Self-determination right on the medical treatment in France

法国医疗自决权

基本信息

批准号：
15530083
负责人：
OKAWARA Yoshio
金额：
$ 0.45万
依托单位：
Fukuoka Institute of Technology
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15530083/
关键词：
Imformed consent Integrity of the body Person Necessity for Medical Treatment Medical Treatment profits (purpose)medical action Self-determination and public policy Equilibrium proportionality 自己決定公序個人の自律フランス法医療身体の不可触・不可傷性

项目摘要

What is the fundamental value of Informed Consent? ---It is the problem of the relation between Informed Consent and Self-determination. In the French medical law, the Principle of integrity of the body (Principes de l'integrite du corps humaine) comes to the front as the public policy (ordre public) and dominate the Self-determination. Informed Consent is indispensable and essential, but not enough : Medical Treatment profits is superior to the Informed Consent (differently from the American and English Law).The public order (ordre public) collides with desire of the individual who wants to change his body. This is a fundamental problem on the medical law. The concept of illness has a risk of becoming variable and exceeding "Necessity for medical treatment (necessite therapeutique)", when a psychological element which may lead to "desire sufficiency medical treatment"(e.g. cosmetic surgery, transsexualism) enters there. Corresponding to an individual intention, corresponding to development of science and medicine, the standard of "Necessity for medical treatment" becomes still more fluid.In France, the experiment has been traditionally bisected to the experiment with the medical treatment purpose, and the experiment without the medical treatment purpose. There was an important meaning in this from the viewpoint of a patient's rights. However, the Huriet Act of 1988 justified the latter type of experiment by the Informed consent principle. This is a legal revolution. A patient or a subject of experiment consents to what does not become their profits, that is, to falling victim: -- This "consent principle" to which the Huriet Act has given such a new meaning has superseded the traditional rule of "the profits of medical treatment" for protecting oneself.Besides, The Principle of integrity physical extends to the body of a dead person in addition to the body of living person, after Dr. Milhaud case in which he experimented on the brain death patient.

知情同意的基本价值是什么？ ---这是知情同意与自决之间关系的问题。在《法国医学法》中，随着公共政策（Ordre Public）（Ordre Public）的统治，身体完整的原则（校长De l'Entighite du Corps unaine）成为前线，并主导了自决。知情同意是必不可少的，但不够的，但还不够：医疗利润优于知情同意书（与美国和英国法律不同）。公共秩序（Ordre Public）与想要改变身体的个人的渴望相撞。这是医学法的基本问题。疾病的概念有变化并超过“必需治疗的必要性（必要治疗）”的风险，而心理因素可能会导致“欲望足够的医疗治疗”（例如，美容手术，变性性手术）进入那里。与个人意图相对应，与科学和医学的发展相对应，“医疗必要性”的标准变得更加流畅。在法国，该实验传统上是针对医疗目的的实验，以及没有医疗目的的实验。从患者权利的角度来看，这有一个重要的含义。但是，1988年的《赫里特法案》通过知情同意原则证明了后一种实验。这是一场法律革命。一个患者或实验主题同意并不成为他们的利润，即受害者： - 这是《赫里埃特法案》所赋予的这种新含义的“同意原则”，取代了传统的“医疗利润利润”来保护自己的“保护自己的医疗利润”。贝西德斯（Beside）保护自己的诚信原则，富于死者的身体，以使米尔赫德（Mrain of Deveers of Deveers）的身体延伸到米尔赫德（Milhhe）的身体中，以此为莫尔德（Milhaud）的身体。