CAJ | 학술논문

为了解家属代替知情同意的现状，剖析导致家属成为知情同意权行使主体的现实原因，随机选取215份临床知情同意书，记录分析其签署人，并对相关患者、家属、主管医生进行调查或访谈。结果显示，家属代替知情同意的发生率为6．0％，主要发生于老年、经济不独立、生活不能自理、就诊于急诊和不愿知情的患者。表明家属代替知情同意现象依然存在，仅依靠修改法律条文维护患者权益作用有限，提高养老和医疗保障、设置医院内司法干预制度可能是有效措施。
위료해가속대체지정동의적현상，부석도치가속성위지정동의권행사주체적현실원인，수궤선취215빈림상지정동의서，기록분석기첨서인，병대상관환자、가속、주관의생진행조사혹방담。결과현시，가속대체지정동의적발생솔위6．0％，주요발생우노년、경제불독립、생활불능자리、취진우급진화불원지정적환자。표명가속대체지정동의현상의연존재，부의고수개법률조문유호환자권익작용유한，제고양로화의료보장、설치의원내사법간예제도가능시유효조시。
To evaluate the current status of proxy informed consent in China ,and explore the factors restricting patients to implement their rights independently , 215 informed consent papers were randomly chosen and reviewed , and some patients ,their family members and doctors were interviewed .The results showed that 6 .0% family members exercise patients’ right of informed consent without authorization ,especially when the patients are aged ,depending on family members for financial and nursing support ,or not willing to be informed . Therefore ,it can be concluded that proxy informed consent still exists in China today ,perfecting related laws cannot guarantee patients’ right effectively .Improving the pension and health care ,setting up the system of judicial intervention in hospital may be the key measures .