篇名

論青少年愛滋檢測及治療之同意、保密與通報【本期企劃】   免費試閱

並列篇名

Consent, Confidentiality and Reporting of HIV Testing and Treatment of Adolescents

作者
中文摘要

研究顯示在要求青少年的醫療決定必須由其父母代理決定時,他/她們未必希望有父母參與,甚至會因不願意使父母知悉而放棄尋求醫療服務。從維護未成年人健康的公共衛生目標而言,要如何平衡兼顧父母對未成年子女教養保護之權利義務與未成年人為自己的身體作決定及維護某些健康資訊秘密性的權利?對健康照護者而言,又要如何在法律要求及支持青少年權利的衝突下,確保青少年對重要醫療照護的可近性?本文分析青少年的法律上醫療決定能力、維護資訊秘密的權利及為疾病監控與落實青少年保護法律目的之通報要求等議題。目前青少年之醫療照護除風險較大之治療,法律要求應得法定代理人同意外,於一般性醫療行為及具有公共衛生意義之醫療照護,則均無決定能力年齡下限,亦未就具有敏感性健康資訊之保密義務與界限、未達法定性行為年齡之未成年人間性行為通報義務等提供明確規範。為促進青少年最佳利益,法律上應體系性檢討同意、保密與通報之要件。

英文摘要

Research shows that when adolescents?medical decisions must be made on behalf of their parents, they may not want their parents to participate, and may even give up seeking medical care because they wished to keep private from their parents. From the perspective of the public health goal of promoting adolescents?health, how to balance the rights and obligations of parents to the upbringing and protection of adolescents with adolescents?right to make decisions for their own bodies and right to confidentiality for specific health issues? For health care providers, how do we ensure access to important medical care under the conflict of legal requirements and support for the rights of adolescents? This paper analyzes issues of adolescents?legal capacity to make medical decisions, rights to confidential testing and treatment, reporting requirements for epidemiology and law enforcement. Except for higher-risk medical interventions that the consent of a legal guardian is legally required, Taiwan does not specify an age of consent to general medical treatment and specific health needs with public health significance. No specific laws addressing maintaining confidentiality of adolescents?positive test results and treatment and the requirements of health care worker for reporting underage sex. To promote the best interests of adolescents, the law should systematically review the requirements for consent, confidentiality and mandatory reporting.

起訖頁

007-023

出版單位
DOI

10.3966/241553062021030053001  複製DOI  DOI查詢

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