摘要
专断医疗行为是指医师实施的未获得患者知情同意的医疗行为。广义的专断医疗行为包括强制医疗、紧急医疗等专断性医疗行为与典型的专断医疗行为;狭义的专断医疗行为,即典型的专断医疗行为系在应当获取患者知情同意权且有获取患者知情同意权可能性的情况下,医师怠于履行告知义务或违反病人意愿擅自实施的医疗行为,包括患者的无效同意与假定同意的情形。给患者造成重伤、死亡后果的专断医疗行为可以追究医师的刑事责任。专断医疗行为缺乏患者承诺,是不被允许的危险行为,符合犯罪的本质,对其进行刑法规制既符合当前的社会需求,也弥补了民事侵权保护的缺陷。纳入刑法规制范畴的专断医疗行为应满足相应的不法要件与责任要件,同时应当坚持刑法的谦抑性与对患者知情同意权合理限制原则。对那些给患者造成重伤、死亡后果的专断医疗行为可以过失致人重伤、死亡罪或医疗事故罪追究医师的刑事责任。
Arbitrary medical behavior refers to the medical practice that doctors do not receive informed consent from patients.The generalized arbitrary medical behavior includes the arbitrary medical behavior,such as compulsory medical treatment and emergency medical treatment,and typical arbitrary medical behavior,and the special medical behavior in the narrow sense,that is,the typical arbitrary medical behavior,refers to the possibility of obtaining the patient’s informed consent right and obtaining the patient’s right to know the right to know.Teachers are reluctant to perform medical duties unlawfully or in violation of the wishes of patients,including invalid consent and presumed consent.The arbitrary medical behavior discussed in this article is a narrow sense of arbitrary medical behavior.The conclusion of this paper is that the arbitrary medical treatment that causes serious injuries and death consequences to patients can be held criminally responsible.The arbitrary medical behavior lacks the commitment of the patient,is not allowed to be permissible,and conforms to the essence of the crime,and its criminal law regulation also conforms to the current social needs,and makes up for the defects of the tort protection.The arbitrary medical behavior which is included in the category of criminal law should meet the corresponding unlawful elements and the elements of responsibility.At the same time,we should adhere to the modesty of the criminal law and adhere to the principle of reasonable restriction on the right of informed consent of the patients.For those arbitrary medical acts that cause serious injuries and death consequences to patients,they can be found guilty of serious crime of intentional injury or medical malpractice.
作者
张爱艳
陈灿
Zhang Aiyan;Chen Can
出处
《刑法论丛》
2019年第1期344-379,共36页
Criminal Law Review
基金
山东政法学院青年教师学术创新团队支持计划资助.
关键词
专断医疗
知情同意权
医事刑法
自我决定权
Arbitrary Medical
Informed Consent
Medical Criminal Law
Self-Determination
作者简介
张爱艳,山东政法学院刑亊司法学院副院长、教授,山东省高校证据鉴识重点实验室常务副主任;陈灿,山东省郓城人民法院法官助理
