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第 67  期

專題論文
Special Issue

  (66)
病人自主決定權與「涉艾信息」告知規則的建構
Some Suggestions on Patients’ Right of autonomy and the Rule of Report of “Information of Aids”
作者 胡曉翔
Author Xiaoxiang Hu
關鍵詞 病人自主決定權《艾滋病防治條例》私隱醫師告知 義務婚前醫學檢查《母嬰保健法》《母嬰保健法實施 辦法》
Keywords Patient' s right to self determination, HIV Prevention Act, privacy, pre-marriage medical examination, Mother-Child Health Act, Mother-Child Health Administration SOP
摘要 本文藉一婚前艾滋檢查案例反省陽性艾滋病擕帶者之告知義務和病人自主決定權之間的張力。此案例為婚前的女方為艾滋病病毒擕帶者,而醫師是不是有義務告知另一方。按現行的大陸行政法規《艾滋病防治條例》的規定,病人有法律責任防止感染他人,醫機機構和工作人員有義務告知感染者或其家屬,但不得公告。本文進一步分析《艾滋病防治條例》和《母嬰保健法實施辦法》相關條文的倫理課題,而得出檢測機關尚未有告知「配偶」的明確依據,遑論告知「有性關係者」。
Abstract This paper reflects on the tension between medical professionals' duty to report in case of Aids and the duty to respect the autonomy of the patient. It is a case of pre-marital Aids test where the female is positive and the male is negative and the problem is whether the medical professional has the duty to report it to the other partner. According to our analysis of the administration rule of “Prevention of Aids” and “Health Protection of Mother and Child Act”, the result is that these rules show no duty for the professionals to report Aids to married couples and hence even less for those who just have sexual relationship.
《病人自主權利法》之倫理、法律、社會與政策意涵:引言
/ 李瑞全    Shui-Chuen Lee
1
「趨生畏死」與「趨樂避苦」之兩難 抉擇──「自主意願」:流動且幽微的 心靈答案
/ 釋昭慧    Chao-hwei Shih
5
自主與善終
/ 尉遲淦    Chi-Kan Ywi
29
從儒家的觀點省察病人自主權利法的限制:以永久性植物人為例
/ 黃漢忠    Hon-Chung Wong
43
從一位醫師的角度來看病人自主權利法
/ 陳秀丹    Shew-Dan Chen
65
從北京首例冷凍胚胎案看患者自主權
/ 田文鳳、張新慶、張群芝、杜華英    Tian Wen-Feng, Zhang Xinqing, Zhang Jing-Zhi, Du Hua Ying
91
佛教生死觀在預立醫療照護諮商的應用
/ 李明書    Ming-Shu, Lee
107
突然「不想死」錯了嗎?──從尊重自主原則到尊重自主死亡權利的道德疑慮
/ 周琬琳    Wanling Chou
125
臺灣《病人自主權利法》的倫理分析
/ 林孟蒨    Meng-Chien Lin
141
由「病人自主權利法」立法歷程論生命自主權之限制
/ 陳俊志    Chun-Chih Chen
157
論台灣病人自主法: 家庭干涉如何刺激病人自律
/ 許文鳳    BunRong Kouy
187
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