患者知情同意权行使主体的困境与纾解  

The Dilemma and Relief of the Exercise Subject of the Informed Consent Right of Patients

作　　者：崔钧 徐梓硕 李娜 张洪江 CUI Jun;XU Zishuo;LI Na;ZHANG Hongjiang(Office of Emergency Management,Third Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,China;Library,Harbin Medical University,Harbin 150000,China;School of Marxism,Jinzhou Medical University,Jinzhou 121000,China)

机构地区：[1]锦州医科大学附属第三医院应急管理办公室,辽宁锦州121000 [2]哈尔滨医科大学图书馆,黑龙江哈尔滨150000 [3]锦州医科大学马克思主义学院,辽宁锦州121000

出　　处：《医学与哲学》2024年第23期28-33,共6页Medicine and Philosophy

摘　　要：随着社会医疗卫生事业不断发展,医患关系的日益复杂化,构建一套完善的患者知情同意权制度已然成为医患关系发展中的重要因素。剖析患者知情同意权的行使主体存在的问题和原因,包括如何确定知情同意权的行使主体、如何界定主体之间关系、当主体之间发生冲突时该如何顺位、在抢救生命垂危患者等特殊情况下患者家属意见与医疗机构治疗方案发生严重分歧时,知情同意权的行使主体应是谁等。从而提出完善患者知情同意权行使主体制度的对策,从根本上改变患者在当下医疗环境中的相对弱势地位,进而保障患者的相关利益不受损害。With the development of medical and health care,doctor-patient relationship is becoming more and more complicated.Building a comprehensive system for patients'right to informed consent has become essential in fostering positive medical relations.This study analyzes the problems and reasons of the subjects exercising the right of informed consent of patients,including how to determine the correct subject to exercise this right,how to define the relationship between involved parties,how to prioritize in cases of conflict between parties,and who should hold the decision-making authority in situations where the patient is critically ill,especially when serious disagreements arise between the patient's family and the medical institution's proposed treatment plan.Therefore,the author puts forward the countermeasures to improve the framework for exercising patients'right to informed consent,and fundamentally shift patients'relatively disadvantaged position in the current healthcare environment,thereby protecting patients'interests and ensuring their rights remain intact.

关 键 词：知情同意权 行使主体 生命健康权 最佳利益原则 

分 类 号：R-05[医药卫生]