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澳大利亚和新西兰法庭公布有缺陷医生的身份:法律、实践和改革。

The publication of impaired doctors' identity by Australian and New Zealand tribunals: law, practice, and reform.

机构信息

Law and Public Health Unit, Centre for Health Policy, Melbourne School of Population & Global Health, University of Melbourne, Melbourne, Victoria 3010, Australia.

Department of Health Policy, Stanford University, Stanford, CA 94305-2004, USA.

出版信息

Med Law Rev. 2023 Aug 25;31(3):391-423. doi: 10.1093/medlaw/fwad007.

Abstract

For doctors with mental health or substance use disorders, publication of their name and sensitive medical history in disciplinary decisions may adversely impact their health and may reinforce barriers to accessing early support and treatment. This article challenges the view that naming impaired doctors or disclosing the intimate details of their medical condition in disciplinary decisions always serves the public interest in open justice. We analysed and compared the approach of Australian and New Zealand health tribunals to granting orders that suppress the name and/or medical history of impaired doctors. This revealed that Australian tribunals are less likely to grant non-publication orders compared to New Zealand, despite shared common law history and similar medical regulatory frameworks. We argue that Australian tribunals could be more circumspect when dealing with sensitive information in published decisions, especially where such information does not directly form a basis for the decision reached. This could occur without compromising public protection or the underlying goals of open justice. Finally, we argue that a greater distinction should be made between those aspects of decisions that deal with conduct allegations, where full details should be published, and those that deal with impairment allegations, where only limited information should be disclosed.

摘要

对于有心理健康或药物使用障碍的医生来说,其姓名和敏感医疗史在纪律处分决定中的公布可能会对他们的健康产生不利影响,并可能加剧获得早期支持和治疗的障碍。本文质疑了这样一种观点,即公开披露有缺陷医生的姓名或他们医疗状况的详细信息总是符合公开司法中公众利益的需要。我们分析和比较了澳大利亚和新西兰医疗法庭在授予命令以抑制有缺陷医生的姓名和/或医疗史方面的做法。这表明,与新西兰相比,澳大利亚法庭不太可能批准不公开出版的命令,尽管它们有着共同的普通法历史和类似的医疗监管框架。我们认为,澳大利亚法庭在处理已公布决定中的敏感信息时可以更加谨慎,特别是在这种信息不能直接构成所做决定的依据的情况下。这可以在不损害公共保护或公开司法的基本目标的情况下实现。最后,我们认为,应该在处理行为指控的决定方面做出更大的区分,在这些方面应该公布全部细节,而在处理损害指控的决定方面,只应披露有限的信息。

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