澳大利亚和新西兰法庭公布残疾医生身份:法律、实践和改革。

IF 1.8 4区 医学 Q1 LAW Medical Law Review Pub Date : 2023-08-25 DOI:10.1093/medlaw/fwad007
Owen M Bradfield, Marie M Bismark, Matthew J Spittal, Paula O'Brien
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引用次数: 1

摘要

对于患有精神健康或药物使用障碍的医生,在纪律决定中公布他们的姓名和敏感的病史可能对他们的健康产生不利影响,并可能增加获得早期支持和治疗的障碍。这篇文章挑战了这样一种观点,即在纪律决定中点名残疾医生或披露其医疗状况的私密细节总是符合公开司法中的公共利益。我们分析并比较了澳大利亚和新西兰卫生法庭在颁布禁止披露残疾医生姓名和/或病史的命令时的做法。这表明,尽管有着共同的普通法历史和类似的医疗监管框架,但与新西兰相比,澳大利亚法庭不太可能颁发不公布令。我们认为,澳大利亚法庭在处理公开判决中的敏感信息时可以更加谨慎,特别是当这些信息不能直接构成所作决定的基础时。这可以在不损害公共保护或公开司法的基本目标的情况下发生。最后,我们认为,在处理行为指控的决策方面,应该公布全部细节,而在处理减值指控的决策方面,只应披露有限的信息,这两者之间应该有更大的区别。
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The publication of impaired doctors' identity by Australian and New Zealand tribunals: law, practice, and reform.

For doctors with mental health or substance use disorders, publication of their name and sensitive medical history in disciplinary decisions may adversely impact their health and may reinforce barriers to accessing early support and treatment. This article challenges the view that naming impaired doctors or disclosing the intimate details of their medical condition in disciplinary decisions always serves the public interest in open justice. We analysed and compared the approach of Australian and New Zealand health tribunals to granting orders that suppress the name and/or medical history of impaired doctors. This revealed that Australian tribunals are less likely to grant non-publication orders compared to New Zealand, despite shared common law history and similar medical regulatory frameworks. We argue that Australian tribunals could be more circumspect when dealing with sensitive information in published decisions, especially where such information does not directly form a basis for the decision reached. This could occur without compromising public protection or the underlying goals of open justice. Finally, we argue that a greater distinction should be made between those aspects of decisions that deal with conduct allegations, where full details should be published, and those that deal with impairment allegations, where only limited information should be disclosed.

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来源期刊
Medical Law Review
Medical Law Review MEDICAL ETHICS-
CiteScore
3.10
自引率
11.80%
发文量
50
审稿时长
>12 weeks
期刊介绍: The Medical Law Review is established as an authoritative source of reference for academics, lawyers, legal and medical practitioners, law students, and anyone interested in healthcare and the law. The journal presents articles of international interest which provide thorough analyses and comment on the wide range of topical issues that are fundamental to this expanding area of law. In addition, commentary sections provide in depth explorations of topical aspects of the field.
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