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患者知情同意制度的再解释——论《侵权责任法》第55条 被引量:13

Reinterpretation of Informed Consent System of Patients:on Article 55 of Tort Liability Law
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摘要 患者知情同意是医患关系中的重要环节,《侵权责任法》第55条对此作出了规定,但是其中"同意"一词的含义并没有得到详细解释。在医患纠纷解决的规则适用中,患者的"同意"往往被视为消极权利而引起患者权利保障的落空。从权利理论变迁以及现代权利二重属性理论出发可以发现,患者"同意"不仅意味着不受干预的消极权利,还包含请求利益保障的积极权利。从定义、行使、归责三方面可以初步厘清患者"同意"的消极权利性质和积极权利性质,进而在未来的基本医疗立法中对患者"同意"做出更为详细的规定,包括申明国家的给付义务,确定责任划分标准,并将相应责任承担方式体现于知情同意书等制度细节中。 Patient's informed-consent is an important link of the doctor-patient relationship,which has been stipulated in Article 55 of Tort Liability Law,but the meaning of the word"consent "has not been interpreted explicitly and specially. In the application of the rule that about how to handle the doctor-patient relationship and medical disputes,the patient's consent is often referred to as a negative right,which the Patient's right is not guaranteed and cause some disputes and controversies in practice. From the theory of Right institutional changes and twofold characters of modern rights,we can find that patient 's consent not only mean a negative right without interference,but also include positive rights to protect benefits. From the definition、exercise and imputation,we can preliminary clarify the nature of negative rights and positive rights of patient's consent and make more detailed rules in the health-care legislation,that include declaring national benefit obligations,determining the dividing criteria of legal liability and making methods of bearing liability to happens in informed consent form.
作者 李杰
机构地区 中南大学法学院
出处 《法学杂志》 CSSCI 北大核心 2017年第8期124-131,共8页 Law Science Magazine
基金 教育部哲学社会科学研究重大课题攻关项目"基本医疗服务保障法制化研究"(项目编号:14JD025)的阶段性成果
关键词 患者同意 自己责任 意外风险 consent of patients liability unknown risk
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