Chico Victoria, Taylor Mark J
School of Law, University of Sheffield, Sheffield, S3?7ND, UK.
Med Law Rev. 2018 Feb 1;26(1):51-72. doi: 10.1093/medlaw/fwx038.
The National Health Service in England and Wales is dependent upon the flow of confidential patient data. In the context of consent to the use of patient health data, insistence on the requirements of an 'informed' consent that are difficult to achieve will drive reliance on alternatives to consent. Here we argue that one can obtain a valid consent to the disclosure of confidential patient data, such that this disclosure would not amount to a breach of the common law duty of confidentiality, having provided less information than would typically be associated with an 'informed consent'. This position protects consent as a practicable legal basis for disclosure from debilitating uncertainty or impracticability and, perhaps counter-intuitively, promotes patient autonomy.
英格兰和威尔士的国民医疗服务体系依赖于患者机密数据的流动。在同意使用患者健康数据的背景下，坚持难以实现的“知情”同意要求将促使人们依赖同意的替代方式。在此我们认为，在提供的信息少于通常与“知情同意”相关的信息的情况下，仍可获得对披露患者机密数据的有效同意，这样的披露不会构成违反普通法上的保密义务。这一立场将同意作为披露的可行法律依据，使其免受令人衰弱的不确定性或不可行性的影响，而且也许与直觉相反的是，它促进了患者的自主权。
