对法律强化医患关系契约性的辨析  

Analysis on the Contractual Nature of Doctor-patient Relations Strengthened by Law

作　　者：曾日红[1] 方兴[1] ZENG Ri-hong;FANG Xing(Institute of Medical Humanities, Nanjing Medical University, Nanjing 211166, China)

机构地区：[1]南京医科大学医学人文研究院

出　　处：《医学与哲学》2019年第17期52-56,共5页Medicine and Philosophy

基　　金：2015年国家社会科学基金项目(15BFX033)

摘　　要：医患关系契约性应抑制或尊重,是医改绕不开的话题。作为社会分工的产物之一,医患关系具有契约性。法律注重外在行为调整的特性,使得其主要从保障医患地位平等性、交换标的可评价性及交换具有协商功能的程序性等方面着手,来实现公平正义。法律保障因具国家强制性,其客观上会强化医患关系的契约性。医患关系契约性的强化会影响医患关系公益性的政策定位。如何在尊重医患关系的契约性并正视法律规制对医患关系影响的前提下实现医疗公益性,对于中国医改而言,是一个非常现实而又紧迫的课题。The contractual nature of doctor-patient relationship should be either suppressed or respected is an unavoidable topic for medical reform. The doctor-patient relationship, as one of the results of social division of labor, has the contractual nature. The law focuses on external behavior adjustment, and guarantees the equal status between doctors and patients, the evaluability of exchange targets, and the procedural justice through its negotiation function. The purpose of the law is to achieve fairness and justice. Because this kind of guarantee is mandatory, the contractual nature of the doctor-patient relationship is strengthened. Strengthening the contractual nature of doctor-patient relationship will affect the policy orientation of the public welfare nature of doctor-patient relationship. How to realize the public welfare of health care on the premise of respecting the contractual nature of doctor-patient relationship and facing the influence of legal regulations on doctor-patient relationship is a very realistic and urgent issue for China's medical reform.

关 键 词：医患关系 社会交换 契约性 医疗公益 

分 类 号：R-05[医药卫生]