手术同意书的法律意义及其形式内容改进  

The legal sense of Agreement on Operation and its revision in format and content

作　　者：刘宇[1] 

机构地区：[1]北京协和医院,100032

出　　处：《中华医院管理杂志》2003年第5期308-311,共4页Chinese Journal of Hospital Administration

摘　　要：从法律的角度分析,现行《手术同意书》并不是医院转移风险和责任的手段,在法律意义上,它是医疗机构和医务人员向患者及其家属履行了如实告知义务的书面证明文件,是患者或其家属行使选择权的形式,同时也是患者或其家属因享有的权利而需承担相应责任的书面依据。为与其法律意义相一致,无论在形式还是部分内容上,以及签字权的归属上,都有必要对手术同意书做出适当改进,建议改用由《手术风险告知书》、《手术志愿申请书》、《手术拒绝书》组成的“两部三段式”结构。Judging from the legal perspective, the current Agreement on Operation is not a means whereby the hospital shifts risk and responsibility. In the legal sense it is a written document certifying that the medical institution and personnel have fulfilled their obligation to the patient and his/her family of telling the truth, a way for the patient or his/her family to exercise their option, and a written document indicating that the patient or his/her family must bear corresponding responsibilities for the rights they enjoy. To be consistent with its legal sense, the current Agreement on Operation needs to be revised in format, content and the exertion of the right of signature. It is recommended that Notification of Operative Risks, Voluntary Application for Operation and Refusal of Operation be adopted instead.

关 键 词：手术同意书 法律意义 形式 内容 改进 

分 类 号：R197.3[医药卫生—卫生事业管理]