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[患者预先指示法的特点与目标]

[Characteristics and aims of patient advance directive laws].

作者信息

Kletecka-Pulker Maria

机构信息

Institut für Ethik und Recht in der Medizin, Universität Wien.

出版信息

Bull Soc Sci Med Grand Duche Luxemb. 2008(3):289-97.

Abstract

The advanced directive law (PatVG), which regulates the conditions and effectiveness of living wills, has been in force since 1 June 2006. A living will is a declaration of will with which a patient refuses certain medical treatment for the case that he is no longer able to understand the situation, make ajudgement or to express himself. In contrast to the non-anticipatory rejection of treatment, the legislator demands, in the case of anticipatory rejection, the fulfilment of certain conditions. The law provides for two forms of living will 1. the non-binding living will and 2. the binding living will. In the case of a binding will, if the patient is no longer able to understand the situation or to make a judgement and/or is unable to express himself, the doctor has to respect the living will and under no circumstances is allowed to carry out the measures which the patient has refused. If one conditions for a binding living will is not fulfilled, the will is then non-binding. However, the greater the number of conditions which are fulfilled, the more likely it is that a doctor will consider it binding. In all cases, the binding living will serves as an aid for the doctor to indicate the will of the patient.

摘要

规范生前遗嘱条件及效力的《预先指示法》(《病人自主决定法》)自2006年6月1日起生效。生前遗嘱是一种意愿声明,患者通过它表明,如果自己不再能够理解病情、做出判断或表达自己的意愿,将拒绝某些医疗治疗。与非预先拒绝治疗不同,对于预先拒绝治疗的情况,立法者要求满足某些条件。该法律规定了两种生前遗嘱形式:1. 无约束力的生前遗嘱;2. 有约束力的生前遗嘱。在有约束力的遗嘱情况下,如果患者不再能够理解病情或做出判断,和/或无法表达自己的意愿,医生必须尊重生前遗嘱,在任何情况下都不得采取患者拒绝的措施。如果有约束力的生前遗嘱的一个条件未得到满足,该遗嘱则无约束力。然而,满足的条件越多,医生就越有可能认为它具有约束力。在所有情况下,有约束力的生前遗嘱都有助于医生了解患者的意愿。

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