Waivers and Negligence: Defining the Patient-Physician Relationship by Refusal of Blood Transfusions

P. Ciechanowski
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Abstract

This paper discusses a recent health law issue originating from British Columbia, Canada. In Hobbs v. Robertson, the health law issue in question is whether a waiver that bars physician liability for negligence is valid. This is an important question because any answer will have a significant effect on both health law and the patient-physician relationship dynamic. At present, there is no judgment on this case and the British Columbia Court of Appeals has, for the second time, remitted that action back to trial court. This inquiry addresses aspects of tort and contract law in the patient-physician relationship. To address this health law issue, three critical questions are analyzed. The first question is if a waiver can be valid between a patient and physician. The second is whether a waiver is valid only between a patient and a hospital or also with the physician. The final question asks if negligence may be included in a waiver. After analysis, three potential solutions are suggested and discussed with one being chosen as the most suitable for implementing.
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免责与过失:以拒绝输血界定医患关系
本文讨论了最近发生在加拿大不列颠哥伦比亚省的一个卫生法问题。在霍布斯诉罗伯逊案中,卫生法的问题是禁止医生对过失承担责任的弃权是否有效。这是一个重要的问题,因为任何答案都将对卫生法和医患关系产生重大影响。目前,对此案尚未作出判决,不列颠哥伦比亚省上诉法院已第二次将该诉讼退回初审法院。本调查涉及的侵权行为和合同法方面的医患关系。为了解决这一卫生法问题,本文分析了三个关键问题。第一个问题是病人和医生之间的弃权是否有效。第二个问题是弃权是否仅在病人和医院之间有效,还是对医生也有效。最后一个问题是,过失是否可以包括在弃权书中。经过分析,提出并讨论了三种可能的解决方案,并选择了一种最适合实施的解决方案。
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