摘要
近些年疾病终末期医疗决策问题被广泛关注,越来越多的人呼吁在疾病终末期医疗决策中尊重患者本人的意愿,也有很多学者提出通过设立预先医疗决定保障疾病终末期患者自主权的实现。鉴于在中国预先医疗决定尚未具法律效力,北京卫生法学会于2022年7月形成“疾病终末期医疗决策相关法律问题专家共识”。在现行法律法规的背景下,以尊重患者本人意愿为原则,对于终末期患者如何进行医疗决策给予指南,意在指导医患双方在遇到疾病终末期医疗决策问题时,如何在现行法律背景下尊重患者本人意愿,保障患者自主决策权;同时,也希望可以为未来相关问题的立法及政策制定提供参考。
In recent years, the issue of end-of-life decision making has received broad attention. More and more people have been appealing for the respect for terminal patients’ wishes in decision making. Many scholars have proposed the application of advance medical decision to ensure the autonomy of terminally ill patients. Given that advance medical decision does not have legal effect in China, the Beijing Health Law Society proposed the “Expert Consensus on Legal Issues Related to End-of-life Decision Making” in July 2022. This consensus provides clear guidance on how to make medical decisions for terminally ill patients, based on the principle of respecting the patient’s wishes within the framework of current laws and regulations. The consensus aims to provide guidance for both doctors and patients about how to respect patients’ own wishes and protect their autonomy, as well as to provide reference for future law and policy formulation on related issues.
作者
郑秋实
刘宇
睢素利
ZHENG Qiushi;LIU Yu;SUI Suli(Key laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Medical Service,Peking University Cancer Hospital&Institute,Beijing 100142,China;Beijing Health Law Society,Beijing 100034,China;School of Humanities and Social Science,Peking Union Medical College,Beijing 100730,China)
出处
《中国医学伦理学》
2022年第9期933-937,共5页
Chinese Medical Ethics
关键词
预先医疗决定
预先医疗决定书
疾病终末期
疾病终末期医疗决策
患者自主权
专家共识
Advance Medical Decision-making
Advance Medical Decision
Terminal Illness
End-of-life Decision Making
Patient Autonomy
Expert Consensus
