中国医学伦理学2026，Vol.39Issue(1)：71-77,7.DOI:10.12026/j.issn.1001-8565.2026.01.10
医患信义关系的法律困境和破解路径
Legal dilemmas and resolution paths in the doctor-patient fiduciary relationship
摘要
Abstract
The doctor-patient fiduciary relationship confronts multiple legal dilemmas,such as the asynchrony between patients'trust along with the granting of their body control rights and doctors'fulfillment of diagnostic and treatment obligations,the difficulty in exhaustively specifying the content and performance standards of doctors'diagnostic and treatment obligations in advance,the potential diminishment of medical service value due to excessive restrictions or interference with doctors'autonomous decision-making,and the mismatch between the costs of patients supervising doctors and the benefits obtained.These dilemmas stem from the fact that the doctor-patient relationship constitutes a special fiduciary relationship based on trust,characterized by the transfer of fiduciary object,aimed at altruism,and marked by unequal status.To resolve the legal dilemmas in the doctor-patient fiduciary relationship,a shift from the"static trust"paradigm to the"dynamic fiduciary"paradigm is necessary.Guided by the concept of the doctor-patient community,a normative system for the doctor-patient fiduciary relationship should be constructed and refined,thereby fostering a fiduciary spirit,clarifying fiduciary obligations,implementing interest balancing,safeguarding patients'rights and interests,enhancing remedies for breaches of trust,and strengthening supervision of doctors.关键词
医患信义关系/法律困境/信义法/破解路径Key words
doctor-patient fiduciary relationship/legal dilemma/fiduciary law/resolution path分类
医药卫生引用本文复制引用
刘鹏坤,徐喜荣..医患信义关系的法律困境和破解路径[J].中国医学伦理学,2026,39(1):71-77,7.基金项目
广东省普通高校人文社科重点研究基地"卫生健康法治与政策重点研究基地"(2024WZJD007) （2024WZJD007）
广东省普通高校特色新型智库"粤港澳大湾区医药健康产(行)业高质量发展法治保障研究中心"(2024TSZK016) （行）
广州市疾病预防控制中心医疗机构普法专项调研项目(2025A00207) （2025A00207）
