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预先医疗指示视角下患者自主权与医师自由裁量权的冲突与解决
Conflicts and Solutions between Patient Autonomy and Doctor Discretion under the Advance Medical Directive
【摘要】 预先医疗指示合法化,才能更加有力地保障患者的自主权。为使其规定更加完善,在立法过程中,不得不面对患者自主决定权与医师自由裁量权相互冲突的问题,往往因医师基于优先保障生命权而拒绝遵守预先医疗指示。因此,立法需要制定严格的执行条件、无效医疗判定程序以及医师豁免条款等,以此权衡两者权利,保障预先医疗指示顺利实施。
【Abstract】 Legalization of advance medical directive is more powerful to guarantee to the patient’s autonomy. To make the law more perfect, in the process of legislation,the conflict between patient’s right of self-determination and physician’s right of discretion has to be faced. However, doctors often refuse to comply with advance medical instructions on the basis of a priority to protect the right to life. Therefore, the legislation needs to formulate strict execution condition, invalid medical judgment procedure and physician exemption clause, to balance the rights of the two, and ensure the smooth implementation of advance medical instructions.
【Key words】 Advance Medical Directive; Patient Autonomy; Physician Discretion; Conflict of Right;
- 【文献出处】 中国医学伦理学 ,Chinese Medical Ethics , 编辑部邮箱 ,2021年02期
- 【分类号】R-052
- 【被引频次】2
- 【下载频次】385