Shekar V, Jabbar J, Mitchell D A, Brennan P A
Department of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth, PO6 3LY, United Kingdom.
Department of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth, PO6 3LY, United Kingdom.
Br J Oral Maxillofac Surg. 2015 Nov;53(9):805-8. doi: 10.1016/j.bjoms.2015.07.017. Epub 2015 Aug 25.
Over the last 5 years, the medical profession has relied on the Bolam test for their defence in cases of clinical negligence. While still a matter of controversy between health professionals and legal experts, the Bolam test has been tried and criticised not only by the English courts but also in the United States, Canada, and Australia. In the medical profession the concept of the law of consent has moved away from a doctrine of professional paternalism towards patient-focused paternalism, and has increased the emphasis on human rights and the autonomy and choice of the patient. These changes present a challenge to health professionals, and a lack of effective recognition and interpretation can result in non-compliance. We review the developments in the law of consent since Bolam and discuss how they affect patients with incapacity, and highlight the importance of being familiar with them.
在过去的5年里，医疗行业在临床过失案件中一直依赖博勒姆测试来进行抗辩。尽管在医疗专业人员和法律专家之间仍存在争议，但博勒姆测试不仅受到了英国法院的审判和批评，在美国、加拿大和澳大利亚也同样如此。在医疗行业中，同意法的概念已从专业家长主义学说转向以患者为中心的家长主义，并更加注重人权以及患者的自主权和选择权。这些变化给医疗专业人员带来了挑战，而缺乏有效的认识和解读可能导致不遵守规定。我们回顾了自博勒姆案以来同意法的发展情况，并讨论了它们如何影响无行为能力的患者，并强调了熟悉这些法律的重要性。
