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近日有傳媒指,有警員(包括便裝警員)在醫院管理局(「醫管局」)轄下醫院內搜證、巡邏,並向醫護人員索取病人個人資料。及後,醫管局亦證實有傷者在求醫期間遭警方拘捕。此事件對前線醫護人員造成壓力,並令傷病者不敢到公立醫院求醫,對公眾健康構成危險。就此,我們發出以下聲明:

一、警務人員不應滋擾醫護人員或妨礙救護工作

醫院乃供醫護人員救傷扶危、傷病者獲得治療和安心休養的地方。根據《醫院管理局附例》(第 113A 章)第 8(1)(c)和(d)條,院方職員可指示在醫院內作出妨擾行為的人士或把醫院任何部分的地方用作其預定目的以外的用途的人士即時離開醫院。

任何滋擾醫護人員或病人的活動(不論是否被院方職員所發現)均有機會阻礙救護工作,危害病人安全。我們促請警方在調查案件的過程中,顧及傷病者安全,讓醫護人員能盡其責任醫治傷病者。

二、警務人員須尊重病人個人私隱

醫院管理局旗下醫院及香港警務處均受《公開資料守則》及《個人資料(私隱)條例》(第486章)(「私隱條例」)所規限。

根據《警察通例》第76-04(2)章,警員須遵守私隱條例附表1所訂定的保障資料原則。

傷病者到醫院求醫時,向醫護人員提供資料,旨在讓醫護人員適時、有效及準確地治療其傷患。根據《醫院管理局保障個人資料政策及措施的條文》,除非獲當事人同意或在法律許可的情況之下,醫護人員不應把收集到的個人資料作收集資料的目的或直接有關目的之外的用途。

保護病人私隱乃醫護人員最重要的專業守則之一 。根據《香港註冊醫生專業守則》(二零一六年一月修訂本)第 II 部分,A (1.4) 列明:(1)醫生應先徵得病人同意,才可向不涉及醫療轉介的第三者披露任何醫療資料;及(2)在特殊情況下,病人的醫療資料可在未徵得有關人同意下向第三者披露,例如:(i) 為防止病人或他人遭受嚴重傷害而須披露有關資料;(ii) 法例規定必須披露有關資料。《香港護士倫理及專業守則》第 3 部份亦列明:(1)護士應確保個別人士所提供的機密資料,只會用作當初提供資料的目的;及(2)護士應保障在執行專業實務過程中獲取的資料,除非取得個別人士的同意,或在特殊情況下,例如法庭就披露作出頒令,否則不得披露該等資料。

警方在醫院內向醫護人員索取病人資料,有違私隱條例中訂定的保障資料原則。在此,我們敦促警方尊重病人私隱,立刻停止向任何醫護人員 (包括公營和私營機構) 隨意口頭查詢病人的個人資料。如有需要,警方應循正常途徑,向法庭申請手令,然後向有關醫院或醫生正式書面申請醫療報告。

聯署者

醫學界選委(23人):

真普選醫生聯盟

歐耀佳 醫生     黃任匡 醫生     鄺葆賢 醫生     劉文欽 醫生

張永融 醫生     盧詠琛 醫生     彭張華 醫生     覃天笙 醫生     張臻善 醫生

楊聿川 醫生     李盈姿 醫生     李福基 醫生     梁杰仁 醫生     衛兆輝 醫生

胡金榮 醫生     龍振邦 醫生     彭潔儀 醫生     梁婉儀 醫生     馮偉正 醫生

獨立聯署醫學界選委

蔡 堅 醫生        梁家騮 醫生      何栢良 醫生     馮德焜 醫生

衞生服務界選委(30人):

列明慧 物理治療師      高展鵬 言語治療師      陳少清 臨床心理學家

洪梓然 放射診斷師      潘倩敏 註冊護士         馬 旗 註冊藥劑師

唐展峰 註冊藥劑師      袁偉傑 註冊護士         劉凱文 註冊護士

蘇衍霈 註冊護士/ 助產士    葉劍青 臨床心理學家  張嘉宜 職業治療師

李詠嫻 登記護士         吳志傑 放射治療師      何嘉雯 註冊護士

鄒凱詩 臨床心理學家  姚頌恩 臨床心理學家  劉愷寧 註冊藥劑師

趙卓邦 註冊護士         陳綺華 註冊護士         馮轉娣 註冊護士            譚少雯 註冊護士

唐亮均 註冊護士         李慧雯 註冊護士         趙鳳玲 註冊護士            王詠詩 註冊護士

趙淑華 註冊護士         麥君妍 註冊護士         戚雅妍 註冊護士            溫愷詠 物理治療師

法律界選委(29人):

陳景生             戴啟思             梁家傑             夏偉志             彭耀鴻                 潘熙

查錫我             張達明             張惠儀             張耀良             關尚義                 何俊麒

何俊仁             郭憬憲             林洋鋐             廖成利             文浩正                 吳思諾

潘淑瑛             石書銘             譚俊傑             韋智達             黃鶴鳴                 王學今

黃國桐             黃瑞紅             黃宇逸             葉海琅             阮陳淑怡

香港公共醫療醫生協會

杏林覺醒

護政

物理治療起動

法政匯思

Joint Statement by the Medical, Health Services and Legal sectors : Appealing for the police to avoid hindrance of medical treatment and to respect the privacy of patients

It has been brought to our attention through recent media reports that police officers (including plain-clothes officers) had patrolled and gathered evidence in public hospitals under the Hospital Authority (“HA”) and demanded access to patients’ information from health care workers. The HA had also confirmed that injured victims were arrested by the police while seeking medical attention in public hospitals.

These incidents have led to substantial pressure on the part of frontline medical staff and have deterred civilians from seeking medical help in  hospitals, which is unfortunately a public health crisis in the making.

