口腔专科医疗中的告知义务履行与法律风险防控  

Fulfillment of the Notification Obligations and Prevention and Control of Legal Risks in Oral Specialist Medical Treatment

作　　者：周洋[1] 邵辰杰[2] ZHOU Yang;SHAO Chenjie(Department of Human Resources,Medical School of Nanjing University/Nanjing Stomatological Hospital,Nanjing 210008,China;Department of Medical Affairs,Medical School of Nanjing University/Nanjing Stomatological Hospital,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院/南京市口腔医院人事科,江苏南京210008 [2]南京大学医学院附属口腔医院/南京市口腔医院医务处,江苏南京210008

出　　处：《中国医学伦理学》2022年第10期1077-1081,共5页Chinese Medical Ethics

基　　金：国家社会科学基金一般项目“‘将健康融入所有政策’的实现路径研究”(17BGL183);南京大学医学院附属口腔医院3456骨干人才资助项目“基于量化指标的职称聘任体系构建及其信息化实现路径探索”(0222M506);南京大学医学院附属口腔医院3456骨干人才资助项目“口腔专科医疗质量控制体系构建与评价研究”(0222M503)。

摘　　要：口腔专科诊疗具有诊疗行为发生即时性、诊疗过程阶段性、诊疗人群多样性、诊疗效果主观性以及门诊病历保管患方主导性的特点。在告知义务履行过程中可能遇到未成年患者自主权益保障、沟通时间紧张、首诊方案明确性不足、履行形式新要求以及过错推定适用扩大等风险。口腔专科诊疗应当关注告知对象的真实意思表示;告知途径的多元化以取证患方明确的态度;告知流程的优化以弥补信息失衡;严格落实医疗安全核心制度,促进告知义务的实质履行。The oral specialist diagnosis and treatment has the characteristics of diagnosis and treatment behavior immediacy,phased diagnosis and treatment process,diagnosis and treatment population diversity,diagnosis and treatment effect subjectivity,and patient dominance of outpatient medical record storage.In the process of fulfilling the notification obligation,there may be risks such as the protection of the autonomous rights and interests of minor patients,the limited communication time,the insufficient clarity of the first diagnosis plan,the new requirements for the performance form,and the expansion of the application of the presumption of fault.The oral specialist diagnosis should pay attention to the true expression of the informed object;the diversification of the informative channels to obtain the clear attitude of the patient;the optimization of the informative process to make up for the information imbalance;the strict implementation of the core medical safety system to promote the actual fulfillment of the notification obligation.

关 键 词：口腔专科 知情同意 法律风险 告知义务 

分 类 号：R-052[医药卫生]