The Legal Authority of Mature Minors to Consent to General Medical Treatment
The Legal Authority of Mature Minors to Consent to General Medical Treatment
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DOI：
10.1542/peds.2012-2470
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发表时间：
2013-04-01
期刊：
影响因子：
8
通讯作者：
Rosoff, Philip M.
中科院分区：
文献类型：
--
作者：
Coleman, Doriane Lambelet;Rosoff, Philip M.
成年青少年在没有父母参与的情况下同意接受一般医疗的法律的权力的性质和范围往往被评论者歪曲。法律本身使这种情况更加复杂，因为法律对堕胎案件中父母同意的一般要求规定了一个广泛的“成熟的次要例外”，并对这一要求规定了许多具体的基于身份和条件的例外。在这种情况下，医生和其他治疗青少年的医疗专业人员要确定适用的法律并不总是一件简单的事情。在这篇文章中，我们讨论了医学伦理学和法律之间的根本差异，这导致了这一领域的一些混乱，我们列出了最新的法律的规则，青少年的决策权在一般的医疗环境。对成文法和普通法的全面分析表明，在这种情况下，大多数司法管辖区仍然要求父母同意，即使未成年人在认知上可以被认为是“成熟的”。儿科2013;131：786-793
The nature and scope of mature adolescents' legal authority to consent to general medical treatment without parental involvement is often misrepresented by commentators. This state of affairs is further complicated by the law itself, which has developed a broad "mature minor exception" to the general requirement of parental consent in abortion cases and which has additionally carved out numerous specific status-based and condition-based exceptions to that requirement. In these circumstances, it is not always a simple matter for physicians and other medical professionals who treat adolescents to ascertain the applicable law. In this article, we discuss the underlying differences between medical ethics and law, which have caused some of the confusion in this area, and we set out the most current legal rules governing adolescent decision-making authority in general medical settings. A comprehensive analysis of both statutory and common law demonstrates that in such settings, parental consent continues to be required by most jurisdictions, even when the minor can be considered cognitively "mature." Pediatrics 2013;131:786-793