Mazzariol B, Karaboue M, Di Luca A, Di Luca N M
Dipartimento di Scienze anatomiche, istologiche, medico-legali e dell'apparato locomotore, Sezione di Medicina legale, Università "Sapienza" di Roma.
Dipartimento di Medicina sperimentale, Università della Campania.
Clin Ter. 2018 Nov-Dec;169(6):e292-e296. doi: 10.7417/CT.2018.2096.
Enactment of law n. 24, 8th March 2017, (so-called "Gelli-Bianco" law), has given rise to substantial innovations in the realm of medical liability: on the one hand, an attempt has been made towards redefining the boundaries of professional liability, for the purpose of curbing the use of "defensive medicine"; on the other hand, there is the effort to delineate good medical conduct by means of "institutionalization" and a greater degree of consistency of guidelines and good clinical health care practices. There are, however, thought-provoking cues concerning the relationship between the two concepts, which can be sensibly developed, even in light of international scientific literature. This paper has been designed to critically analyze both principles and their relation within the framework of the newly enacted piece of legislation denominated "Gelli-Bianco", in light of the Italian jurisprudence while at the same time, searching for common ground in international law, particularly Anglo-Saxon countries, aiming to clarify the lawmakers' ultimate goal as well as the law's practical scope of application.
2017年3月8日第24号法律（即所谓的“杰利 - 比安科”法）的颁布在医疗责任领域引发了重大变革：一方面，旨在重新界定职业责任的界限，以抑制“防御性医疗”的使用；另一方面，努力通过“制度化”以及提高指南和良好临床医疗实践的一致性来描绘良好的医疗行为。然而，关于这两个概念之间的关系存在发人深省的线索，即使参照国际科学文献，这些线索也能得到合理拓展。本文旨在根据意大利判例法，批判性地分析新颁布的名为“杰利 - 比安科”的立法框架内的这两项原则及其关系，同时在国际法中，特别是在盎格鲁 - 撒克逊国家寻找共同点，旨在阐明立法者的最终目标以及该法律的实际适用范围。
