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危机中的保密:第一部分——告知义务

Confidentiality in crisis: Part I--The duty to inform.

作者信息

Glancy G D, Regehr C, Bryant A G

机构信息

Department of Psychiatry, University of Toronto, Ontario.

出版信息

Can J Psychiatry. 1998 Dec;43(10):1001-5. doi: 10.1177/070674379804301004.

Abstract

OBJECTIVE

To discuss the ethical and legal imperatives to protect third parties from harm in circumstances often believed to be protected by doctor-patient confidentiality.

METHOD

A review of recent legislative changes and legal decisions pertaining to a psychiatrist's duty to warn.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结论

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。

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