患者代理知情同意权与紧急救治权冲突及化解
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摘要
患者代理知情同意权与紧急救治权冲突,实质上是法律与道德的冲突。代理知情同意权作为保障垂危患者生命健康权的措施不应被机械地执行,生命健康作为民事主体享有民事权利承担民事义务的基础,应得到法律强制力的保障,优先保障患者紧急救治权具有法律上的正当性。应从完善法律制度建设,确定患者利益最大原则,建立健全评价机制,充分发挥伦理委员会职能,扩大知情同意代理人范围,回归医疗机构救死扶伤职能几个方面入手,去化解代理知情同意权与紧急救治权的冲突。
The conflict of patients' agent informed consent right and emergency treatment right is essentially a conflict between law and morality. As a measure to protect the vital and health rights of dying patients,the agent informed consent should not be carried out mechanically. Life and health,as the basis of civil rights and civil obligations,should be protected by the force of law. The priority to protect the right to emergency treatment of patients has legal legitimacy. It is suggested to start with perfecting the legal system construction,determine the maximum benefit of patients,establish and perfect the evaluation mechanism, give full play to the function of ethics committee, expand the scope of informed consent agent,and return to the functions of medical institutions to save lives and assist the wounded,to resolve the conflict between the agent informed consent right and the emergency treatment right.
The conflict of patients' agent informed consent right and emergency treatment right is essentially a conflict between law and morality. As a measure to protect the vital and health rights of dying patients,the agent informed consent should not be carried out mechanically. Life and health,as the basis of civil rights and civil obligations,should be protected by the force of law. The priority to protect the right to emergency treatment of patients has legal legitimacy. It is suggested to start with perfecting the legal system construction,determine the maximum benefit of patients,establish and perfect the evaluation mechanism, give full play to the function of ethics committee, expand the scope of informed consent agent,and return to the functions of medical institutions to save lives and assist the wounded,to resolve the conflict between the agent informed consent right and the emergency treatment right.
引文
[1]姜贤飞,廖志林,朱方,等.医疗机构“紧急救治权”存在的问题及思考[J].中国循证医学杂志,2010,10(6):658-660.
[2]袁雪,李娜.患者知情同意权代理行使的法律思考[J].医学与哲学(A),2013,34(1):63-64.
[3]徐学华,梅春英.患者知情同意权保护中伦理和法律的冲突与协调[J].中国卫生事业管理,2017,34(9):675-676.
[4]邵华,薛梦茹.医疗损害责任纠纷案审理规范的统一、突破与缺憾[J].医学与法学,2018,10(2):35-40.
[2]袁雪,李娜.患者知情同意权代理行使的法律思考[J].医学与哲学(A),2013,34(1):63-64.
[3]徐学华,梅春英.患者知情同意权保护中伦理和法律的冲突与协调[J].中国卫生事业管理,2017,34(9):675-676.
[4]邵华,薛梦茹.医疗损害责任纠纷案审理规范的统一、突破与缺憾[J].医学与法学,2018,10(2):35-40.