Leung Gilberto Kk, Porter Gerard
Department of Surgery, The University of Hong Kong, Hong Kong.
School of Law, The University of Edinburgh, Edinburgh, UK.
Med Leg J. 2018 Dec;86(4):198-201. doi: 10.1177/0025817218771803. Epub 2018 Apr 20.
Providing an apology which contains a factual explanation following a medical adverse incident may facilitate an amicable settlement and improve patient experience. Numerous apology laws exist with the aim of encouraging an apology but the lack of explicit and specific protection for factual admissions included in "full" apologies can give rise to legal disputes and deter their use. The new Hong Kong Apology Ordinance expressly prohibits the admission of a statement of fact in an apology as evidence of fault in a wide range of applicable proceedings and thus provides the clearest and most comprehensive apology protection to date. This should significantly encourage open medical disclosure and the provision of an apology when things go wrong. This paper examines the significance and implication of the Apology Ordinance in the medico-legal context.
在医疗不良事件发生后提供包含事实解释的道歉,可能有助于友好解决问题并改善患者体验。为鼓励道歉而制定了众多道歉法,但对于“完整”道歉中包含的事实承认缺乏明确和具体的保护,可能引发法律纠纷并阻碍其使用。新的香港《道歉条例》明确禁止在广泛适用的诉讼程序中将道歉中的事实陈述作为过错证据,从而提供了迄今为止最清晰、最全面的道歉保护。这应能显著鼓励在出现问题时进行公开的医疗信息披露并提供道歉。本文探讨了《道歉条例》在医疗法律背景下的意义和影响。