癌症患者授权委托书签订执行中的相关伦理问题分析

Ethical Issues in the Signature and Execution of Certificate of Authorization of Cancer Patients

癌症患者签订授权委托书有时可以实现对一部分患者实施保护性医疗的目的,有时也可以满足个别患者家属向患者隐瞒病情的需要,但也可能产生过度医疗及一些其他不利影响。这其中有医疗法规的原因,也有医务人员晋升考核的因素以及恐癌症思想和扭曲的医学法律意识的因素。建议不断完善法律法规、增加透明度,建立知情同意界定、审核平台,强调被授权人履行好沟通义务,加强对医务人员的医学伦理教育,以保障患者权益、促进医疗资源合理有效利用。

There were some ethical problems in the implementation of certificate of authorization of cancer pa- tients, such as doctors dominate the signing process and show no respect for patients＇ rights and interests. It pro- posed to improve rules and regulations, increase transparency, to setup informed consent platform define and verifi- cation, emphasize the licensee to perform the duty of communication, strengthen the construction of the medical staff ethics, in order to safeguard the rights and interests of patients, promote the rational and effective use of medi- cal resources.