保密原则和公众安全之间的矛盾,是医学道德观中最难以解决的问题之一。在英国从事医务工作一直是很幸运的,因为英国议会迄今还很不愿意制定出法规,以强迫医师未经病人同意泄露有关病人的资料。必须认识到,只有在特殊情况下才允许公开有关病人以往的病历资料,方能保证病人毫无顾忌地提供情况,否则医师们就难以获得完整而 The contradiction between confidentiality and public safety is one of the most difficult problems to solve in the medical ethics. It has been very fortunate to have been engaged in medical work in the United Kingdom because the British Parliament has so far been reluctant to enact legislation to force physicians to disclose information about patients without their consent. It must be realized that only in exceptional circumstances is it permitted to disclose information about the patient’s past medical records in order to ensure that the patient provides the situation without fear, otherwise the doctors will find it difficult to obtain completeness.