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首页> 外文期刊>Acta bio-medica: Atenei Parmensis >Self-determination, healthcare treatment and minors in Italian clinical practice: ethical, psychological, juridical and medical-legal profiles
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Self-determination, healthcare treatment and minors in Italian clinical practice: ethical, psychological, juridical and medical-legal profiles

机译：意大利临床实践中的自决，保健治疗和未成年人：道德，心理，法律和医疗法律方面的概况

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Background and aim: The social role of the minor, as indeed that of the physician, has changed markedly. This transformation has given rise to new patterns and responsibilities in the management of healthcare procedures that involve minors. Discussion: According to international legislation, in the clinical setting, as in other areas of social life, minors have the right to be heard and to have their opinions taken into consideration as an increasingly determining factor, in accordance with their age and degree of maturity and discernment. The authors describe the right to information and the decision-making process when the patient is a minor and underline the role of the parties involved (physicians, parents, under-age patient, judge) in various circumstances. Specifically, the paper analyzes the ethical and legal issues relating to the entitlement to decisions concerning the medical treatment of children and assesses the importance that Italian law attaches to the will of minors in the healthcare choices that affect them. Conclusions: Healthcare workers are called upon to face new challenges in order to ensure that healthcare services are able to safeguard the interests of minors while, at the same time, respecting their will. How to evaluate children’s competence to consent and how to balance the autonomy of parents and minors are crucial questions which the law courts in the various countries are increasingly being asked to address. These issues require close collaboration among various figures (parents, doctors, psychologists, judges) and imply the ethical need to undergo continuous training.
机译：背景和目标：未成年人以及医生的社会角色已经发生了显着变化。这种转变在涉及未成年人的医疗程序管理中引起了新的模式和责任。讨论：根据国际立法，在临床环境中，如同在社交生活的其他领域一样，未成年人有权根据其年龄和成熟程度将其发表意见并考虑其意见作为越来越多的决定因素。和洞察力。作者描述了患者未成年时的知情权和决策过程，并强调了在各种情况下所涉各方（医师，父母，未成年患者，法官）的作用。具体来说，本文分析了与儿童医疗决定权有关的道德和法律问题，并评估了意大利法律在影响儿童的医疗选择中重视未成年人的意愿的重要性。结论：呼吁医护人员面对新的挑战，以确保医护服务能够维护未成年人的利益，同时尊重其意愿。如何评估儿童的同意能力以及如何平衡父母和未成年人的自主权，是越来越多的各国法院要求解决的关键问题。这些问题需要各个人物（父母，医生，心理学家，法官）之间的密切合作，这暗示着接受持续培训的道德要求。

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