THE DOCTRINE OF PATIENT’S INFORMED CONSENT IN THE LEGISLATION AND JURISPRUDENCE OF CZECH REPUBLIC, AUSTRIA AND THE LATVIAN REPUBLIC

Urkevich Tatjana Ivanivna, A. Lytvynenko
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Abstract

The article represents the history, emergence and the contemporary state of development of the legal doctrine of the patient’s informed consent to medical interventions in Czech Republic, Austria and the Latvian Republic. The authors focus on the vaults of the doctrine of the doctor’s obligation to abstain from conducting any medical interventions without the consent, or against the will of the patient, since the expression of the patient’s will is the central element of his right to self-determination. In order to discover the main features of informed consent in the civil law perspective, the authors discuss the historical and current legal developments of the legal institute of patient’s informed consent. The authors conclude that the formation of the institute owes to the right to body integrity and limitation of the exercise of medical profession by practitioners, and that the civil law doctrine of informed consent differs from Anglo-American tort law, relying on statutory-based civil liability for negligence, as well as minor penal liability for battery, an occasional interpretation of unauthorized medical intervention. The authors emphasize, that the existing bodies of Austrian, Czech and Latvian case law relating to informed consent, which span for over a century, are sufficient to become a branch of Continental medical malpractice case law alongside with aged and well-developed French or Belgian medical jurisprudence, whereas the Latvian medical jurisprudence, despite having a rich history of emergence since the 1920s, has developed a solid body of case law in regard with patient’s rights relatively recently.
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捷克、奥地利和拉脱维亚三国立法和判例中的患者知情同意原则
本文介绍了捷克共和国、奥地利和拉脱维亚共和国患者知情同意医疗干预法律学说的历史、出现和当代发展状况。作者重点讨论了医生有义务在未经患者同意或违背患者意愿的情况下避免进行任何医疗干预的原则,因为患者意愿的表达是其自决权的核心要素。为了从民法的角度揭示知情同意的主要特征,作者讨论了患者知情同意法律研究所的历史和现状。作者得出的结论是,该研究所的成立归功于对身体完整性的权利和对执业医师行使医学专业的限制,知情同意的民法原则不同于英美侵权法,它依赖于基于法定的过失民事责任,以及殴打的轻微刑事责任,对未经授权的医疗干预的偶尔解释。提交人强调,奥地利、捷克和拉脱维亚与知情同意有关的现有判例法已经跨越了一个多世纪,足以与成熟的法国或比利时医学判例一起成为大陆医疗事故判例法的一个分支,而拉脱维亚医学判例法,尽管自20世纪20年代以来有着丰富的出现历史,但相对而言,它在最近发展了一套关于患者权利的判例法。
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