1995年至2013年期间发现了67项与我们的主题相关的裁决。在这67次纪律听证会中，12次是由荷兰卫生监察局提起的，29次是由患者提起的，26次是由代表或近亲提起的。被告包括31名医学专家、12名牙医和11名全科医生。纪律法庭在23起案件中采取了措施，包括5次停职。
在严重传染病的情况下，纪律法庭判定医护人员除了要考虑自身和患者的利益外，还必须考虑其他各方的利益。如果医院的医学微生物学家无法遵守适用的医学指南，甚至应该放弃对一般患者安全的责任。同样引人注目的是，在疫苗接种问题上，纪律法庭法官倾向于将儿童的健康利益置于家长权威之上。最后一个显著点是，卫生监察局在涉及感染预防的纪律案件中作为投诉人发挥着重要作用。
