Donnelly Mary
Eur J Health Law. 2017 Mar;24(1):67-84. doi: 10.1163/15718093-12341412.
This article examines the legislative frameworks for advance healthcare planning in England & Wales (the Mental Capacity Act 2005) and in Ireland (the Assisted Decision-Making (Capacity) Act 2015), undertaking a comparative analysis of each measure, with particular focus on the detail of the approaches taken. It is only through this kind of detailed focus that the normative choices made by legislation can fully be understood and evaluated. The article argues that, in several respects, possibly because the drafters were able to reflect lessons learned from other jurisdictions, the Assisted Decision-Making (Capacity) Act 2015 provides a more rounded and complete form of advance healthcare planning than that provided by the Mental Capacity Act. This is on the basis that it provides more protection for patient choice; better potential for delivery on the choices made; and a more appropriate balance between formalities and enforceability.
本文探讨了英格兰和威尔士（《2005年精神能力法》）以及爱尔兰（《2015年辅助决策（能力）法》）中关于预先医疗规划的立法框架，对每项措施进行了比较分析，特别关注所采取方法的细节。只有通过这种细致入微的关注，才能充分理解和评估立法所做出的规范性选择。本文认为，在几个方面，可能是因为起草者能够借鉴其他司法管辖区的经验教训，《2015年辅助决策（能力）法》提供了一种比《精神能力法》更全面、更完整的预先医疗规划形式。这是基于它为患者选择提供了更多保护；在实现所做选择方面有更好的潜力；以及在手续和可执行性之间取得了更适当的平衡。
