Department of Palliative Medicine, Tan Tock Seng Hospital, Singapore.
Ann Acad Med Singap. 2017 Sep;46(9):347-350.
In a recent landmark litigation, the Singapore Court of Appeal introduced a new legal standard for determining medical negligence with regards to information disclosure - the Modified-Montgomery test. This new test fundamentally shifts the legal position concerning the standard of care expected of a doctor when he dispenses medical advice. Previously, a doctor is expected to disclose what a "reasonable physician" would tell his patient. Now, a doctor must disclose "all material risks" that a "reasonable patient" would want to know under his unique circumstances. Patient-centred communication is no longer an aspirational ideal but has become a legal mandate. Manpower, administrative, logistic and medical educational reforms should start now, so as to support the average physician transit from the era of the Bolam-Bolitho, to that of the Modified-Montgomery.
在最近的一个具有里程碑意义的诉讼中，新加坡上诉法院引入了一个新的法律标准来确定与信息披露有关的医疗过失——改良的蒙哥马利测试。这个新的测试从根本上改变了医生在提供医疗建议时应承担的护理标准的法律地位。以前，医生预计会披露“合理医生”会告诉他的病人什么。现在，医生必须披露“合理病人”在他的特殊情况下想知道的“所有重大风险”。以病人为中心的沟通不再是一个理想，而是已经成为一项法律要求。人力、行政、后勤和医学教育改革现在就应该开始，以支持普通医生从博兰-博利托时代过渡到改良的蒙哥马利时代。
