网络医疗中医患关系的建立与认定

医患关系的建立与认定在网络医疗中关乎医患双方合法权益的维护，对网络医疗的规范与发展有重要意义。通过文献分析、专家咨询等方法，分析网络医疗医患关系建立与认定上存在的障碍，借鉴美国实践经验，提出基于我国国情的建议。网络医疗带来了医患关系主体、建立条件、认定方式的变化，对通过挂号建立与认定医患关系的传统模式带来了挑战。应在承认线上医患关系及医疗行为的基础上，制定符合我国法律法规、严于线下诊疗标准的网络医疗医患关系建立标准。同时，应从法律手段与技术手段两方面加强网络医疗医患关系的认定，保障网络医疗中医患双方的合法权益。

Establishment and Identification of Doctor-Patient Relationship in Telemedicine

The doctor-patient relationship plays an important role in protecting lawful rights and interests of both doctors and patients. Through literature analysis and expert consultation, we figure out the problems in establishing and identifying doctor-patient relationship in telemedicine, and give advice on it. The telemedicine has challenged traditional doctor-patient relationship by changing the subject, condition and identification of it. The government should allow and formulate a stricter way to establish doctor-patient relationship in telemedicine, and promote the legal and technical means way to identify it.