儿童行使医疗决定权利的困境与思考  

Dilemma and Reflection on Children Exercising the Right of Medical Decision-making

作　　者：朱方园 汤玉萍 ZHU Fangyuan;TANG Yuping(Department of Orthopedics, Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210000, China)

机构地区：[1]南京医科大学附属儿童医院骨科,江苏南京210000

出　　处：《中国医学伦理学》2022年第1期55-58,共4页Chinese Medical Ethics

摘　　要：儿童是否能够自行行使医疗决定权一直是法学界和伦理学界广为争议的话题,也是社会各界人士关注的焦点。对此,结合儿童医疗决定权行使过程中存在的问题,如与生命健康权冲突、知情同意权制度保障不足以及法定监护人行使儿童医疗决定权可能无法符合患儿最佳利益等,从儿童生命健康权、知情同意和医疗决定能力评估以及对儿童知情同意和医疗决定能力角度的思考三个方面探讨了儿童行使医疗决定权的困境与可行性,指出应充分赋予有能力进行自我决定儿童合法的医疗决定权,以保障其获得医学临床上的最佳利益。Whether children can exercise their medical decision-making power has always been a controversial topic in law and ethics,and it is also the focus of attention of people from all walks of life.In this regard,combined with the problems existing in the exercise of children's medical decision-making power,such as conflict with the right to life and health,insufficient guarantee of the right to informed consent system,and the legal guardian's exercise of children's medical decision-making power may not be in the best interests of children.This paper discussed the dilemma and feasibility of children's exercise of medical decision-making power from three aspects:children's right to life and health,the evaluation of informed consent and medical decision-making ability,and the thinking of children's informed consent and medical decision-making ability,and pointed out that children who are able to make self-determination should be fully endowed with legal medical decision-making power,so as to ensure their best interests in medical clinic.

关 键 词：儿童 医疗决定权 生命健康权 知情同意 

分 类 号：R-052[医药卫生]