就诊不买病历本患方违反程序 不做检查就开处方药医方违规 规范行为与重视留证同等重要

来源 :中国社区医师 | 被引量 : 0次 | 上传用户:skykight
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正常的就诊过程中,患者应先挂号和购买病历本,医生才能及时记录患者的病情和诊疗情况,一旦发生纠纷也能有据可循,但实践中往往会有患者为了节省财力、时间,“以身试法”——拒绝购买病历本和拒绝做相关检查,因而错过了及时诊断和及时治疗,导致悲剧的发生。在这种情况下,一旦患者出现意外,医生虽然已经尽到了告知义务,却没有证据证明,这是否意味着医方一定要承担责任?患者没有购买病历本,医生只按患者要求开一些基础药物,医患双方服务合同关系是否因此成立? During the normal treatment, the patient should first register and purchase the medical record, and the doctor can record the patient’s condition and diagnosis and treatment in time. In case of dispute, the patient can still follow the example, but in practice, patients often have to save money, time, “Defy the law” - refused to buy medical records and refuse to do related checks, thus missing the timely diagnosis and timely treatment, leading to the tragedy. In this case, once a patient has an accident, although the doctor has fulfilled the obligation to inform, there is no evidence that this means that the medical profession must take the responsibility. The patient did not purchase the medical record and the doctor only opened some basic medicines as required by the patient , Medical service contract between the two parties is therefore established?
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