患者“有效同意”的界定及实现难题

Definition of “Effective Consent” in Patients and the Problems of Achieving

通过阐述有效同意以及非有效同意的概念,论述了作为医方必须识别以下非有效同意情形:误读患者意图的虚构同意,过度延伸患者意图的推定同意,将未来可能的同意置换于现实状态下的想像同意,患者人格非同一性下的同意。并指出了患者有效同意的实现难题:个体行为能力的判定,不平衡医患关系中的同意,社会学绑架下的同意。

Through expounding the definition of effective consent and ineffective consent,this article pointed out that the doctors must identify the ineffective consent cases such as fictive consent that misread the patients’ intention,presumed consent that extend the patients’ intention excessively,imaginative consent that transfer possible consent in the future into actual consent,and the consent that the patients’ personality is on nonidentity. It also put forward the problems of achieving effective consent as following: judgement of individual active ability,the consent in the unbalanced doctor-patient relationship,and the consent that kidnapped by sociology.