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Barns rätt till självbestämmande i hälso- och sjukvården

Stentorp, Frida LU (2025) LAGF03 20251
Department of Law
Faculty of Law
Abstract (Swedish)
Det saknades länge explicit reglering avseende barns rätt till inflytande över den egna vården på hälso- och sjukvårdens område, undantaget vissa regler i speciallagstiftning. På senare år har det införts bestämmelser som uttryckligen markerar barns rätt i svensk hälso- och sjukvårdslagstiftning.

Uppsatsen syftar till att utreda hur svensk hälso- och sjukvårdslagstiftning hanterar situationer där barn utan beslutskompetens motsätter sig vård som föräldrarna samtycker till. Centralt för analysen är hur barns rätt till självbestämmande förhåller sig till principen om barnets bästa.

Huvudregeln att medicinsk vård och behandling kräver patientens samtycke hänger samman med det grundlagsstadgade skyddet mot påtvingat kroppsligt ingrepp i... (More)
Det saknades länge explicit reglering avseende barns rätt till inflytande över den egna vården på hälso- och sjukvårdens område, undantaget vissa regler i speciallagstiftning. På senare år har det införts bestämmelser som uttryckligen markerar barns rätt i svensk hälso- och sjukvårdslagstiftning.

Uppsatsen syftar till att utreda hur svensk hälso- och sjukvårdslagstiftning hanterar situationer där barn utan beslutskompetens motsätter sig vård som föräldrarna samtycker till. Centralt för analysen är hur barns rätt till självbestämmande förhåller sig till principen om barnets bästa.

Huvudregeln att medicinsk vård och behandling kräver patientens samtycke hänger samman med det grundlagsstadgade skyddet mot påtvingat kroppsligt ingrepp i 2 kap. 6 § RF. Det finns inga undantagsregler till denna bestämmelse som ger det allmänna rätt att påtvinga barn kroppsliga ingrepp, men principen om barnets bästa kan ibland medföra att visst tvång ändå anses vara försvarligt om barnet saknar beslutskompetens. Det görs då en intresseavvägning mellan å ena sidan barnets bästa och barnets behov av skydd och å andra sidan den integritetskränkning som tvångsanvändningen innebär. Om barnet är äldre eller tonåring krävs det i princip att det föreligger en nödsituation för att en sådan åtgärd ska anses försvarlig. När ett barn har beslutskompetens för medbestämmande eller självbestämmande har barnet en vetorätt, det vill säga kompetens att avböja vård. I sådana situationer kan inte enbart vårdnadshavarna samtycka till vård om barnet motsätter sig vården. (Less)
Abstract
For a long time, there was no explicit regulation of children’s right to influence their own care in the field of health care, except for certain rules in special legislation. In recent years, such provisions have been introduced in the Swedish healthcare legislation.

The aim of this thesis is to investigate how Swedish health care legislation deals with situations where children without decision-making capacity oppose care to which their parents’ consent. Central to the analysis is how children’s right to self-determination relates to the principle of the best interests of the child.

The general rule that medical care and treatment require the patient’s consent is linked to the constitutional protection against forced physical... (More)
For a long time, there was no explicit regulation of children’s right to influence their own care in the field of health care, except for certain rules in special legislation. In recent years, such provisions have been introduced in the Swedish healthcare legislation.

The aim of this thesis is to investigate how Swedish health care legislation deals with situations where children without decision-making capacity oppose care to which their parents’ consent. Central to the analysis is how children’s right to self-determination relates to the principle of the best interests of the child.

The general rule that medical care and treatment require the patient’s consent is linked to the constitutional protection against forced physical intervention in Chapter 2, Section 6 of the Swedish Constitution. There are no exceptions to this provision that entitle the public authorities to impose physical interventions on children, but the principle of the best interests of the child may sometimes imply that certain coercion is nevertheless considered justifiable if the child lacks decision-making capacity. A balance of interests is then struck between the best interests of the child and the child’s need for protection on the one hand, and the invasion of privacy caused by the use of force on the other. If the child is older or a teenager, an emergency situation is in principle required for such a measure to be considered justifiable. When a child has the capacity for decision-making or self-determination, the child has a right of veto, i.e. the competence to refuse care. In such situations, the caregivers alone cannot consent to care if the child objects to the care. (Less)
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author
Stentorp, Frida LU
supervisor
organization
course
LAGF03 20251
year
type
M2 - Bachelor Degree
subject
keywords
Socialrätt, medicinsk rätt, hälso- och sjukvård, samtycke, beslutskompetens, barnets bästa, barnkonventionen
language
Swedish
id
9190921
date added to LUP
2025-06-23 13:31:34
date last changed
2025-06-23 13:31:34
@misc{9190921,
  abstract     = {{For a long time, there was no explicit regulation of children’s right to influence their own care in the field of health care, except for certain rules in special legislation. In recent years, such provisions have been introduced in the Swedish healthcare legislation.

The aim of this thesis is to investigate how Swedish health care legislation deals with situations where children without decision-making capacity oppose care to which their parents’ consent. Central to the analysis is how children’s right to self-determination relates to the principle of the best interests of the child.

The general rule that medical care and treatment require the patient’s consent is linked to the constitutional protection against forced physical intervention in Chapter 2, Section 6 of the Swedish Constitution. There are no exceptions to this provision that entitle the public authorities to impose physical interventions on children, but the principle of the best interests of the child may sometimes imply that certain coercion is nevertheless considered justifiable if the child lacks decision-making capacity. A balance of interests is then struck between the best interests of the child and the child’s need for protection on the one hand, and the invasion of privacy caused by the use of force on the other. If the child is older or a teenager, an emergency situation is in principle required for such a measure to be considered justifiable. When a child has the capacity for decision-making or self-determination, the child has a right of veto, i.e. the competence to refuse care. In such situations, the caregivers alone cannot consent to care if the child objects to the care.}},
  author       = {{Stentorp, Frida}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Barns rätt till självbestämmande i hälso- och sjukvården}},
  year         = {{2025}},
}