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從李笑笑案論醫(yī)療損害賠償責(zé)任的認(rèn)定

發(fā)布時(shí)間:2018-07-24 16:52
【摘要】:在我國(guó)經(jīng)濟(jì)發(fā)展的浪潮中,人們生活水平日益提高,健康問(wèn)題越來(lái)越不可忽視,但是醫(yī)療行業(yè)的特殊性使得醫(yī)患糾紛的數(shù)量逐年上升,醫(yī)療損害作為一種侵權(quán)行為,我國(guó)法律的規(guī)定不夠完善,在司法實(shí)踐中更是難以操作,2007年新《侵權(quán)責(zé)任法》的頒布,雖然在一定程度彌補(bǔ)了之前的缺陷,但是還存在不足的方面。筆者從以案例入手,對(duì)案例中涉及的法律問(wèn)題作了詳細(xì)的闡述,分為三部分,第一章列舉了案例,以醫(yī)患雙方的爭(zhēng)議焦點(diǎn)為切入點(diǎn),對(duì)案例進(jìn)行了法理分析,剖析了案例中涉及的法律理論。第二章對(duì)醫(yī)療損害糾紛的概念、特點(diǎn)進(jìn)行了梳理,分析了醫(yī)療糾紛的發(fā)展現(xiàn)狀,重點(diǎn)對(duì)醫(yī)療損害責(zé)任的構(gòu)成要件、歸責(zé)原則以及舉證責(zé)任作了詳細(xì)闡述。構(gòu)成要件有的學(xué)者主張“三要件”之說(shuō),也有的學(xué)者主張“四要件”之說(shuō),但筆者認(rèn)為“四要件”較合理:即患者在醫(yī)療機(jī)構(gòu)的診療活動(dòng)中受到損害、醫(yī)療機(jī)構(gòu)和醫(yī)務(wù)人員的診療行為、醫(yī)療機(jī)構(gòu)和醫(yī)務(wù)人員存在過(guò)錯(cuò)、診療行為與患者受到的損害之間存在因果關(guān)系。過(guò)錯(cuò)推定原則、過(guò)錯(cuò)原則及無(wú)過(guò)錯(cuò)原則三個(gè)歸責(zé)原則為侵權(quán)責(zé)任法中規(guī)定的。第三章運(yùn)用比較方法研究了我國(guó)和外國(guó)的不同,提出了幾點(diǎn)完善我國(guó)醫(yī)療損害賠償制度的建議,通過(guò)分散醫(yī)療風(fēng)險(xiǎn)來(lái)平衡醫(yī)患雙方,使醫(yī)療事業(yè)獲得長(zhǎng)遠(yuǎn)的發(fā)展。要不斷的從各個(gè)方面研究醫(yī)療糾紛案件的合理解決,及時(shí)有效的維護(hù)醫(yī)患雙方的合法權(quán)益,公民期盼著和諧醫(yī)患關(guān)系的構(gòu)建,這一需求也同樣滿(mǎn)足了國(guó)家建設(shè)和諧社會(huì)的總要求。
[Abstract]:In the tide of economic development in our country, people's living standard is improving day by day, and health problems can't be ignored more and more, but the particularity of medical industry makes the number of doctor-patient disputes rise year by year, medical damage is a kind of tort. The law of our country is not perfect enough, and it is more difficult to operate in the judicial practice. The promulgation of the new Tort liability Law in 2007 has made up for the defects in the past to a certain extent, but there are still some deficiencies. Starting with the case, the author expounds the legal problems involved in the case in detail, which is divided into three parts. The first chapter enumerates the cases, taking the focus of the dispute between doctors and patients as the starting point, carries on the legal theory analysis to the case. The legal theory involved in the case is analyzed. The second chapter combs the concept and characteristics of medical injury dispute, analyzes the current development of medical dispute, focuses on the constitutive elements of medical injury liability, the principle of liability and the burden of proof. Some scholars advocate the theory of "three elements" and some scholars advocate the theory of "four elements". However, the author thinks that the "four elements" are more reasonable: that is, the patient is injured in the diagnosis and treatment activities of the medical institution. The diagnosis and treatment behavior of medical institutions and medical personnel, the fault of medical institutions and medical personnel, and the causality between the diagnosis and treatment behavior and the damage suffered by patients. The principle of presumption of fault, the principle of fault and the principle of no fault are three principles of liability in tort law. The third chapter studies the differences between China and foreign countries by means of comparative method, and puts forward some suggestions to perfect the system of medical damage compensation in China, to balance the medical risk between the doctors and the patients through dispersing the medical risks, and to make the medical cause obtain the long-term development. To constantly study the reasonable solution of medical dispute cases from various aspects, to safeguard the legitimate rights and interests of both doctors and patients in a timely and effective manner, citizens are looking forward to the construction of a harmonious doctor-patient relationship. This demand has also met the country's overall requirements for building a harmonious society.
【學(xué)位授予單位】:西北大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類(lèi)號(hào)】:D920.5;D923

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