安宁疗护的立法基础与规制进路
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北京师范大学法学院

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D901;D922.1

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Legislative Basis and Regulation Approach of Hospice Care
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    摘要:

    在医疗卫生事业中,安宁疗护日渐受到关注,而我国法律法规鲜有规定,有碍安宁疗护的现实实施。安宁疗护立法具有正当性基础,法理基础在于人的尊严属性,生命权、医疗自主权是安宁疗护的重要权源,宪法、民法典、基本医疗卫生与健康促进法的相关内容是安宁疗护的主要法律依据。考察安宁疗护立法的现实维度,一方面,预先医疗指示在知情同意规则下的适用可能产生权利冲突,需要完善相关规则以加强现实适用性,另一方面,协调安宁疗护多方主体,有助于解决安宁疗护的立法难题。安宁疗护的规制框架应包括规范的安宁疗护预先指示制度、严格的审查制度以及相关监督机制。

    Abstract:

    In the medical and health services, hospice care has been paid more and more attention. There is a lack of legal regulations on hospice care in our country, which hinder the practical implementation. The legitimacy of legislation lies in the dignity of human beings. The rights to life and medical autonomy are important sources of hospice care. The relevant contents of the Constitution, Civil Code, Law on the Promotion of Basic Medical and Health Care are the main legal basis of hospice care. On the one hand, the application of advance medical directives under informed consent rules may lead to conflicts of rights, so the rules need to be improved to strengthen the practical applicability. On the other hand, the coordination of multiple subjects of hospice care is helpful to solve the legislative problems of hospice care. The regulatory framework of hospice care should include a standardized system of advance directives, a strict review system and supervisory mechanism.

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  • 收稿日期:2023-12-27
  • 最后修改日期:2024-02-13
  • 录用日期:2024-02-19
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