理解法律在通过临床干预减少枪支伤害方面的作用。

Understanding the Role of Law in Reducing Firearm Injury through Clinical Interventions.

机构信息

Blake N. Shultz is a sixth-year medical student at Yale School of Medicine and a third-year law student at Yale Law School, in New Haven, CT. He is also a fellow at the Solomon Center for Health Law and Policy at Yale Law School. He received his B.A. from Cornell University (2015) in Ithaca, NY. Carolyn T. Lye is a fifth-year medical student at Yale School of Medicine and a second-year law student at Yale Law School in New Haven, CT. She received her BA from University of Pennsylvania (2016) in Philadelphia, PA. Gail D'Onofrio, M.D., M.S., is Professor and Chair of Emergency Medicine at Yale School of Medicine and Professor in the School of Public Health. She is also the Chief of Emergency Services for Yale New Haven Hospital. Abbe R. Gluck, J.D., is Professor of Law and the Founding Faculty Director of the Solomon Center for Health Law and Policy at Yale Law School and Professor of Medicine at Yale School of Medicine. Jonathan Miller, J.D., is the former Chief of the Public Protection and Advocacy Bureau at the Office of the Massachusetts Attorney General. Katherine Kraschel, J.D., is the Executive Director of the Solomon Center for Health Law and Policy as well as a Lecturer in Law, Clinical Lecturer in Law, and Research Scholar in Law at Yale Law School. She received her JD from Harvard Law School, and her BA from Mount Holyoke College. Megan L. Ranney, M.D., M.P.H., is an Associate Professor Emergency Medicine at Alpert Medical School and Directof of the Center for Digital Health at Brown University. She is also Chief Research Officer for the American Foundation for Firearm Injury Reduction in Medicine (AFFIRM Research).

出版信息

J Law Med Ethics. 2020 Dec;48(4_suppl):146-154. doi: 10.1177/1073110520979416.

DOI:10.1177/1073110520979416

PMID:33404303

Abstract

Firearm injury in the United States is a public health crisis in which physicians are uniquely situated to intervene. However, their ability to mitigate harm is limited by a complex array of laws and regulations that shape their role in firearm injury prevention. This piece uses four clinical scenarios to illustrate how these laws and regulations impact physician practice, including patient counseling, injury reporting, and the use of court orders and involuntary holds. Unintended consequences on clinical practice of laws intended to reduce firearm injury are also discussed. Lessons drawn from these cases suggest that physicians require more nuanced education on this topic, and that policymakers should consult front-line healthcare providers when designing firearm policies.

摘要

美国的枪支伤害是一场公共卫生危机，医生在其中具有独特的干预能力。然而，他们减轻伤害的能力受到一系列复杂的法律和法规的限制，这些法律和法规影响了他们在枪支伤害预防中的角色。本文使用四个临床场景来说明这些法律和法规如何影响医生的实践，包括对患者的咨询、伤害报告以及法院命令和非自愿拘留的使用。还讨论了旨在减少枪支伤害的法律对临床实践产生的意外后果。从这些案例中得出的教训表明，医生需要在这个主题上接受更细致的教育，政策制定者在设计枪支政策时应该咨询一线医疗保健提供者。