缓和医疗、徒劳争端及其法律规制  

Palliative Care,Futile Disputes and Legal Regulation

作　　者：贾平 JIA Ping(Center for Study of Bioethics,Huazhong University of Science and Technology,Wuhan 430074,China)

机构地区：[1]华中科技大学生命伦理学研究中心,湖北武汉430074

出　　处：《医学与哲学》2021年第10期1-5,12,共6页Medicine and Philosophy

基　　金：2019年司法部国家法治与法学理论研究项目(19SFB2035)。

摘　　要：缓和医疗有利于改善患有严重疾病的个人的整体健康,缓解疾病症状和压力,提高患者的生命质量。缓和医疗和安乐死、临终关怀等具备不同的法律涵义和法律后果。在缓和医疗过程中,尤其在患者生命末期,围绕终止维持生命的医疗措施问题,医疗机构和患者代理人间容易产生矛盾。通过访谈、文献梳理和比较的方法,对缓和医疗过程中可能涉及的法律问题,尤其是“徒劳争端”诉讼,进行了梳理和类型化,并提出在《民法典》框架下,我国相关法律、法规、规章相关规定需要得到进一步完善。Palliative care improves overall health and quality of life for patients with severe disease,and relieves corresponding symptoms and stress.Palliative care is different from euthanasia and hospice care in terms of concept and legal implications.Medical providers sometimes may conflict on whether to withdraw or maintain the life sustain medical treatment on patients,particularly their surrogates,which usually leads to futile disputes or even futile litigations.Based on literature review and interview,this article analyzes the palliative care and related legal issues and risks in China's Mainland,from a comparative law perspective,and categorizes legal issues such as futile disputes.The article also provides recommendations that under the framework of Chinese Civil Law Code,laws and regulations need to be improved to better fix the issue.

关 键 词：缓和医疗 维持生命的医疗措施 徒劳争端 患者自主 代理 

分 类 号：R-05[医药卫生]