论英美法上的医疗特权兼议保护性医疗措施在我国民法典.DOCVIP

【法宝引证码】 CLI.A.1240559? 原文链接： HYPERLINK /qikan/f5e19b87e95c9354a61d2bf727e2bec4bdfb.html \t _blank /qikan/f5e19b87e95c9354a61d2bf727e2bec4bdfb.html 论英美法上的医疗特权 兼议保护性医疗措施在我国民法典侵权编中的构建 期刊名称： HYPERLINK /journal/articlebyclass?ClassCodeKey=15, \t _blank 《政治与法律》 期刊年份： HYPERLINK /journal/findarticle?FilterItems.JournalYear=2018 \t _blank 2018 摘要： 在英美法上，医疗紧急情况、患者弃权以及医疗特权被并称为患者知情同意权的三大例外情形。这种例外是指在某些条件成就时，患者的自主权便不再被优先保护，医生获得一种能够对抗患者自主权的抗辩权或者是责任豁免权。与这种例外情形的前两项不同，医疗特权在法律理论与实务界以及医疗行业内存在很大的争议，主要原因是它不仅涉及有关信息披露的诸多矛盾及对立，比如诚实与谎言、知情与隐瞒以及自主与父权等一系列伦理上的两难选择，还面临许多与法律责任有关的棘手问题。努力找到医学专业判断、法律责任规制以及伦理价值衡量三者之间的平衡点是促进医患信任关系良性发展的必要途径。我国法上的保护性医疗措施与英美法上的医疗特权相似，但也存在本质上的差异，应当在我国民法典侵权编中借鉴医疗特权理论的合理内涵而重新构建我国法上的保护性医疗措施条款。 英文摘要： In Anglo-American law, medical emergencies, patient s waiver and therapeutic privilege are known as three exceptions to a patient＇s informed consent. Those exceptions mean that under certain circumstances, the protection of the patient＇s autonomy is no longer given top priority, and doctors are given a legal defense against the patient＇s autonomy or are immune from liability. Different from the first two exceptions, therapeutic privilege has caused considerable controversies in both legal theory and practice as well as within the healthcare industry. The main reason is that the therapeutic privilege is not only related to many contradictions concerning the disclosure of information, such as the tough choices between good faith and deception, being informed and concealment, and patient autonomy and medical patriarchy, but also involves many tricky issues regarding legal liability. Therefore, trying to strike a balance among professional medical judgment, legal liabilities and ethical values, is the necessary way to promote the healthy development of trust between doctors and patients. The protective medical measures in Chinese law are similar with therapeutic privilege, but there are also some essential differences between them, so the provisions on protective medical me