知情同意原则中的信息披露问题探究.pdfVIP

2004 8 17 4 96 31 知情同意原则中的信息披露问题探究 赵西巨, 冯秀云 ( , 250014) 知情同意是告知(信息披露) 表意能力( 同意决定能力) 自愿理解和同意决定五个要素的 一体在决定医师的信息披露是否充分上, 应坚持患者标准医疗服务提供者应将与医疗干预有关的实质 性事实告知患者有必要对信息的! 实质性∀做一合理界定如果存在医疗紧急情形等法律许可的例外情 形, 医方的信息披露义务可予免除 知情同意; 披露; 实质性信息; 标准; 例外 R- 052 A 1001- 8565(2004) 04- 0031- 03 Study On ! Information Disclosure∀in the Doctrine of Informed Consent Zhao Xij u , Feng Xiuy un (Shandong Traditional Chinese Medical College , Jinan , 250014, China) Abstract : Informed consent is composed of information disclos re, competency, nderstanding, vol ntary and deci sion. In determining the adeq acy of information disclos re, patients# r le or standard sho ld be adopted. Medical care provider is in d ty to disclose to patients s bstantive facts relevant to medical intervention. It is necessary to reasonably define what constit tes the ! s bstantiality∀of information. If there exists legal exceptional circ mstances s ch as emergen cy, the d ty of disclos re of medical practitioner can be avoided. Key words: informed consent, disclos re, s bstantive information, standard, exception , ( significance) : ( 1) ( disclos re) , (2) ] Rogers v Whitaker [ ( 1992) 175 CLR 479] ( competency) , ( 3) ( nderstanding) , ( 4) ( vol ,! , , [ 1] ntariness) (5) ( decision) ( disclos re) , , , ; , , 1 ∀ , ! 1. 1 实质性信息 ∀( a very remote risk) , , ! [ R ffer v. St. Francis Cabrini Hosp. , 56 Wa. App. 625 ∀, ( 1990) ] ! ∀, ! ∀