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手术签字制度是指国务院颁布实施的《医疗机构管理条例》第33条的规定:“医疗机构施行手术、特殊检查或者特殊治疗时,必须征得患者同意,并应当取得其家属或者本人同意并签字;无法取得患者意见时,应当取得家属或者关系人同意并签字”。其目的是为了保障患者的知情权,维护医患双方的权益。该制度制定的出发点应该说是非常积极的,但在实践中运行却不尽如人意,不得不引起我们的思考。例如2007年11月发生在北京的“肖志军”案,最终导致了母婴双亡的悲剧。此案发生后在社会上引起了强烈的反响,第33条规定更是成为众人议论的焦点。本文将对手术签字与不签字进行评析。
Surgical signature system refers to the State Council promulgated the “Regulations on the management of medical institutions,” the provisions of Article 33: “Medical institutions in the implementation of surgery, special examination or special treatment, patients must obtain the consent and should obtain the consent of their families or I Sign; can not get the patient’s opinion, it should obtain the consent or signature of the family or the relationship between ”. Its purpose is to protect the patient’s right to information and to safeguard the rights and interests of both doctors and patients. The starting point for the establishment of the system should be said to be very positive, but its operation in practice is not satisfactory and it has to arouse our consideration. For example, the case of “Xiao Zhijun” in Beijing in November 2007 eventually led to the tragedy of both mother and child. After the incident in the community has aroused strong repercussions, the provisions of Article 33 has become the focus of everyone’s discussion. This article will assess the operation of the signature and not sign.