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意大利及欧洲背景下的肿瘤学遗忘法:如何最好地维护癌症患者的隐私和自主决定权?

The law on oncological oblivion in the Italian and European context: How to best uphold the cancer patients' rights to privacy and self-determination?

作者信息

Tripi Dalila, Marinelli Susanna, Spadazzi Federica, Guarnaccia Francesca Romana, Zaami Simona, Frati Paola

机构信息

Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University, 00161, Rome, Italy.

School of Law, Polytechnic University of Marche, Ancona, Italy.

出版信息

Open Med (Wars). 2025 Jun 10;20(1):20251222. doi: 10.1515/med-2025-1222. eCollection 2025.

Abstract

INTRODUCTION

Italy's oncological oblivion law codifies the right for cancer survivors to choose not to disclose their medical history under certain conditions, after 10 years from the end of treatment, or 5 years if diagnosed under the age of 21, in order to prevent discrimination in social, work, and professional opportunities.

MATERIALS AND METHODS

This article compares Italy's law with other European countries', aiming to analyze its implementation 1-year post-enactment and its medicolegal implications. Official sources and research from platforms like Google Scholar and PubMed were used.

RESULTS

Oncological oblivion was first mentioned in the EU's General Data Protection Regulation and further emphasized in the European Parliament's 2020 resolution. Italy's Law No. 193, enacted on December 7, 2023, aligns with constitutional principles to ensure freedom and equality for cancer survivors.

DISCUSSION

Balancing privacy rights with collective security is crucial, especially in high-risk professions or insurance, where data concealment could raise ethical and legal issues.

CONCLUSIONS

In conclusion, while the initiatives implemented thus far are cutting-edge, there is an increasing necessity for more effective protection of the rights to privacy, self-determination, and psychological support to stave off patient discrimination. This is essential to ensure true equality among insured individuals.

摘要

引言

意大利的肿瘤遗忘法将癌症幸存者在治疗结束10年后,或21岁之前被诊断出癌症则在5年后,在某些条件下选择不披露其病史的权利编纂成法,以防止在社会、工作和职业机会方面受到歧视。

材料与方法

本文将意大利的这项法律与其他欧洲国家的法律进行比较,旨在分析其颁布一年后的实施情况及其法医学影响。使用了官方资料以及来自谷歌学术和PubMed等平台的研究。

结果

肿瘤遗忘首次在欧盟的《通用数据保护条例》中被提及,并在欧洲议会2020年的决议中得到进一步强调。意大利第193号法律于2023年12月7日颁布,符合宪法原则,以确保癌症幸存者的自由和平等。

讨论

在隐私权与集体安全之间取得平衡至关重要,尤其是在高风险职业或保险领域,数据隐瞒可能会引发伦理和法律问题。

结论

总之,虽然迄今为止实施的举措很前沿,但越来越有必要更有效地保护隐私权、自决权和心理支持权,以避免患者受到歧视。这对于确保被保险人之间真正平等至关重要。

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