摘要
患者的知情同意权是其在医疗活动中的基本权利,由此衍生出医方的告知义务;医方告知义务的主体是医生,告知的对象是患者或者近亲属,告知内容是病情、医疗措施、医疗风险和替代治疗方案。在患者生命垂危,本人已无法进行有效的意思表示时,医生应该对近亲属履行告知义务,近亲属的范围应以法律规定的人员为限,且应依据与患者亲缘关系的远近考虑顺序层级。如无法取得近亲属的意见时,应当立即报医疗机构负责人或者授权负责人批准依法行使紧急救治权,紧急救治权的依法行使也是患者发生损害时医方法定的免责事由。
Patient＇s right of informed consent is the fundamental right in medical practice,and the doctor＇s duty of notification derives from this.The notification subject is the doctor,who should disclose information to the patients or their close relatives,including the state of illness,treatment,medical risks and alternative treatments.When the patient cannot express effective declaration of intention,the doctors should implement the duty of disclosure by informing the patients＇ s close relatives.The scope of close relatives shall be limited to those prescribed by law,and the order shall be considered based on their relation with the patient.The doctors should report to the director or authorized persons of the medical institution immediately to be authorized to implement emergency treatment by law when they arenot able to get consent or agreement from the patient＇s close relatives.The implementation of emergency treatment for the patient by law should be the exemption if medical malpractice happens.
作者
田侃
虞凯
TIAN Kan;YU Kai(School of Health Economics Management,Nanjing University of Chinese Medicine,Nanjing 210023,China)
出处
《医学与哲学（A）》
2018年第8期6-9,14,共5页
Medicine & Philosophy:Humanistic & Social Medicine Edition
关键词
紧急情况
告知义务
近亲属
紧急救治权
emergency
noti{ication obligation
close relatives
right of accessing emergency medical service
