关于门诊病历患者权益的法律探讨

Legal discussion on patients rights of outpatient medical records

目的:维护患者健康权益,促进医患沟通,提高医疗质量。方法:从病历的概念、形式、内容、作用出发,就患者门诊病历权益的法律基础、患者权利与医疗机构义务、门诊病历的法律属性等作全面研究和探讨。结果:医疗机构认真及时书写门诊病历是其法定的履职义务,不书写或不规范书写门诊病历侵犯了患者的知情同意权、医疗监督权和健康保护权。结论:门诊病历不是作品,患者拥有门诊病历的所有权和档案权。医疗机构必须及时准确书写门诊病历。

The objectives were to safeguard the interests of the patients health,promote patient communication,and improve quality of care.From the concept,form,content and effect of records,this paper discussed legal basis of the interests of patient medical records,patients rights and obligations of medical institutions,legal propert of outpatient medical records.It＇s the statutory obligation for medical institutions to writing medical records seriously and timely,or would violate the right of patients informed consent,medical supervision and protection of patient health right.Patient medical records is not work.Patients have the right to ownership outpatient medical records archives.Medical institutions must be timely and accurate write patient medical records.