患者知情同意书的签署人

The Signers of the Informed Consent form of Patients

患者知情同意书涉及患者自主决定权和隐私权,应由患者本人签署,无法取得患者意见时,患者亲属、医疗机构负责人也可以成为签署人。签署人应具备知情同意能力,在充分理解相关医学信息的基础上,自愿做出同意或不同意的选择,知情同意能力不能机械地适用民事行为能力的法律规定。他人代替患者签署知情同意书是一种代理行为,代理人应该做出最有利于患者的知情同意。为了保证患者利益的最大化,有必要明确患者知情同意书签署人的顺位。

The informed consent form is concerned with patient autonomy and privacy, which should be signed by thepatient personally. However, a patient may be unable to grant an eliecuve consent by reason of incompetence or otherdisability, and the spouse or a relative, even the head of the medical institution could grant consent for the treatment of the incompetent patient. To be sufficient, written consent require that the person be legally competent to give consent （or refusal） and possess knowledge and understanding about the medical or surgical treatment that is about to occur. Provisions of capacity for civil conduct are not always applicable to the determination of competence for informed consent. If the patient is not competent to consent, the individual who makes healthcare decisions for the patient and signs the informed consent form stands proxy for the patient. The surrogate decision maker should determine what will be best for the patient, and a hierarchy of potential surrogate decision-makers should be formulated for the best interests of the Patient.