【摘要】：多年來因醫(yī)療損害賠償糾紛引發(fā)的醫(yī)患關系緊張的現(xiàn)象，束縛了醫(yī)務人員的工作主動性和積極性，甚至對醫(yī)務人員的人身安全造成影響。隨之出現(xiàn)的過度醫(yī)療、防御性醫(yī)療等現(xiàn)象，不僅嚴重制約了我國醫(yī)療衛(wèi)生事業(yè)的發(fā)展，最終將侵犯的是全民的共同利益。 本文通過例舉醫(yī)療糾紛賠償案例，以我國醫(yī)療糾紛處理原則為依據(jù)，從以信賴為前提的委托合同和侵權法角度，分析醫(yī)院在醫(yī)療賠償中可能承擔的責任；并橫向分析英美及日本法中對醫(yī)療糾紛中醫(yī)生責任的認定，得出結(jié)論：1.無論是依據(jù)契約合同還是侵權責任來解讀本案例，向患者或其近親家屬的說明義務或患者或其近親家屬的知情同意權均是醫(yī)院方面最需要重視的部分，，是本案例中醫(yī)方承擔的醫(yī)療賠償責任主要原因；2.本案例中盡管醫(yī)院應承擔賠償責任，醫(yī)方的治療方式選擇未超出治療規(guī)范，同時患者出現(xiàn)腸粘連、不完全性腸梗阻未目前醫(yī)學技術難以完全避免，因此定性為醫(yī)療事故欠妥。侵犯患者知情同意權不應等同于醫(yī)療事故；3.醫(yī)療行為存在其特殊性，盡管醫(yī)方在診療過程中為優(yōu)勢方，但診療過程存在“結(jié)果不保證”的特點，因此“避免后見之明”規(guī)則可以借鑒。4.行業(yè)協(xié)會與保險公司的聯(lián)合，使第三方參與承擔責任，可以更為公正妥當?shù)脑u判醫(yī)療責任的有無及賠償金額多少�？勺鳛榫徑忉t(yī)患雙方的直接對立關系方法之一。 文章旨在通過例舉醫(yī)療糾紛賠償案例，分析醫(yī)院在醫(yī)療賠償中可能承擔的責任，為維護醫(yī)務人員的正常工作秩序和切身利益提供參考
[Abstract]:Over the years, the tense relationship between doctors and patients caused by disputes over medical damage compensation has restricted the initiative and enthusiasm of medical staff, and even has an impact on the personal safety of medical staff. The phenomena of excessive medical treatment and defensive medical treatment not only seriously restrict the development of medical and health care in our country, but also infringe on the common interests of the whole people. Based on the principle of medical dispute settlement in our country, this paper analyzes the possible responsibilities of hospitals in medical compensation from the point of view of trust-based entrustment contract and tort law, and horizontally analyzes the cognizance of doctors' liability in medical disputes in Anglo-American and Japanese laws, and draws a conclusion. Whether on the basis of contractual contract or tort liability to interpret this case, the obligation to explain to patients or their close relatives' families or the right of informed consent of patients or their close relatives is the most important part of the hospital, which is the main reason for the medical liability of traditional Chinese medicine in this case; 2. In this case, although the hospital should bear the liability for compensation, the choice of treatment method does not exceed the treatment standard, at the same time, the patient appears intestinal adhesion, incomplete intestinal obstruction is not completely avoided by the current medical technology, so it is characterized as improper medical accident. Infringing the right of informed consent of patients should not be equated with medical malpractice; 3. Medical behavior has its particularity, although the medical prescription is the dominant side in the process of diagnosis and treatment, but the diagnosis and treatment process has the characteristics of "result is not guaranteed", so the rule of "avoiding hindsight" can be used for reference. 4. The combination of industry associations and insurance companies, so that third parties participate in the responsibility, can be more fair and appropriate to judge the availability of medical liability and the amount of compensation. It can be used as one of the methods to alleviate the direct antagonism between doctors and patients. The purpose of this paper is to analyze the possible responsibilities of hospitals in medical compensation by giving examples of cases of compensation for medical disputes, and to provide reference for maintaining the normal working order and vital interests of medical staff.
【學位授予單位】：上海交通大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：D923;D922.16

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