我国远程医疗中患者知情同意权和隐私权保护研究  

Protecting patient rights of informed consent and privacy in telemedicine in China

作　　者：姜雯 吴婉荧 阿依沙达·吐尔逊巴依 Jiang Wen;Wu Wanying;Ayishada Tuerxunbayi(School of Health Management,Southern Medical University,Guangzhou 510515,Guangdong Province,China)

机构地区：[1]南方医科大学卫生管理学院,广州510515

出　　处：《中国医疗管理科学》2024年第2期7-11,共5页Chinese Journal Of Medical Management Sciences

基　　金：广东省普通高校哲学社会科学重点实验室项目(2015WSYS0010)。

摘　　要：近年来我国的远程医疗服务发展迅速,由于服务涉及的参与方和环节多,专门立法薄弱,出现了患者的知情同意权与隐私权保护不足而被侵权的情况。在患者知情同意权方面的保护不足表现为医生未尽告知义务、地区差异削弱患者知情同意权、患者信息知情同意权的界定不明确。在患者隐私权方面的保护不足表现为远程医疗全过程被监控、医患身处场合存在隐私风险、患者难以自主掌控信息。我国有必要修订《远程医疗服务管理规范(试行)》,包括:增加远程医疗的法律依据、增加远程医疗的适用前提、增加患者知情同意权保护内容、增加患者隐私权保护内容。Telemedicine service has rapidly developed in China in recent years.The service involves multiple participants and procedures.Infringement occurred due to legislative deficiencies and insufficient protection of patient rights of informed consent and privacy.The insufficient protection of patients'rights of informed consent includes doctor's failure to inform the patients,regional differences,and unclear definition.The insufficient protection of patients'rights of privacy includes patient monitoring throughout the services,the privacy risks in service settings,and low level of patient autonomy for their personal data.Therefore,the Telemedicine Service Management Practices(a trial implementation version)should be revised to add new contents including legal basis and application presumption of telemedicine as well as rights of informed consent and privacy.

关 键 词：远程医疗 知情同意权 隐私权 患者 

分 类 号：D923[政治法律—民商法学] D922.16[政治法律—法学] R-051[医药卫生]