The Patient's Self-determination and the Role of the Courts in English Law

英国法中患者的自决权和法院的作用

• 批准号: 11620045
• 负责人: ISOGAWA Naoyuki
• 金额: $ 1.66万
• 依托单位: KYUSHU UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11620045/
• 关键词: English Medical Law; Patient's Self-determination; Medical Law; Doctor's legal Responsibility; English Civil Law

The aims of this reseach project gather around the comparative study on the patient's right of self-determination, focusing on the role of the courts in English medical law. Following the basic study on the general backgrounds and key concepts in English medical law in the first year, the recent trends toward the patient's autonomy in other jurisdictions, especially in the Australian courts as well as in the American ones, have been fully observed, and then the scrutiny of the English cases in which the patient's best interests as perceived subjectively would inevitably clash with accepted medical opinions has been promoted in the final year. Court-ordered Caesarean sections, refusal of medical treatment owing to religious reliefs, discontinuation of treatment for PVS patients and human fertilisation cases are among examples of those tough cases the courts have to tackle with. In process of this research I had oppotunities to visit and study further at the main British medico-legal cen … More tres including Cardiff Law School and I could manage to collect so many essential materials on English medical law through several channels. Main results from this research are as follows. 1. Core doctrine : in order to balance patients' interests with accepted medical practice the English courts often use the phrase of the best interests of the patient, but this phrase leaves the uncertainty. 2. The courts' affirmative action : medical practice is subject to legal decision and it is the court's duty to review the doctor's decision in the light of all facts. 3. The criteria : some English courts delivered deligently the guidelines for future cases of court involvement in emergency medical practices. 4. Medical law's future : a gradual shift from medical law to health care law seems inevitable and our subjects to promote would be beyond the clinical medical context. As the next schedule, promotion of further fundamental research on the patient-doctor relationship in English law should be highly expected along this project. Less

本研究的目的是围绕病人自决权的比较研究，重点是英国医疗法中法院的作用。在第一年对英国医事法的一般背景和关键概念进行了基本研究之后，充分观察了其他司法管辖区，特别是澳大利亚法院和美国法院对病人自治的最新趋势，在英国，病人主观上的最大利益不可避免地与公认的医学观点相冲突，在最后一年晋升。法院下令剖腹产、因宗教救济而拒绝医疗、停止对PVS患者的治疗以及人类受精案件都是法院必须处理的坚韧案件的例子。在这项研究的过程中，我有机会访问英国主要的法医中心并进一步学习 ...更多信息 包括卡迪夫法学院在内的三所大学和我可以通过几个渠道设法收集到这么多关于英国医学法的必要材料。本研究的主要结果如下。1.核心原则：为了平衡病人的利益和公认的医疗实践，英国法院经常使用病人的最大利益这一短语，但这一短语留下了不确定性。2.法院的平权行动：医疗实践服从法律的决定，法院有责任根据所有事实审查医生的决定。3.标准：一些英国法院delightly交付的指导方针，为未来的情况下，法院参与紧急医疗实践。4.医疗法的未来：由医疗法逐步转为健康护理法似乎是无可避免的，而我们要推广的课题，亦会超越临床医学范畴。作为下一个计划，促进进一步的基础研究，在英国法律的医患关系，应该是沿着这个项目的高度期望。少

项目成果

五十川直行: "「イギリスにおける患者の自己決定・イギリス医事法の展開」"判例タイムズ. (予定). (2001)

Naoyuki Isokawa：“英国患者自决：英国医疗法的发展”Hanrei Times（预定）（2001 年）。

ISOGAWA,Naoyuki: "The Patient's Self-determination in English Law-Developments in English Medical Law"Hanrei-Times. (in progress). (2001)

矶川直之：“英国法律中的患者自决权——英国医疗法的发展”Hanrei-Times。

五十川直行: "イギリスにおける患者の自己決定・イギリス医事法の展開"判例タイムズ. (予定). (2001)

Naoyuki Isokawa：“英国患者的自决权和英国医疗法的发展”Hanrei Times（预定）。

五十川直行: "「イギリス医事法の展開-患者の自己決定と司法的規律」"判例タイムズ. (未定). (2000)

Naoyuki Isokawa：“英国医疗法的发展 - 患者自决和司法纪律”Hanrei Times（待定）。