医务人员与公众对知情同意制度的认知和态度的对比研究  

Comparative Study of the Cognition and Attitude of Medical Staff and the Public on Informed Consent System

作　　者：王玲 郑沛瑶 马文文 顾加栋[4] Wang Ling;Zheng Peiyao;Ma Wenwen;Gu Jiadong

机构地区：[1]南京医科大学马克思主义学院 [2]澳大利亚科廷大学 [3]上海市嘉定区爱国卫生和健康促进指导中心 [4]南京医科大学医学人文研究院

出　　处：《医学与法学》2022年第3期89-94,共6页Medicine and Jurisprudence

基　　金：四川医事卫生法治研究中心一般项目“医疗告知与知情同意法律正当性研究”(项目编号:YF18-Z08)的阶段性成果。

摘　　要：基于临床诊疗的典型案例或临床常见现象,围绕知识同意权的法律属性、知情同意权的行使主体及其实现途径、紧急医疗情形下知情同意权的实现三个方面设计问卷,分别对医务人员及公众进行问卷调查并对数据进行对比分析。结果表明:医务人员及公众对知情同意权的权利属性的认知较为一致,但对承担医疗风险的主体的认知存在分歧;尽管相对多数的公众受访者认可患者近亲属代为行使知情同意权的行为,但医务人员对此行为的认知分歧较大;医务人员及公众对紧急医疗情形下知情同意权克减现象的认识均不够清晰,但公众受访者总体上对此持理解和包容态度。Based on typical cases or common clinical situations,a questionnaire is designed from the following aspects:the legal attribute of informed consent,the exercise subject and path of of informed consent,and the realiza⁃tion of informed consent in emergency medical situation.The medical staff and the public are surveyed and the data are compared and analyzed.And the results show that the medical staff and the public have the same cognition of the right attribute of informed consent,but the cognition of the subject who bears the medical risk is different;although a relatively large majority of the public respondents approve of patients'close relatives exercising informed consent on their behalf,medical staff have great cognitive differences in it;both medical staff and the public are not clear about the phenomenon of informed consent derogation in emergency medical situations,but the public respondents general⁃ly hold an understanding and tolerant attitude towards it.

关 键 词：知情同意权 认知和态度 对比研究 

分 类 号：R-051[医药卫生] D923[政治法律—民商法学]