医学与法学2024,Vol.16Issue(1) :15-22.DOI:10.3969/j.issn.1674-7526.2024.01.003

末期病患善终权之真实意思表达及其认定

Terminal Patients'True Meaning Expression of the Right to a Good End and Its Identification

罗钢 马振东
医学与法学2024,Vol.16Issue(1) :15-22.DOI:10.3969/j.issn.1674-7526.2024.01.003

末期病患善终权之真实意思表达及其认定

Terminal Patients'True Meaning Expression of the Right to a Good End and Its Identification

罗钢 1马振东1
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作者信息

  • 1. 新疆大学法学院,新疆乌鲁木齐 830046
  • 折叠

摘要

近年德、日等地善终权研究重点转向病患的意思真实及其表达.意思真实表达需要满足有效告知、具备同意能力、不存在意思瑕疵三个要件.刑法视域下善终权不适用代理规则.死亡直接阶段病患真实意思容易认定;非死亡直接阶段病患处于丧失意识状态,在无生前预嘱的情形下,需特定法益主体进行事前判断,以恢复可能性和存活时间作为实体容许要件,并适用推定同意确定病患真实意思表示.我国在建立生前预嘱制度时,可建构意思真实表达的体系化结构,对于无预立医疗决定+无意思表示病患,允许有限制地适用推定同意规则.

Abstract

In recent years,the focus of research on the right to a good end in Germany and Japan has turned to the the patient's true meaning and its expression.The true meaning expression needs to meet the requirements of effective notification,having the ability to agree,and not having the defect of the meaning.And the agency rule is not applicable to the right of good end from the perspective of criminal law.It is easy to identify the patients'true meaning in the immediate stage of death.In the absence of a living will,a specific le-gal interest subject is required to make a prior judgment,taking the possibility of recovery and the time of survival as the physical per-missible conditions,and applying constructive consent to determine the true expression of the patient's intention.When we establish the living will system in China,we can construct the systematic structure of true expression of intention,and allow the limited application of the presumed consent rule for patients with no prior medical decision and no intention expression.

关键词

善终权/意思真实/非死亡直接阶段/生前预嘱/推定同意

Key words

the right to a good end/true meaning/non-immediate stage of death/living will/presumptive consent

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基金项目

2023年度国家社科基金项目(23BFX143)

2023年度新疆维吾尔自治区哲学社会科学研究规划基金(2023ZJFLY01)

出版年

2024
医学与法学
泸州医学院 中国卫生法学会

医学与法学

影响因子:0.417
ISSN:1674-7526
参考文献量3
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