Glancy G D, Regehr C, Bryant A G
Department of Psychiatry, University of Toronto, Ontario.
Can J Psychiatry. 1998 Dec;43(10):1001-5. doi: 10.1177/070674379804301004.
To discuss the ethical and legal imperatives to protect third parties from harm in circumstances often believed to be protected by doctor-patient confidentiality.
A review of recent legislative changes and legal decisions pertaining to a psychiatrist's duty to warn.
The current legislative and legal climate presents many risks to the concept of doctor-patient confidentiality. Psychiatrists must carefully consider any guarantees of confidentiality made to patients and must discuss the limits of confidentiality when obtaining consent for treatment.
探讨在通常被认为受医患保密原则保护的情况下,保护第三方免受伤害的伦理和法律要求。
回顾近期与精神科医生警告义务相关的立法变化和法律裁决。
当前的立法和法律环境给医患保密概念带来诸多风险。精神科医生必须仔细考虑向患者做出的任何保密保证,并且在获得治疗同意时必须讨论保密的限度。