病案与医患之间的法律关系

The Role of the Medical Record and the Relation between the Caregivers and the Patients

目的明确病案是有关病人健康情况的文件资料,是法定的医学文件。方法强调医务人员在病案形成过程中应负的法律责任。其中患者和家属具有依法提供可靠信息的义务。讨论当医患发生矛盾时,病案将作为评议、处理或判明责任的重要依据,可以保障医务人员和患者的合法权益不受侵犯。结论病案的收集、整理、保存都需要法律依据;病案的安全需要法律支持;病案的利用需要法律保证。

Object To understand that the medical record is the important data about the health of the patient and the legally medical document. Methods To emphasize the legal responsibility of the medical workers in the process of forming the medical record. And the patient and his or her family member are of the obligation to provide reliable information. Discussion When a dispute between the caregiver and patient happens, the medical record is the important evidence for the judgment, so it can protect the legal interests of both the caregivers and patients. Conclusion The collection, preservation and management should follow the law; the safety of the medical record needs the support of the law; and the law is the guarantee of utilization of the medical record.