我国保护性医疗的理论反思与制度调适——以《民法典》第一千二百一十九条为视角  

Theoretical Reflection and Institutional Adjustment of Protective Medical Measures in China——From the Perspective of Article 1219 in the Civil Code

作　　者：魏子一 Wei Ziyi

机构地区：[1]山东大学法学院

出　　处：《医学与法学》2023年第1期105-110,共6页Medicine and Jurisprudence

摘　　要：保护性医疗措施制度不可避免地会与患者自主权产生冲突;立法规定的模糊性以及我国医疗家庭主义的传统性,易引发保护性医疗措施的适用困境。鉴此,需提升保护性医疗措施的可操作性,明晰该措施的适用条件及适用情形,并避免对患者自主权的过多限制;可将是否会对患者造成身心伤害作为衡量标准,体现告知会产生“伤害”的内涵,并将患者可能拒绝治疗的信息保留和无时间限制的信息保留行为排除在外;为平衡医方的权利义务关系,应赋予保护性医疗措施责任豁免的内涵;在近亲属替代决策方面,必要时医方应介入并发挥独立的作用。Protective medical measures inevitably conflict with patient autonomy.The vague provisions in legislation and the tradition of medical familism in China can easily cause difficulties in its application.In view of this,it is necessary to improve the operability of protective medical measures,clarify the applicable conditions and situations of the measures,and avoid excessive restrictions on patients’autonomy.Whether physical and mental harm will be caused to the patient can be taken as a measurement standard to reflect the connotation of"harm"caused by notification,and the information retention of patients may refuse treatment and the information retention behavior without time limit can be excluded.In order to balance the relationship between the rights and obligations of the medical side,the connotation of exemption of liability for protective medical measures should be endowed.When necessary,the medical provider should intervene and play an independent role in the replacement decision of close relatives.

关 键 词：保护性医疗措施 信息披露 患者自主权 知情同意例外 

分 类 号：D923[政治法律—民商法学] D922.16[政治法律—法学]