發(fā)布時(shí)間：2018-12-18 09:19

【摘要】：當(dāng)前,在雙軌制的醫(yī)療責(zé)任鑒定機(jī)構(gòu)的形勢(shì)下,各醫(yī)療責(zé)任鑒定機(jī)構(gòu)都在為化解醫(yī)療糾紛而服務(wù)。然而,兩種鑒定機(jī)構(gòu)由于在設(shè)立、職責(zé)、治理結(jié)構(gòu)等方面的界限存在模糊,導(dǎo)致鑒定意見(jiàn)出現(xiàn)矛盾問(wèn)題,困擾著糾紛的解決和鑒定意見(jiàn)的權(quán)威和效力。對(duì)于這些存在的問(wèn)題,從分析當(dāng)前雙軌制的鑒定機(jī)構(gòu)及其存在的問(wèn)題、域外鑒定制度的發(fā)展?fàn)顩r著手,提出了要完善醫(yī)療責(zé)任鑒定機(jī)構(gòu)的設(shè)想,即建立一元化的統(tǒng)一醫(yī)療責(zé)任鑒定機(jī)構(gòu)。為科學(xué)規(guī)范、統(tǒng)一管理,在設(shè)立鑒定機(jī)構(gòu)方面,建立一個(gè)醫(yī)療責(zé)任鑒定機(jī)構(gòu),變雙軌為單軌,這就要求配備合格的鑒定人員;在規(guī)范鑒定機(jī)構(gòu)的程序上,應(yīng)規(guī)范鑒定的啟動(dòng)程序,公開(kāi)鑒定過(guò)程;在鑒定機(jī)構(gòu)職責(zé)的完善上,實(shí)行鑒定專家跨區(qū)域,避免“同行鑒定”之嫌,統(tǒng)一以抽簽的方式選派鑒定人參與鑒定,同時(shí)規(guī)范鑒定的啟動(dòng)程序;在鑒定機(jī)構(gòu)的內(nèi)部治理結(jié)構(gòu)上,加強(qiáng)對(duì)鑒定人和鑒定意見(jiàn)的事后審查,加強(qiáng)獨(dú)立管理,擺脫行政干預(yù),機(jī)構(gòu)內(nèi)部治理推行個(gè)人負(fù)責(zé)制。從而建立一個(gè)科學(xué)、合理的醫(yī)療責(zé)任鑒定機(jī)構(gòu),這也就可以解決當(dāng)前存在很多矛盾糾紛。
[Abstract]:At present, under the dual-track medical responsibility appraisal institution, each medical responsibility appraisal organization is serving to resolve the medical dispute. However, due to the blur in the establishment, responsibility, governance structure and other aspects of the two appraisal institutions, there are contradictions in the appraisal opinions, which puzzles the resolution of disputes and the authority and effectiveness of the appraisal opinions. With regard to these problems, starting from the analysis of the current two-track appraisal institutions and their existing problems, and the development of the extraterritorial appraisal system, this paper puts forward a tentative plan to perfect the medical responsibility appraisal institutions. That is, the establishment of a unified identification of medical responsibility. For the sake of scientific standardization and unified management, a medical responsibility appraisal institution should be set up in the aspect of setting up appraisal institution, which should be equipped with qualified appraisal personnel. In the procedure of standardizing the appraisal institution, the starting procedure of the appraisal should be standardized, and the appraisal process should be made public; On the perfection of the duty of the appraisal organization, the experts should be carried out across regions to avoid the suspicion of "peer appraisal", and experts should be selected by drawing lots to participate in the appraisal, and the starting procedure of the appraisal should be standardized at the same time; In the internal governance structure of the appraisal organization, we should strengthen the ex post examination of the appraiser and the appraisal opinion, strengthen the independent management, get rid of the administrative intervention, and carry out the personal responsibility system in the internal management of the organization. Thus, a scientific and reasonable medical responsibility appraisal institution can be established, which can solve many contradictions and disputes.
【學(xué)位授予單位】：暨南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：D922.16;D923

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