Touïl Leïa, Manaouil Cécile
Service de médecine légale, CHU d'Amiens, Amiens, France.
Rev Prat. 2018 Mar;68(3):263-266.
Medical secrecy in occupational medicine (I). The occupational physician is not isolated and works within a multidisciplinary team of an occupational health service. It must communicate with other health professionals, but also with the employers, the representative bodies of the staff... Due to numerous provisions of the Labor Code and the particular position of the occupational physician, counselor of employers and employees, and also of a secrecy particular to the world of work, namely the secret of manufacture, medical secrecy holds a special place in the triangular relation of work doctor, employee, employer. The occupational physician must communicate with the employer and the employee in order to carry out his duties as effectively as possible, but in practice it may be difficult for the occupational physician to make his recommendations and recommendations known in order to improve the working conditions of employees without being able to argue on medical information.
职业医学中的医疗保密(一)。职业医生并非孤立工作,而是在职业健康服务的多学科团队中开展工作。它必须与其他健康专业人员沟通,同时也需与雇主、员工代表机构……沟通。由于《劳动法》的众多规定以及职业医生作为雇主和员工顾问的特殊地位,再加上工作领域特有的保密事项,即生产秘密,医疗保密在工作医生、员工、雇主这三角关系中占据特殊地位。职业医生必须与雇主和员工沟通,以便尽可能有效地履行职责,但在实践中,职业医生可能难以在无法依据医疗信息进行论证的情况下,将其为改善员工工作条件而提出的建议和意见告知对方。