The doctor-patient Relationship and the Legal Framework in English Law

英国法中的医患关系及法律框架

• 批准号: 13620056
• 负责人: ISOGAWA Naoyuki
• 金额: $ 1.86万
• 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: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13620056/
• 关键词: the doctor; patient relation-ship; patients'rights; doctors'duty of care; English medical law; medical law

The aims of this research project gather around the comparative study on the doctor-patient relationship and the legal framework, focusing on the English legal experience. Following the basic study on the general backgrounds and core concepts in English medical law in the first year, the recent trends toward patients'rights to self-determine in other jurisdictions, especially in the Australian courts as well as in the Canadian and the American courts, have been fully observed, and then the critical scrutiny of the English cases in which patients'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, discontinuation of treatment for PVS patients and human fertilization contexts as well as regular medical scenes are among examples of those tough cases the courts have to tackle with. In process of this research project I had opportunities to visit and stu … More dy further at the main British medico-legal centers including Cardiff Law School and 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 custom 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 courts'duty to review the doctors'decisions in the light of all facts. 3. The criteria : some English courts delivered diligently the guidelines for future cases of court involvement in emergency medical practices. 4. Doctors'position : the idea that the fiduciary relationship as applied to doctors and patients may be a false dawn. As the next research schedule, promotion of further fundamental study on the legal compensation systems for medical harms in English law and in Swedish law, inter alia, should be highly expected along this project. Less

本研究的目的是围绕医患关系和法律的框架进行比较研究，重点是英国的法律的经验。在第一年对英国医疗法的一般背景和核心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以及加拿大和美国法院对患者自决权的最新趋势，然后，对英国案例的批判性审查，在这些案例中，病人的主观利益不可避免地与公认的医学观点发生冲突，在最后一年晋升。法院下令剖腹产、拒绝医疗、停止对PVS患者的治疗、人类受精情况以及常规医疗场景都是法院必须处理的坚韧案件的例子。在这个研究项目的过程中，我有机会访问和学习， ...更多信息 我在包括卡迪夫法学院在内的英国主要医学法律中心工作，并通过多种渠道收集了大量关于英国医学法律的重要资料。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习惯，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：一些英国法院努力为未来法院参与紧急医疗实践的案件提供指导方针。4.医生的立场：认为适用于医生和病人的信托关系可能是一个虚假的黎明。沿着本课题的研究，应进一步推进对英国法和瑞典法中医疗损害法律的赔偿制度的基础性研究。少

项目成果

五十川 直行: "診療契約上、医師が負う説明義務の範囲"NBL. (近刊号). (2003)

Naoyuki Isokawa：“医疗护理合同下医生的解释义务范围”NBL（即将出版）（2003 年）。

Isogawa,Naoyuki: "Doctor's Duty to Explain under the Medical Contract"NBL. (forthcoming). (2003)

矶川直之：《医疗合同下医生的解释义务》NBL。

五十川直行: "診療契約上、医師が負う説明義務の範囲-医療水準として未確立の療法に関する説明"NBL. (近刊号). (2003)

Naoyuki Isokawa：“医疗合同项下医生所承担的解释义务的范围 - 有关尚未确立为医疗标准的治疗的解释”NBL（即将出版）。

五十川直行: "「イギリスにおける患者・医師関係と法のありかた(1)(2・完)」v"判例タイムズ. (発表予定). (2003)

Naoyuki Isokawa：“英国的医患关系和法律（1）（2，完整）”v”Hanrei Times（即将出版）。

Isogawa,Naoyuki: "The doctor-patient Relationship and the Legal Framework in English Law"Hanrei-Times. (forthcoming). (2003)

矶川直之：《英国法中的医患关系与法律框架》Hanrei-Times。