医师告知义务之罕见并发症的判断——白内障手术之上脉络膜猛爆性出血案  

Judgment of Rare Complications of Physician's Informing Obligation——The Case of the Choroidal Hemorrhage in the Context of Cataract Surgery

作　　者：孙骐[1,2] 田侃[1] 喻小勇[1] 

机构地区：[1]南京中医药大学,江苏南京210023 [2]常州市第七人民医院

出　　处：《中国卫生事业管理》2016年第4期279-282,共4页Chinese Health Service Management

基　　金：教育部哲学社会科学研究重大课题攻关项目"基本医疗服务保障法制化研究"(编号:14JZD025);江苏省2015年度普通高校研究生科研创新计划"基本医疗服务体系法制化研究--基于江苏省的实证调研"(编号:KYLX15 0985)

摘　　要：藉由台湾地区罕见并发症的相关司法判例,为大陆地区医师告知义务之罕见并发症的判断提供借鉴。其中医师告知义务的判断标准可采纳"理性医师和具体患者标准"的折衷说,在具体告知义务判断上应将医疗行为区分为"诊疗目的性医疗行为"和"非诊疗目的性医疗行为",并对两类医疗行为加以不同程度的告知义务要求,其中"诊疗目的性医疗行为"还可运用英美法之"汉德公式"进行综合因素的考虑。此外,关于"罕见"的判断可借鉴"罕见病"的定义,并运用循证医学的证据评价体系以及专门的医疗鉴定机构等加以明确。According to the relevant judicial precedents of the rare complications in Taiwan,the paper tries to provide reference for the judgment of rare complications of physicians＇duty of disclosure in China's Mainland. The physician＇s informing obligation criteria can adopt ＂reasonable physician and patient specific standard＂ and give different requirement on ＂medical behavior based on diagnosis＂ and ＂non -medical behavior based on diagnosis＂. While applying ＂Hand formula＂ of Common Law to judge the ＂medical behavior based on diagnosis＂. In addition,＂ rare＂ can be defined according to rare diseases, the applying of evidence - based medicine and specialized medical institutions.

关 键 词：告知同意 罕见 并发症 汉德公式 

分 类 号：R197.3[医药卫生—卫生事业管理] D922.16[医药卫生—公共卫生与预防医学]