我国保护性医疗制度及其存在的法律问题  

Protective Medicine System and Its Legal Issues in China

作　　者：李欣慧[1,2] 李明 LI Xin-hui;LI Ming(Department of Doctor-patient Relationship,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院医患关系办公室,北京100010 [2]中国社会科学院大学法学院,北京102488 [3]武汉大学法学院,湖北武汉430072

出　　处：《医学与哲学》2021年第2期58-61,共4页Medicine and Philosophy

摘　　要：保护性医疗制度诞生于医疗家长主义与自由主义的博弈之中,基于医者行善原则和医疗家庭主义传统的伦理基础。保护性医疗的实施与患者知情同意权、隐私权、自主权存在冲突,应当对其适用范围、手段、程序等进行严格限制。但我国当前立法中,保护性医疗相关制度存在大量立法空白,现有规定模糊、零散、缺乏可操作性,制度不完善带来医师法律适用难度大、患者权利被侵害风险高、医患纠纷产生隐患大等问题。通过对保护性医疗制度发展渊源、性质特征、矛盾困境的探究以剖析当前我国保护性医疗制度存在的问题。The protective medical system was born in the game between medical paternalism and liberalism,based on the principle of good conduct by doctors and the ethical foundation of the tradition of medical familism.The implementation of protective medical care is incompatible with patients'right of informed consent,privacy,and autonomy.Its scope,methods,and procedures should be strictly restricted.However,there are a large number of legislative gaps related to protective medical care in the current legislation in China.The existing regulations are vague,scattered and inoperable.The imperfect system makes it difficult for physicians to apply the law,brings many problems such as higher risk of infringement of patient rights and hidden dangers in doctor-patient conflicts.This article analyzes the current problems of the protective medical system by exploring the origin,nature,contradictions and dilemmas.

关 键 词：保护性医疗 医学伦理 知情同意权 

分 类 号：R-05[医药卫生]