Noiseux Justine, Rich Harold, Bouchard Nathalie, Noronha Crystal, Carnevale Franco A
Pediatric Ethics Committee, Montreal Children's Hospital, Montreal, Quebec.
Views On Interdisciplinary Childhood Ethics (VOICE) Research Program, McGill University, Montreal, Quebec.
Paediatr Child Health. 2019 Feb;24(1):e8-e12. doi: 10.1093/pch/pxy047. Epub 2018 May 18.
There is a paucity of published research and normative standards to guide health care providers in managing issues related to children's confidentiality. In this article, we examine challenges regarding the respect for confidentiality with children and youth in health care and offer guiding principles for clinical practice. We present an ethical framework and practice recommendations for: (a) respecting confidentiality for children who have decision-making capacity (as legally defined in different jurisdictions) and (b) recognizing some degree of respect for confidentiality among children who do not have decision-making capacity. This article will help incite additional analyses and research that can further refine the normative and practice standards proposed here.
目前缺乏已发表的研究和规范标准来指导医疗保健提供者处理与儿童保密相关的问题。在本文中，我们探讨了在医疗保健中尊重儿童和青少年保密权所面临的挑战，并为临床实践提供指导原则。我们提出了一个伦理框架和实践建议，用于：(a) 尊重具有决策能力（在不同司法管辖区有法律定义）的儿童的保密权，以及 (b) 在不具有决策能力的儿童中认可一定程度的保密尊重。本文将有助于激发更多的分析和研究，从而进一步完善此处提出的规范和实践标准。
