司法何以如此尴尬——以一起医疗纠纷案件审理为例

不断增多的医疗纠纷及其引发的种种愤懑,使得各种利益纠葛、体制冲突、伦理诉求和法律管制之间形成了一种较之从前更为复杂而微妙的关系。对医患关系的社会调查显示,目前我国医患双方的关系并不融洽,双方缺乏高度的信任感,一旦患者未达到其预期的疗效,势必为双方的矛盾、冲突和纠纷埋下伏笔;医患双方在具体运用知情同意权法则时产生的强烈的错位,使得知情同意权在减少医患纠纷、构建高度信任基础上的医患和谐关系的功能大打折扣。而对实践中的一个真实案例的审理的剖析则反映出我国法律和司法在知情同意权方面是如此的苍白无力,使得知情同意法则的建立迫在眉睫。我国知情同意权法则的理想构架应该包括:知情同意权法则的基本原则,医生的告知义务,患者的同意以及违反告知义务的构成要件。

Why Is Judicatory Embarrassing?A Case Study of a Medical Tangle

The medical tangle cases keep increasing,which leads to a more complicated conflict of interests,rencounter of systems,and a more subtle relationship between the ethical claim and legal jurisdiction.A survey reveals that the doctor-patient relationship lacks trustworthiness.Once the healing effect disappoints the patient,the conflict between the doctor and patient will be inevitable.The inconsistency of the two parties in exercising informed consent law causes the law ineffectual.A case study shows that the inefficiency of the regulation is so serious.The ideal framework of the informed consent law should include: the fundamental principles,the doctor's duty of disclosure,the consent of the patient,and the integrants of violating the regulation of duty of disclosure.