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THE JOURNAL OF SCHOOL AND UNIVERSITY MEDICINE - Volume 7 Issue 4, October - December 2020

Pages: 25-33
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MINORS’S RIGHT TO CONFIDENTIALITY IN REPRODUCTIVE HEALTH CHOICES

Author: Irina IOSIF, Maria ALUAS

Category: Medical

Abstract:

ABSTRACT. According to current Romanian Law, minors have the right to decide in the field of reproductive health, after 16 years. „Reproductive health” means the physical, mental and social well-being of human person, in relation to the genital tract, its functions and functioning, not merely the absence of disease or disability (1). What happens, however, when a minor, who is already 16 years old, approach the physician to the school medicine office and asks for contraceptives or gives information to the medical staff, which shows that he/she has sexual activity? More specifically, should medical staff inform parents or legal representatives about these issues? Through the three cases presented in this article, we want to highlight certain situations faced by doctors and nurses who treat minor patients. Our goal is to establish, from the answers given by the majority of the participants in our study, to what extent the opinions of the professionals are in accordance with the Romanian legislation in force and with the principles of medical ethics. The cases analyzed in this article have as a central element the topic of minors’ confidentiality in relation with reproductive health issues. Results and analysis of cases of violence on minors will be presented in a next issue of this publication.

Keywords: Minors, Confidentiality rights, Reproductive health

DOI: 10.51546/JSUM.2020.7405

DOI URL: http://dx.doi.org/10.51546/JSUM.2020.7405

References:

  1. ‘T Zandt K. Les droits sexuels et reproductifs. Cahier Sc. n° 43. 2008. Les violences liées au sexe: 57-64.
  2. Dupont M, Rey-Salmon C. Secret et confidentialite. L’enfant et l’adolescent à l’hôpital.2014: 85-97.
  3. Aluas M. Bioetica Medicala. Cluj-Napoca: Editura Medicala Universitara ”Iuliu Hatieganu”; 2016.
  4. Cummings CL & Mercurio MR. Autonomy, Beneficience and Rights. Pediatrics in review; 31(6): 252-255.
  5. Curca GC. Elemente de etica medicala. Norme de etica in practica medicala. Despre principiile bioeticii. Cluj-Napoca: Casa Cartii de Stiinta; 2012.
  6. Cummings CL & Mercurio MR. Session 2. Autonomy, Beneficience, and Rights of Parents and Children: Exploring the Application of Ethical Principles in Pediatrics. American Academy of Pediatrics Bioethics Resident Curriculum: Case-Based Teaching Guides; 8-16.
  7. Horton J. Principles of biomedical ethics. Transactions of the Royal Society of Tropical Medicine and Hygiene; 96(1): 39-64.
  8. Noiseux J, Rich H, Bouchard N, Noronha C & Carnevale FA. Children need privacy too: Respecting confidentiality in paediatric practice. Pediatrics and Child Health (Canada); 24(1): E8-E12.
  9. Berlan ED & Bravender T. Confidentiality, consent and caring for the adolescent patient. Current Opinion in Pediatrics; 21(4): 450-456.
  10. Aluas M, Pop T & Ioan B. Minors’ rights to confidentiality: ethical scenarios in medical practice in Romania. Romanian Journal of Legal Medicine. 2019; 27(2): 172-175.
  11. Legea nr 95 din 2006 privind reforma în domeniul sanatatii, capitolul III, articolele 660 ?i 661. Publicata in Monitorul Oficial Partea I nr. 372 din 28 aprilie 2006, în vigoare din 1 mai 2006.
  12. Legea nr. 286/2009 privind Noul Cod Penal, publicata in Monitorul Oficial nr. 510 din 24 iulie 2009, in vigoare de la 1 februarie 2014.
  13. Council of Europe. Convention on the Protection of Children against Sexual Exploitation and Sexual Abuse. [Internet], 2007. Text disponibil la: https://rm.coe.int/protection-of-children-against-sexual-exploitation-and-sexual-abuse/1680794e97, accesat la data de 24.07.2020.
  14. Bogdan S, Serban D & Zlati G. Noul Cod Penal. Partea speciala. Analize, explica?ii, comentarii. Perspectiva Clujeana. Bucuresti: Universul Juridic; 2016.
  15. Centers for Disease Control and Prevention. Just diagnosed? Next steps after testing positive for Gonorrhea or Chlamydia. [Internet], 2020. Text disponibil la: https://www.cdc.gov/std/prevention/NextSteps-GonorrheaOrChlamydia.htm, accesat la data de 27.07.2020.