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首页> 外文期刊>Journal of paediatrics and child health >Current legal and clinical framework for treatment of trans and gender diverse youth in Australia
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Current legal and clinical framework for treatment of trans and gender diverse youth in Australia

机译：澳大利亚在跨境跨和性别多样性青年治疗的当前法律和临床框架

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Legal and clinical complexities surrounding consent to medical treatment for trans and gender diverse (TGD) youth in Australia continue to develop. New Australian Standards of Care and Treatment Guidelines have also introduced substantial clinical developments. Significant changes to legal principles from court decisions require doctors and health authorities, youth and parents, and legal advisors, to make and administer treatment decisions in compliance with the new legal requirements. Recent developments in the law relating to consent for medical treatment of TGD youth are clarified, with focus on the 2017 case Re: Kelvin and its implications for clinical practice. This article presents a new medico-legal analysis of clinical practice for treating TGD youth, mapping Australian clinical guidelines and legal principles against three stages of clinical treatment. Clinical scenarios are used to demonstrate situations where the legal framework no longer presents a barrier to clinical practice, as well as those where ambiguity remains. The aim of this paper is to ensure that clinicians working with TGD youth understand what the law currently requires in term of consent, with reference to the stages of treatment, and where the law fails to provide clear guidance for patients, parents and health professionals. Residual uncertainty in the applicable legal principles requires legislative or judicial resolution and policy clarity.
机译：澳大利亚的跨性别青年（TGD）同意接受医疗治疗的法律和临床复杂性仍在不断发展。新的澳大利亚护理标准和治疗指南也引入了实质性的临床发展。法院判决对法律原则的重大改变要求医生和卫生当局、青少年和家长以及法律顾问根据新的法律要求做出和管理治疗决定。澄清了与TGD青少年医疗同意相关的法律的最新发展，重点是2017年的案件：开尔文及其对临床实践的影响。本文对治疗TGD青少年的临床实践进行了新的法医学分析，根据临床治疗的三个阶段绘制了澳大利亚临床指南和法律原则。临床场景用于演示法律框架不再对临床实践构成障碍的情况，以及仍然模棱两可的情况。本文的目的是确保从事TGD青少年工作的临床医生了解法律目前在同意方面的要求，涉及治疗阶段，以及法律未能为患者、家长和卫生专业人员提供明确指导的地方。适用法律原则中的剩余不确定性需要立法或司法决议以及政策明确性。

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