Tran Nguyen Toan, Wolff Hans
Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, PO Box 123, Sydney, NSW 2007, Australia.
Division of Health in Prison, University Hospitals of Geneva, Ch. Du Petit-Bel-Air 2, CH-1225 Chêne-Bourg, Geneva, Switzerland.
F1000Res. 2020 Feb 6;9:87. doi: 10.12688/f1000research.21895.1. eCollection 2020.
Confidentiality must be ensured even in the preparation and distribution of medications in detention settings. In this respect, the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment found during recent prison visits several instances where prison staff, and at times detainees, dispensed prescribed treatments and supervised their intake. Such a practice compromises medical confidentiality requirements and the establishment of a trusting doctor-patient relationship. To respect medical confidentiality and ensure safety and quality of care, the authors argue that only qualified healthcare personnel should prepare and distribute prescribed medications, all of which require specialized training. They call for robust research that examines the operational barriers and facilitators as well as the respect of human rights related to various approaches to medication preparation, distribution, and intake so that people in detention can access their treatment with safety, confidentiality, autonomy, and dignity.
即使在拘留场所准备和分发药品时，也必须确保保密性。在这方面，欧洲防止酷刑和不人道或有辱人格待遇或处罚委员会在最近的监狱探访中发现，在一些情况下，监狱工作人员，有时还有被拘留者，会分发规定的治疗药物并监督其服用。这种做法损害了医疗保密要求以及信任的医患关系的建立。为了尊重医疗保密并确保护理的安全性和质量，作者认为只有合格的医护人员才应准备和分发规定的药物，所有这些都需要专门培训。他们呼吁进行有力的研究，以审查与药物准备、分发和服用的各种方法相关的操作障碍和促进因素以及对人权的尊重，以便被拘留者能够在安全、保密、自主和尊严的情况下接受治疗。
