Therapeutic Transactions And Informed Concent And Liability Agreement Between Doctors And Patient

Hernayanti Hernayanti, Ratna Ratna, Hari Iskandar, Anindini Winda Amalia, Dewi Atika Putri
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Abstract

In the therapeutic transaction, the relationship between patient and health service providers tends to bring conflict. Many factors caused that conflict, e.g., lack of patient health understanding, inequality of position between the patient and the provider before the law, and the imperfection of service quality handed over by the Provider. Viewed from a legal standpoint, therapeutic transactions have far-reaching consequences of a reciprocal nature between the patient and the doctor. The execution of informed consent is considered merely a formality to be signed. Juridically, the doctrine of informed consent contains the obligations imposed on doctors and the rights of patients to be fulfilled by doctors. Among the rights of the patient in the doctrine of informed consent are: the right to obtain information about his or her illness and the action to be taken against him; the right to obtain answers to questions he or she asks; the right to choose alternatives; and the right to refuse to initiate action. The right to safety, the right to be informed, the Right to Choice, and the right to Be Heard are also basic consumer rights that doctors must fulfill. These rights are guaranteed by the Consumer Protection Act. The process of informed consent is a manifestation of the preserved equality of relations between doctors and patients who are respectful and communicative; both have rights and duties to be respected, and together they determine the best course of action for patients in order to achieve the desired purpose of medical service. An informed consent is also deemed valid if: (a) the patient has been given explanation or information; (b) the patient or his authorized representative is competent to give a decision or consent; and (c) the consent must be given voluntarily. The process of obtaining informed consent is not running as it should.
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医患之间的治疗交易、知情协议和责任协议
在治疗交易中,患者与卫生服务提供者之间的关系往往会带来冲突。造成这种冲突的因素很多,例如,缺乏对病人健康的了解,病人和提供者在法律面前的地位不平等,以及提供者提供的服务质量不完善。从法律的角度来看,治疗交易在病人和医生之间具有互惠性质的深远影响。知情同意的执行被认为仅仅是一种需要签署的手续。在法律上,知情同意的原则包含了医生应尽的义务和医生应履行的病人权利。在知情同意原则中,病人的权利包括:获得关于他或她的疾病的信息和对他采取行动的权利;对他或她提出的问题获得答案的权利;选择替代方案的权利;以及拒绝提起诉讼的权利。安全权、知情权、选择权、发言权也是医生必须履行的消费者基本权利。这些权利受到《消费者保护法》的保障。知情同意的过程体现了医患之间相互尊重和交流的平等关系;两者都有受到尊重的权利和义务,它们共同决定对病人的最佳行动方案,以实现医疗服务的预期目的。在以下情况下,知情同意也被视为有效:(a)已向患者提供解释或信息;(b)病人或其授权代表有资格作出决定或同意;(c)同意必须是自愿的。获得知情同意的程序没有按照应有的方式运行。
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