医疗保密义务的例外情形研究  

Study on Exceptions to the Duty of Medical Confidentiality

作　　者：申伟[1] 黄李睿怡 SHEN Wei;HUANG-LI Ruiyi(Lanzhou University,Lanzhou,Gansu 730000,China)

机构地区：[1]兰州大学,甘肃兰州730000

出　　处：《医学与法学》2024年第5期21-29,共9页Medicine and Jurisprudence

基　　金：2024年度甘肃省人民检察院检察理论研究课题“帮助信息网络犯罪活动罪上下游关联案件研究”(项目编号:GSJC2024-13-04);2023年度甘肃省人民检察院检察理论研究课题“检察工作现代化的理论思考与实践探索”(项目编号:GSJC2023-01-02)的阶段性成果。

摘　　要：在医患关系中,对于患者的健康信息,医疗人员以保密为原则、披露为例外,且披露必须满足特定条件,方能排除其披露行为的违法性;在现行法框架下,其处理患者医疗健康信息时,既需要满足《个人信息保护法》中有关敏感个人信息处理的一般条件,也需要满足《民法典》中隐私权所要求的特别条件。为充分保障患者权益,应避免医疗健康信息披露的泛滥;相关立法的后续修订完善,应坚持以保密为原则、披露为例外的基本理念,并借鉴域外相关立法经验,尽可能实现我国医疗保密义务之例外情形的法定化、明确化。In doctor-patient relationship,medical personnel should treat confidentiality as the principle and disclosure as an excep⁃tion for the patient's health information,and the disclosure must meet certain conditions before the illegality of the disclosure can be ex⁃cluded.Under the framework of the current laws,the process of patients'medical and health information needs to meet both the general conditions on the process of sensitive personal information in the Personal Information Protection Law and the special conditions re⁃quired by the privacy rights in The Civil Code.In order to fully protect patients'rights and interests,the proliferation of medical and health information disclosure should be avoided.The subsequent revision and improvement of relevant legislation should adhere to the basic concept of confidentiality as the principle and disclosure as the exception,and draw on the relevant legislative experiences from abroad to legalize and clarify the exceptions of medical confidentiality duty in China as much as possible.

关 键 词：医疗健康信息 敏感个人信息 医疗保密义务之例外 违法阻却事由 

分 类 号：R-05[医药卫生] D92[政治法律—法学]