急症医疗救治中患者知情同意权的实施及国际比较

Implementation and International Comparison of Patients’ Right of Informed Consent in Emergency Care

急症医疗救治是一项较特殊的医疗活动,为了抓住最佳抢救时机,提高救治的成功率,医患双方需尽快作出决策。目前国内患者知情同意权的实施不太顺畅,知情同意的时间较长,已成为延误有效治疗的重要原因之一,严重影响了患者的生命安全。通过梳理法律文本、政策文件和既往文献,追溯知情同意权的来源及国内相关规定,探讨我国现阶段急症患者知情同意权实施的困境及成因,并与其他国家进行比较,提出完善建议。

A decision must be made urgently in emergency care,which is significant to improve the success in medical treatment for patients in a critical situation. The exercise of patients’ right to informed consent is not going smoothly in China,causing a delay of medical care and risk towards patients’ life. Through reviewing relevant laws and regulations,policy documents and previous literature,it is aimed to explore the difficulties in implementing patients’ right of informed consent in China and its reasons,discusses the conditions of foreign countries and propose possible suggestions in terms of leaving more time for emergency rescue.