医务人员主动提供艾滋病检测的合法性探讨  

Study on the Legitimacy of Provider-initiated HIV Testing and Counseling

作　　者：张丽平 尹口 ZHANG Li-ping;YIN Kou(Grandall Law Firm (Hangzhou),Hangzhou 310008,China)

机构地区：[1]国浩律师(杭州)事务所,浙江杭州310008 [2]杭州医学院通识教学部,浙江杭州310053

出　　处：《医学与哲学》2019年第20期17-21,共5页Medicine and Philosophy

摘　　要：为了及早发现艾滋病病毒携带者,医务人员在知情不拒绝原则下主动提供对就诊病人进行的艾滋病咨询和检测(provider-initiated HIV testing and counseling,PITC)来扩大检测范围,已经列入我国艾滋病防治行动计划。PITC在性质上是行政指导行为,从整体来看是授益性行政行为,必须遵循行政合法性原则。按照知情不拒绝原则实施的PITC,在权限、依据、事实和程序方面基本具备行政合法性,但在实施中也存在一些具体问题。为扩大检测范围,增强知情不拒绝原则进路下PITC的合法性,应努力消除对就诊者的损益性、完善告知内容和程序、加强信息公开。In order to identify HIV carriers as early as possible, medical staff have expanded the scope of provider-initiated HIV testing and counseling(PITC)under the opt-out principle, which has been included in China's AIDS prevention and control action plan.PITC is an administrative guidance action in nature and a beneficiary administrative action in general, which must comply with administrative legitimacy.Although PITC under opt-out principle has basically legitimacy in terms of authority, basis, facts and procedures, there are still some concrete problems in its implementation. In order to expand the scope of detection and enhance the legitimacy of PITC under opt-out approach, efforts should be made to eliminate the loss of patient's benefits, improve the contents and procedures of informing, and strengthen information disclosure.

关 键 词：知情不拒绝原则 主动提供艾滋病咨询和检测 行政合法性 

分 类 号：R-05[医药卫生]