In this regard, we issue the following statement:

1: The hindrance of patient care and nuisance caused to health care workers must cease.

The hospital is a place for the injured or sick to receive medical treatment, care and allow for their recuperation. Under section 8(1)(c) and (d) of the Hospital Authority Bylaws (Cap. 113A), any member of the staff may direct any person who is found committing any nuisance in the hospital or using any part of a hospital for purposes for which it is not intended, forthwith to leave a hospital.

Any activity that causes nuisance to a health care provider or patient (whether or not discovered by a hospital staff member) may impede clinical care and endanger patient safety. We urge the police to take into account the health and safety of the injured and sick in the process of investigation, and facilitate medical personnel in delivering proper care.

2:  The police must respect the privacy of patients.

The HA and the Hong Kong Police Force are subject to the Code on Access to Information and the Personal Data (Privacy) Ordinance (Cap. 486) (“the Privacy Ordinance”). According to Chapter 76-04(2) of the Police General Orders, officers are required to comply with the data protection principles set out in Schedule 1 of the Privacy Ordinance.

When the injured or sick attends a hospital, the information provided serves to ensure timely, effective and accurate delivery of medical treatment. According to Statement on HA’s Data Protection Policy and Practice, medical personnel shall not use the personal data collected for any purpose other than the purposes or directly related purposes for which the data was to be used at the time of collection unless there is consent from the individual concerned or use otherwise permitted by law.

Protecting privacy of patients is one of the most important professional codes of conduct for health care workers. According to the Code of Professional Conduct for the Guidance of Registered Medical Practitioners (Revised in January 2016) Part II, A (1.4) : (1) A doctor should obtain consent from a patient before disclosure of medical information to a third party not involved in the medical referral; and (2) In exceptional circumstances medical information about a patient may be disclosed to a third party without the patient’s consent. Examples are: (i) where disclosure is necessary to prevent serious harm to the patient or other persons; (ii) when disclosure is required by law. Part 3 of the Code of Ethics and Professional Conduct for Nurses in Hong Kong also states: that nurses should (1) ensure that the information given by the individuals in confidence will only be used for the purposes for which it was given; and (2) protect the information obtained in the course of professional practice and disclose only with the individuals’ consent, or in exceptional circumstances, such as where a court order is made for disclosure.

It is in violation of the data protection principles set out in the Privacy Ordinance for a police officer to request personal information of a patient from a health care worker in a hospital. We demand the police to respect the privacy of patients and immediately cease the practice of approaching individual health care workers (including public and private organisations) for medical information. If deemed necessary, the police should follow the existing procedures and apply to the court for a search order and/or file a request for a medical report to the relevant parties.

Cosigners

Members of the Election Committee Subsector Election (Medical) (23 persons)

Doctors for Democracy

Dr. Au Yiu Kai                         Dr. Wong Yam Hong                Dr. Kwong Po Yin

Dr. Cheung Wing Yung             Dr. Lo Wing Sum                    Dr. Pang Cheung Wah

Dr. Chan Tin Sang Augustine    Dr. Cheung Jason                  Dr. Yang Li Chuan Marc

Dr. Lee Ying Chi                      Dr. Lee Fook Kay Aaron           Dr. Leung Kit Yan

Dr. Wai Shiu Fai                       Dr. Woo Kam Wing                  Dr. Lung David Christopher

Dr. Pang Ying Kit                     Dr. Leung Yuen Yee                 Dr. Fung Wai Ching

Dr. Lau Man Yam

Independent cosigners

Dr. Choi Kin Gabriel                 Dr. Ho Pak Leung                     Dr. Leung Ka Lau

Dr. Fung Tak Kwan James

Members of the Election Committee Subsector Election (Health service) (30 persons)

Lit Ming Wai                            Yao Chung Yin Desiree             Wan Hoi Wing Sally

Ma Kee                                    Chiu Cheuk Pong                      Ko Chin Pang

Ip Kim Ching                            Wong Wing Sze                        Tam Siu Man

Chik Nga Yin                            Chow Hoi Sze Daisy                 Fung Chuen Tai

Ng Chi Kit                                Lee Wai Man Vivienne             Lau Hoi Man Michael Felix

Chiu Fung Ling                         Chiu Shuk Wah                         Chan Siu Ching

So Hin Pui                                Yuen Wai Kit                            Cheung Ka Yi

Chan Yee Wa                           Mak Kwan Yin                         Tong Jason Chin Fung

Lau Karen                                Tong Leong Kwan                    Hung Tsz Yin

Poon Sin Man Ivaline                Ho Ka Man Carmen                  Lee Wing Han

Members of the Election Committee Subsector Election (Legal) (29 persons)

Chan King Sang Edward SC      Dykes Philip John SC                Leong Kah Kit Alan SC

Harris Graham Anthony SC       Pang Yiu Hung Robert SC            Pun Hei Hectar SC

Char Shik Ngor Stephen            Cheung Tat Ming Eric               Cheung Wai Yee Betty

Cheung Yiu Leung                    Clancey John Joseph                 Ho Chun Ki Frederick

Ho Chun Yan Albert                 Kwok King Hin Douglas            Lam Kenneth

Liu Sing Lee Bruce                   Man Ho Ching Jonathan            Ng Sze Nok Senia

Poon Suk Ying Debora              Shek Randy Shu Ming               Tam Chun Kit Jeffrey

Vidler Michael John                  Wong Hok Ming Alan               Wong Huk Kam

Wong Kwok Tung Daniel          Wong Shui Hung Linda             Wong Yu Yat Anson

Yip Hoi Long Richard               Yuen Chan Suk Yee Helena

Hong Kong Public Doctors’ Association

Médecins Inspirés

Nurse Politik

Physio Action

Progressive Lawyers Group