Review and Perfection of Living Will System
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摘要: 随着2022年修订版《深圳经济特区医疗条例》的正式颁布,我国在立法上首次承认生前预嘱的法律效力,由此也引发了全社会的广泛关注与讨论。由于受传统文化、法律制度、医疗服务供给等因素的影响,生前预嘱的实践运行存在诸多挑战。目前,生前预嘱的制度完善需从实践中遇到的难题入手,着重营造良好的制度实施环境,进一步完善生前预嘱的具体操作程序,同时提高安宁疗护的社会供给能力,以更好地维护和保障生命末期患者的根本权益。Abstract: As the revised Medical Regulations of Shenzhen Special Economic Zone was officially promulgated in 2022, China recognized the legal effect of living wills for the first time in legislation, which also triggered widespread concern and discussion in the whole society. Due to the influence of traditional culture, legal system and medical service supply, there are many challenges in the practice of living wills. Now, the improvement of the system of living wills should start with the problems encountered in practice, focus on creating a good system implementation environment, further improve the specific operating procedures of living wills, and improve the social supply capacity of hospice care, so as to better safeguard and protect the fundamental rights and interests of patients at the end of their lives.
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Key words:
- living will /
- self-determination /
- hospice care /
- end of life /
- medical policy
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[1] 韩飏,刘芳,先藕洁.临终尊严要握在自己手中[N].中国青年报,2022-07-14(004). [2] 姚瑶,张玮,黄思华,等.如何做"最后一次"选择?[N].南方日报,2022-07-18(A07). [3] Kutner, L. Due Process of Euthanasia:the Living Will. A Proposal[J].Indiana Law Journal, 1969,44(1):534-554. [4] 景军.尊严死之辨[J].开放时代,2022(4):162-178. [5] 王心茹,绳宇.生前预嘱、预立医疗指示和预立医疗照护计划的概念关系辨析[J].医学与哲学,2020,41(24):1-4. [6] Eisendrath, Stuart, J, et al. The Living Will[J].JAMA, 1983, 249(15):2054. [7] 马付才."生前预嘱"入法保证临终者的自主权[N].民主与法制时报,2022-07-14(003). [8] 杨雪梅,陈英,熊每珠等.生前预嘱实践伦理困境研究进展[J].护理研究,2023,37(19):3525-3527. [9] 李亚明."生前预嘱"与死亡的尊严[J].哲学动态,2014(4):79-84. [10] 陈龙.人权视角下尊严死合法化研究[J].医学与法学,2018,10(6):20-25. [11] 费孝通.乡土我国[M].北京:人民出版社, 2012:58-59. [12] 廖可斌.多维视角下的我国古代社会"礼法共治"模式[J].孔子研究,2023(1):5-13. [13] Jonsen, Albert R. Dying right in California. The Natural Death Act[J]. Clin Res,1978,26(2):55-60. [14] 韦宝平,杨东升.生前预嘱的法理阐释[J].金陵法律评论,2013(2):48-62. [15] 宁晓红,阎格.我国卫生健康体系亟需缓和医疗融入[J].协和医学杂志,2024,15(1):12-17. [16] 赵星月.《2022年度国家老龄事业发展公报》发布[N].健康报,2023-12-19(001). [17] 钱穆.中国文化史导论[M].北京:商务印书馆, 2023:43-44. [18] 马伯英.中国医学文化史[M].上海:上海人民出版社,2019:807-809. [19] 吴国平.我国生前预嘱制度实践探索与立法构想[J].法治研究,2023(5):86-96. [20] 王博,江伟,罗峪平.从推广生前预嘱的角度谈缓和医疗照护对象[J].协和医学杂志,2024,15(1):42-44. [21] 陈龙.大陆安宁疗护的法治化探索[J].医学研究与教育,2019,36(03):55-61.
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