Healthcare law in France: towards healthcare emancipation for minors.
In France, since 1974 the rights of minors have been gaining ground. The first provisions to this end concerned medical acts in relation to the minor's sexuality (contraceptives and pregnancy termination). The law dated March 4, 2002, relating to patients' rights, gave more scope to this movement, by widening minors' rights so that they could demand confidentiality with regard to their parents. The minor's exercising of these rights can pose a lot of problems. In French law, parental authority is the main representation of the minor. The medical doctor treating a minor must obtain parental authorization. However, the public healthcare code provides that the doctor can override parental wishes during some situations (emergency; parents refuse). But these situations are exceptional. Since 2002, the legislator has gone further, by allowing the doctor to grant requests for care by the minor without parental authorization. However, parental authority remains the normal framework for the protection of a minor. The doctor will have to judge the reasoning and motives of a minor requesting confidentiality regarding their parents in order to decide whether he should grant or refuse care in such conditions.
Rougé-Maillart
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Department of Forensic Medicine, University Hospital, 49933 Angers, France. CIRouge-Maillart@chu-angers.fr
Jousset
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Penneau
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D000293:Adolescent; D003219:Confidentiality; D005602:France; D006801:Humans; D010287:Parent-Child Relations; D028701:Patient Rights / Q000331:legislation & jurisprudence*