手术签字的社会学解读及法律适用

A Sociological Understanding and the Legal Application of Signing the Informed Consent Form

手术签字制度作为医疗知情同意的一个组成部分,在很大程度上受医患关系以及国家公民关系影响。在现行医疗法律框架下,手术签字应当遵循以下原则:以患者本人签字为原则,受托人代签为补充,近亲属代签为例外,医院代签为特例。在法律责任方面,受托人如因其故意或重大过失行为而有损于患者康复时应负赔偿责任,近亲属负监护责任,但均不能随意放弃对患者的治疗。

The patient's signing a written consent vary in different models of the patient-physician relationship which can also represent the citizen-state relationship.On the foundation of personal freedom and responsibility,the duty of signature should be complied by the patient himself,supplemented with his authorize and close relatives,and signature of hospital is absolutely an exception in special and emergency circumstances.