卫生法视角下患者自主权与医方告知义务研究

摘    要

  随着现代医学的发展,医患关系日益复杂,患者自主权与医方告知义务成为卫生法研究的重要议题。本研究基于卫生法视角,深入探讨患者自主权的内涵及其在医疗实践中的体现,旨在明确医方告知义务的具体内容和履行标准。通过文献分析、案例研究及比较法研究等方法,系统梳理国内外相关法律法规和司法判例,剖析当前我国医患沟通中存在的问题,发现现行法律对患者自主权保护存在不足,医方告知义务的履行缺乏统一规范。研究表明,强化患者自主权保护需完善立法,细化医方告知义务的内容,包括病情、诊疗方案、风险收益等信息的全面告知,并建立有效的监督机制。创新之处在于构建了以患者为中心的告知模式,强调个性化告知,确保患者充分理解并参与决策过程,为优化医患关系提供理论支持,推动我国医疗卫生法治建设向更加人性化、科学化方向发展。

关键词:患者自主权  医方告知义务  医患沟通


Abstract 
  With the advancement of modern medicine, the physician-patient relationship has become increasingly complex, making patient autonomy and the duty of disclosure by healthcare providers important topics in health law research. This study, grounded in the perspective of health law, delves into the essence of patient autonomy and its manifestation in medical practice, aiming to clarify the specific content and standards for fulfilling the duty of disclosure by healthcare providers. Through methods such as literature analysis, case studies, and comparative legal research, this study systematically examines relevant domestic and international laws and judicial precedents, analyzing existing issues in physician-patient communication in China. It reveals that current laws inadequately protect patient autonomy, and the fulfillment of the duty of disclosure by healthcare providers lacks uniform standards. The research indicates that strengthening the protection of patient autonomy requires improving legislation and detailing the content of the duty of disclosure, including comprehensive information on the condition, treatment options, risks, and benefits. Furthermore, it advocates for establishing effective supervisory mechanisms. An innovative aspect of this study is the development of a patient-centered disclosure model that emphasizes personalized disclosure to ensure patients fully understand and participate in the decision-making process, providing theoretical support for optimizing physician-patient relationships and promoting the development of China’s healthcare legal system towards a more humane and scientific direction.

Keyword:Patient Autonomy  Physician's Duty To Inform  Doctor-Patient Communication


目  录
引言 1
1患者自主权的法律基础 1
1.1患者自主权的概念界定 1
1.2卫生法中的患者权利保障 2
1.3患者自主权与医疗伦理 2
2医方告知义务的法律规定 3
2.1告知义务的法律依据 3
2.2告知内容与方式要求 3
2.3违反告知义务的法律责任 4
3患者自主权与医方告知的关系 4
3.1知情同意作为连接点 4
3.2患者知情权与医方告知 5
3.3自主选择权与医方建议 5
4实践中的问题与完善建议 6
4.1当前实践中的主要问题 6
4.2国内外经验借鉴分析 6
4.3完善相关制度的建议 7
结论 7
参考文献 9
致谢 10
 
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