论文内容摘要修改版
内容摘要
内容摘要:知情权这一概念最早出现于美国AP通讯社专务理事肯特·库勃在1945年1月的一次演讲。患者作为公民,当然享有知情同意权,受计划经济医院行政体制和和传统医学模式的影响,医患关系长期不平等,并且我国现行法律对公民知情同意权的保护存在不足。患者就诊时,其知情同意权及人格尊严没得到应有的重视和保护,以致侵犯患者知情同意权的行为屡见不鲜,为此产生纠纷更成为医患纠纷增长的新热点。随着社会文明进步,要求尊重患者的知情同意权及人格尊严的呼声愈加强烈。盼望已久的《侵权责任法》第二条中多达18项民事权益中仍然没有知情同意权。如何保护患者的知情同意权,是当今社会一直都备受关注的话题。为了保护患者知情同意权、更有效地解决因知情同意权引起的医患纠纷,促使医患关系平等,完善我国公民知情同意权保护制度。本文试从对患者知情同意权的概念、内容、分类、主体、患者知情同意的能力、知情同意制度的理论基础和临床医学比较特殊的知情同意权行使问题的分析,以及知情同意权与相关权利的冲突与协调比较与对侵犯患者知情同意权的表现形式及法律责任的分析,明确保护患者知情同意权的重要性,剖析我国对患者知情同意权保护存在的不足并提出建议,说明完善我国知情同意权制度的必要性。
除引言和结语外,本文共分五部分。
第一部分,患者知情同意权的法理分析,本部分笔者通过对知情权的概念和内容的理解予以一一梳理,通过比较斟酌,提出自己的观点,其次,对患者知情同意权的分类和主体与同意能力进行一一阐述,并阐明患者知情同意制度的理论基础。
第二部分,患者知情同意权与相关权利的冲突与协调。在该部分,笔者通过知情同意权与隐私权、生命权与信息公开权的冲突与协调一一阐述,厘清知情同意权与相关权利的差异。
第三部分,临床医学比较特殊的知情同意权行使问题。通过对肿瘤患者、终止妊娠以及与公共利益密切相关的知情同意权行使问题的阐述。说明在特殊情况下知情同意权行使受限制的必要性。
第四部分,侵犯患者知情同意权的表现形式与法律责任。本部分笔者通过对侵犯患者知情同意权的主要表述形式一一列举,并对侵犯患者知情同意权民事责任,行政责任和刑事责任进行论述,重点论述侵犯患者知情同意权的民事责任的构成,意图唤醒医务人员对患者知情同意权自觉保护的意识。
第五部分,完善我国知情同意权制度的建议。通过对我国现行的知情同意的法律体系概括,指出我国对患者知情同意权保护的现状和不足,进而对患者知情同意权制度的立法完善提出相应建议。
关键词:患者知情权;知情同意权;隐私权
Abstract
Abstract:Conception of Right to know first appeared in a speech in January 1945 made by American AP news agency director of special affairs, Kent, Bob. As a citizen, also as a patient, they certainly enjoy Informed Consent Right. However, it is affected by both administrative system of planned economy hospital and model of traditional Chinese medicine. Under the practical situation, patients are treated by unequal status and the current law to protect the right of citizen informed consent also has its deficiencies. When a patient sees a doctor, the informed consent rights and dignity don’t receive enough recognition and protection, so that the behaviors to infringe patient’s rights of informed consent often occur. Therefore, disputes between patients and hospital become the new growth of medical disputes. Along with the development of social civilization and progress, the requirements to respect the rights and informed consent with dignity of patient are increasingly more and more intensive. Long-expected Article 18
In order to protect patients’ informed consent more effectively, solve the causes of medical disputes, prompt harmonious relations between patient and doctor, perfect the patient protection system of informed consent, the paper tries to describe the real facts, analyze the right to informed consent’s conception contentment classification subject, patients with the theoretical basis of informed consent and clinical medicine special informed consent, right, and problem analysis of informed consent and related rights conflict and coordination and informed consent to infringe the rights with form and analysis of the legal responsibility, protect patients’ right of informed consent, analyze the importance of informed consent rights to protect patients, and suggests perfecting the informed consent, the necessity of power system.
The paper has five parts in addition to the introduction and the conclusion.
The first part includes the analysis to the patient of informed consent based on the juridical logic, the introductions to the concept and content of understanding, through comparing, considering and putting forward the views on the informed consent. Secondly, the author classifies informed consent rights and agrees on this ability, and explains the theoretical basis of informed consent.
The second part is about conflict and coordination of patients with the consent of the relevant rights. In this part, the author, by explaining informed consent rights and privacy, the right of life and the information disclosure by conflict and coordination, clear right and related rights informed consent.
The third part illustrates problems of exercising clinical medicine special informed consent rights. Based on cancer patients, termination and public interests of informed consent is closely related to the problems. In special circumstances it shows the necessity of informed consent limitation.
The fourth part discusses the acts of infringing the patient informed consent right and its legal responsibilities. This part of the infringement of the rights with main informed consent, and enumerates expressions of patients’ informed consent rights civil liability, administrative liability and criminal liability is discussed. Moreover, it discusses the right infringement patients’ informed consent form, with the intention of civil liability for patients with medical staff awakening consciousness of informed consent rights protection awareness.
The fifth part gives advice on how to perfect the informed consent of. Based on the current legal system of informed consent, it points out that in our country protection of the right of informed consent is far more insufficient, thus suggesting legislation relating to patients’ informed consent rights should be perfected.
Key Words:Informed consent rights of patients;Informed consent;Privacy