發(fā)布時間：2018-03-23 13:54

  本文選題：醫(yī)療損害糾紛　切入點：醫(yī)療免責　出處：《蘇州大學》2014年碩士論文

【摘要】：患者就醫(yī)時，都希望就診醫(yī)院設(shè)施完備、醫(yī)務人員醫(yī)術(shù)精湛，從而能早日康復。但由于醫(yī)療的復雜性和高風險性，條件和水平的參差不齊，有時會發(fā)生醫(yī)療損害，引發(fā)醫(yī)患糾紛。損害發(fā)生時，醫(yī)院、醫(yī)生是否承擔責任、承擔何種責任等，常成為爭議焦點。醫(yī)療行為系特殊民事行為，其特殊性決定了醫(yī)療損害免責之規(guī)則應符合行業(yè)的獨特性，有利于醫(yī)療事業(yè)的可持續(xù)發(fā)展。 盡管醫(yī)療糾紛解決方式多樣，但現(xiàn)階段，訴訟仍是解決醫(yī)療損害糾紛的主要形式。在訴訟中，法律規(guī)則和技術(shù)鑒定發(fā)揮著重要作用。制度的不完善使得相似案件出現(xiàn)了地區(qū)和法官個體的差異性。相較之前的法律，我國《侵權(quán)責任法》對損害責任之規(guī)定有很大進步，但該法和《醫(yī)療事故處理條例》的一些規(guī)定已經(jīng)明顯無法滿足當前的現(xiàn)實需求。 考慮醫(yī)療行為的專業(yè)特性，，有必要實行醫(yī)療損害的有限免責。有限免責有利于醫(yī)療事業(yè)的發(fā)展，能適度降低醫(yī)療行為的風險，使醫(yī)療行為理性化�！肚謾�(quán)責任法》、《醫(yī)療事故處理條例》的免責規(guī)定具有缺陷，沒有舉證緩和制度，沒有考慮醫(yī)療水平的地區(qū)差異，對免責事由規(guī)定過于簡單、寬泛，未規(guī)定責任鑒定制。醫(yī)療免責舉證責任的重建應考慮引入表見證明理論及限制性舉證責任倒置理論，需要正確界定醫(yī)療風險范圍，適度擴大法官自由裁量權(quán)。在法定的免責事由中，應增加患者自甘風險和醫(yī)療意外的事由。我國應通過司法解釋使醫(yī)療損害責任的法律規(guī)定更為明確、精細，強化醫(yī)療損害責任保險制度，將其作為免責制度的有益補充，并對醫(yī)療損害賠償額度作出適當限制。
[Abstract]:Patients with medical treatment, to hospital facilities, medical personnel, medical skills, and can recover soon. But due to the complexity of health care and high risk of uneven conditions and levels, sometimes medical damage, medical dispute. When the damage occurred, the hospital, the doctor is liable, bear the responsibility, often became the focus of controversy. The medical behavior is a special civil behavior, the particularity of the medical damage rules of exemption should be consistent with the unique industry, is conducive to the sustainable development of the medical enterprise.
Although the medical dispute resolution ways, but at this stage, the main form of litigation is to solve medical malpractice disputes. In the process of litigation, legal rules and technical appraisal plays an important role. The system is not perfect because of the similar cases the differences between regions and individual judges. The earlier law, China's "tort liability law" a lot of progress of damage liability provisions, but the law and regulations of medical malpractice "> Some Provisions have been clearly cannot meet the current needs.
Considering the characteristics of professional medical behavior, it is necessary to implement a limited exemption of medical damage. A limited exemption is conducive to the development of medical cause, risk can moderately reduce the medical behavior, rational behavior. The medical tort liability law ", has defects of exemption" Regulations on handling medical accidents ", without the burden of mitigation system there is no difference between the medical level in consideration, too simple, provisions on the exemption of responsibility identification system wide, not specified. The exemption of burden of proof of medical reconstruction should consider the introduction of apparent proof theory and the limit of the burden of proof theory, to correctly define the scope of medical risk, moderate expansion of the discretion of the judge in legal. Excusatio, should increase with the assumption of risk and causes of medical accidents. China's judicial interpretation of the legal provisions of the liability of medical damage is more clear, fine, strengthen the medical liability insurance The insurance system will be used as a beneficial supplement to the exemption system and to make appropriate restrictions on the amount of compensation for medical damage.

【學位授予單位】：蘇州大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：D922.16;D923

【參考文獻】

相關(guān)期刊論文 前4條

1 肖國忠;論醫(yī)生的專家責任[J];法律與醫(yī)學雜志;2004年03期

2 楊立新;;《侵權(quán)責任法草案》應當重點研究的20個問題[J];河北法學;2009年02期

3 萬宗瓚;;醫(yī)院交易優(yōu)勢地位的法律規(guī)制研究——以新一輪醫(yī)療體制改革為背景[J];河北法學;2009年12期

4 強美英;;醫(yī)療損害賠償分擔機制初探[J];河北法學;2010年09期

本文編號：1653741