是否违反“知情同意”法则是医学判断吗?

Breach of the doctrine of informed consent:medical judgment?

在传统的医疗过失侵权诉讼中,为了体现行外人士对医疗这一专家型行业的尊重,医学判断在诉讼中发挥着重要的甚至决定性的作用。知情同意诉讼,虽被归入医疗过失侵权诉讼,却提供了一个不同于传统的医疗领域——诊断治疗——的情景。知情同意的独特性改变了医学判断在诉讼中的格局。以患者为取向的信息披露标准的建立意味着法律的关注点已从"专家"整体转移到"患者";对"医学判断"所管辖领域的精细分割也说明,医学判断只应在证明医疗信息的感知和启用"医疗特权"上有应用价值,医疗信息的实质性判断已让位于一般人知识,而且对"医疗特权"的严格控制会缩减医学判断的适用空间。

Under conventional medical negligence framework, as an indication of extraprofessional＇s respect for medical profession, medical ：judgment has played an important, even decisive role in the lawsuit. Informed consent law provides a distinctive context, different from that of diagnosis and treatment. The patient- oriented standard of disclosure suggests that the focus of law has shifted from experts to patients. The analysis of medical judgment also indicates that medical judgment only has value in the context of appreciating medical information and invoking ＂therapeutic privilege＂, the materiality of risk information is for layperson knowledge and human judgment. Careful definition of ＂therapeutic privilege＂ will inevitably further diminish the role of medical judgment.