【作者】 李恩秀；

【导师】 李兰芬；

【作者基本信息】 苏州大学 ， 马克思主义哲学， 2007， 硕士

【摘要】 医患关系是医疗卫生领域中特定的职业人际关系,是肩负人类生命守望使命的医学事业的基础。随着时代的变化,医患之间的互不信任不断升级。严重的利益矛盾和观念冲突,极大地损害了广大人民群众的根本利益,阻碍了我国医疗卫生事业的健康发展。知情同意权的错位、缺位和不到位,构成医患关系冲突激化的重要因素。知情同意权作为现代医学发展的人文精神是和谐医患关系、构建和谐社会的生命伦理原则。知情同意权与人的尊严、权利和利益密切相关,成为法学界、伦理学界等诸多学科共同研究和探讨的重大理论问题和实践课题。本文着眼于当前中国医疗领域乃至整个社会都面临的、急需解决的医患关系紧张、矛盾冲突加剧的现实问题,以患者知情同意权为切入点,着重探讨了知情同意权作为人的一项基本权利,其本质、特点及发展趋势,对知情同意权的主客体及相关因素产生的伦理角色进行了归纳与探讨,并对患者知情同意权缺失的原因进行了分析和伦理反思。同时,提出了和谐医患关系中的知情同意权的特征和实现患者知情同意权要遵循的伦理原则和道德规范,提出实现患者知情同意权是通向和谐医患关系的必由之路,明确了我国医疗服务的方向。更多还原

【Abstract】 The doctor-patient relationship is the special relationship in the medical and health field. It is regarded as the basis of medical cause which shoulders the mission to watch the human life. With the change of time, bi-directional distrust between doctors and patients is becoming more and more serious. The serious conflicts in interests and ideas do tremendous damage to broad masses of people’s fundamental interests and hinder China’s medical and health work for the healthy development. Dislocation, vacancy and incompleteness of implementation in the right of informed consent intensify the conflicts between doctors and patients. The right of informed consent, as a humane spirit in the development of modern medicine, becomes the bioethics principle to build a harmonious society, harmonious doctor-patient relationships. It is closely related to patient’s dignity, rights and interest and has becoming a key issue for study and discussion in many scientific fields, such as in Law and Ethic.This paper focuses on the urgent need to solve the problems that China’s current medical field as well as the whole community is facing, such as the exacerbated conflicts derived from the tense relationship between doctors and patients. This paper mainly discusses on the nature, characteristics and trends of informed consent as a basic right in the perspective of patients, summarizes the role of ethic on the main object and other related factor of informed consent, analyzes the reason for the patients losing their right of informed consent and at last has an ethical reflection on it. Meanwhile this paper puts forward the characteristics of informed consent in the harmonious doctor-patient relationship and the ethical principles that we should follow in order to realize patient’s right of informed consent. The proposal that the implementation of informed consent is the only way to build the harmonious relationship between doctors and patients defines the direction of the development of China’s medical service.更多还原