患者知情同意权保护制度在医患关系中的反思与重构  

Reflection and Reconstruction of Patients'Informed Consent Protection System in Doctor-patient Relationship

作　　者：刘启恒 谭晓莉 LIU Qiheng;TAN Xiaoli(Health Law and Policy Research Center,Guangzhou Medical University,Guangzhou 511436,China)

机构地区：[1]广州医科大学卫生法治与政策研究中心,广东广州511436

出　　处：《医学与哲学》2025年第3期42-46,F0003,共6页Medicine and Philosophy

基　　金：2024年广东省普通高校人文社科重点研究基地:卫生健康法治与政策重点研究基地项目(2024WZJD07);2024年广东省普通高校特色新型智库:粤港澳大湾区医药健康产(行)业高质量发展法治保障研究中心项目(2024TSZK016)。

摘　　要：患者的知情同意权不能得到充分保障是当前医患关系不和谐的重要原因。当前,我国法律侧重保护患者被动知晓诊疗信息的权利,但对于患者主动知悉诊疗信息的权利保障欠缺,患者知情同意权保护的法律制度存在缺陷,应当建立以医方履行法定告知义务为基础、保障患者主动获取信息的双重保护机制对现行知情同意权保护制度重构。该机制通过加强患者知情同意权中主动知悉权的保护,在确保患者对诊疗信息充分知悉理解的同时也协助医务人员完善告知义务的履行,从而促进医患之间相互理解和信任,为构建和谐医患关系提供全新理论路径。The inadequate protection of patients'informed consent rights is an important reason for the disharmony in doctorpatient relationship.Currently,Chinese law primarily focuses on protecting patients'passive right to be informed about medical treatments,while lacking sufficient protection for their active right to seek medical information.The existing legal framework for protecting informed consent is flawed and should be reconstructed by establishing a dual-protection mechanism.This mechanism should be based on the medical institution's fulfillment of its statutory duty to inform while also ensuring patients'proactive access to information.By strengthening the protection of the active right in the informed consent right of patients,the mechanism will not only enhance their understanding of treatment information but also assists medical staff in fulfilling their duty to inform.This approach fosters mutual understanding and trust between doctors and patients,offering a new theoretical path for the building of a harmonious doctor-patient relationship.

关 键 词：患者知情同意权 医患关系 医疗纠纷 双重保护机制 

分 类 号：R-05[医药卫生]