精神卫生法实施后知情不同意问题的再思考

Reconsideration of the Problems on Informed Refusal in the Implementation of Mental Health Act

《中华人民共和国精神卫生法》中关于"强行收治""非自愿入院"等争议多年的焦点议题引发了公众极大的关注。对于有精神障碍的患者,医院精神科执业医师依条件和程序作出"需要住院治疗"判定结论,患方对此知情后作出不同意住院治疗的决定,这一决定可能危及患者的生命健康,可能侵犯他人或自己的权利。病情发作时的不同意决定让医方面临艰难选择。针对医疗机构对于知情不同意所引发的一系列问题该如何处置作出思考和研究。

The Mental Health Law of the People＇s Republic of China, brewed for more than 20 years, is in valid on May 1,2013, in which the focal points of ＂forcible treatment＂ and ＂involuntary admission to mental hospital＂-the most controversial issues for years cause the great attention of the public. Medical practitioner of hospital psychiatry department will draw the judging conclusion of ＂hospitalization requirement＂ in accordance with conditions and procedures about the patients with mental disorders. If the patient is informed the case but doesn＇t consent to hospitalization,the decision may endanger the life and health of the patient and infringe the rights of others as well as this patient＇s. The decision of disa- greement at the moment of disease attack puts medical institutions into dilemma. The authors consider and study the ways of disposing the series of problems caused by informed refusal.