《医师法》视角下医师自由裁量权与患者知情同意权的冲突规制  

Conflictregulation of physician’s discretion and patient informed consent from the perspective of the law on doctors

作　　者：陈倩[1] 马竞遥 CHEN Qian;MA Jingyao(College of Public Health and Management,Guangzhou Medical University,Guangzhou 511496,China)

机构地区：[1]广州医科大学卫生管理学院,广东广州511495

出　　处：《现代医院》2023年第10期1509-1513,共5页Modern Hospitals

基　　金：广东省哲学社会科学“十四五”规划项目(GD22XFX04);广州医科大学本科生创新能力提升计划项目(12078XM)。

摘　　要：患者知情同意权在过去二十多年的发展中因坚持“患者利益至上”原则有矫枉过正之嫌。新《医师法》作为一部医师的权益保障法,因注重保护医师合法权益相比过往要完善了医师自由裁量权与患者知情同意权的边界与范围。《医师法》中对医师自由裁量权的改进体现在赋予医师“超说明书用药权”和强化医师紧急救治权。尽管《医师法》已颁布实施,医师自由裁量权和患者知情同意权因权利属性的不同仍具有难以调停的冲突,医师自由裁量权中医师的超说明书用药权仍然具有局限。为此仍需要在坚持“患者利益优先”原则的基础上,从加强法律规制和明晰医师告知义务的标准两方面来解决以上冲突。In the past 20 years,the development of the right to informed consent of patients has been overcorrected because of the principle of “the interests of patients first”.The Law on doctors focuses on protecting physicians' rights and interests,and improves the boundary and scope of physicians' discretion and patient informed consent compared with the past.The provisions on physicians' discretion in the Law are embodied in giving physicians the “right to use off-label drugs” and strengthening the right of physicians to provide emergency treatment.Although the Law on Doctors has been promulgated and implemented,the physician discretion and the patient informed consent are still in conflict with each other due to the difference in the nature of the right,and the physician's discretion is still limited in terms of off-label drug use.So it is still necessary to resolve the above conflicts from the two aspects of strengthening legal regulation and clarifying the standards of explaining obligations on the basis of adhering to the principle of giving priority to the interests of patients.

关 键 词：《医师法》 医师自由裁量权 患者知情同意权 

分 类 号：R197[医药卫生—卫生事业管理]