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醫(yī)鬧刑法規(guī)制研究

發(fā)布時間:2018-10-16 21:25
【摘要】:我國正處于社會轉(zhuǎn)型期,也是各種社會矛盾糾紛的多發(fā)期,醫(yī)鬧事件已成為政府和社會關(guān)注的焦點(diǎn)問題之一。醫(yī)鬧事件不僅嚴(yán)重影響了醫(yī)療秩序的穩(wěn)定,侵害了醫(yī)務(wù)人員的合法權(quán)益,同時也嚴(yán)重阻礙了醫(yī)療事業(yè)的創(chuàng)新發(fā)展與進(jìn)步。醫(yī)鬧事件之所以屢禁不止,和我國的醫(yī)療衛(wèi)生體制、法律體制的不完善有著密切關(guān)系,其中一個重要的原因就是我國現(xiàn)行刑法對醫(yī)鬧行為的規(guī)制存在缺陷。2015年《刑法修正案(九)》正式實(shí)施,修正案對刑法第二百九十條進(jìn)行了適度修改,將“醫(yī)療”寫入該條第一款,明確將醫(yī)鬧行為納入聚眾擾亂社會秩序罪進(jìn)行規(guī)制。但此次修改并未突出保護(hù)醫(yī)務(wù)人員的合法權(quán)益,修改前后產(chǎn)生的社會效果并不明顯,針對頻發(fā)的醫(yī)鬧事件,強(qiáng)化對醫(yī)鬧的刑法規(guī)制勢在必行。本文分為四個部分:第一部分,主要闡述醫(yī)鬧行為相關(guān)理論,包括醫(yī)鬧的概念、類型、發(fā)展態(tài)勢、成因及危害,為后文深入研究醫(yī)鬧刑法規(guī)制打好鋪墊;當(dāng)前理論界對醫(yī)鬧的概念尚未達(dá)成共識,筆者認(rèn)為醫(yī)鬧是指患者及其利害關(guān)系人以及受雇于患方的組織或個人,以醫(yī)療糾紛為借口,在醫(yī)療機(jī)構(gòu)現(xiàn)場滋事、擾亂醫(yī)療機(jī)構(gòu)正常秩序或威脅、侵害醫(yī)務(wù)人員及其利害關(guān)系人合法權(quán)益的危害行為。筆者從刑法的角度出發(fā),將醫(yī)鬧劃分為良性醫(yī)鬧和惡性醫(yī)鬧。第二部分,對醫(yī)鬧行為刑法規(guī)制必要性和規(guī)制現(xiàn)狀進(jìn)行了探討和梳理,對醫(yī)鬧行為刑法規(guī)制的困境進(jìn)行了分析探究,以使刑法對醫(yī)鬧的規(guī)制更有針對性。筆者指出刑法對醫(yī)鬧規(guī)制的理論困境和實(shí)踐困境,在理論上,存在醫(yī)鬧刑法規(guī)制原則缺失、醫(yī)鬧刑事立法缺失、保護(hù)醫(yī)務(wù)人員的功能缺失、現(xiàn)有罪名對醫(yī)鬧的規(guī)制不全面;在實(shí)踐上,主要是醫(yī)鬧涉嫌相關(guān)犯罪之間的適用模糊。第三部分,研究了域外醫(yī)患糾紛的刑法規(guī)制,汲取他國可供借鑒的經(jīng)驗,為我國醫(yī)鬧刑法規(guī)制提供參考。筆者認(rèn)為我國應(yīng)借鑒國外先進(jìn)經(jīng)驗,設(shè)置專門的罪名規(guī)制醫(yī)鬧。第四部分,研究我國醫(yī)鬧刑法規(guī)制的完善途徑。為更好地解決醫(yī)鬧刑法規(guī)制的難題,應(yīng)堅守刑法謙抑、民行優(yōu)先適用、寬嚴(yán)相濟(jì)等基本原則;增設(shè)法條界定醫(yī)鬧概念,設(shè)立暴力醫(yī)鬧罪,并設(shè)置想象競合犯條款。針對醫(yī)鬧刑法規(guī)制的實(shí)踐困境,需進(jìn)一步明晰了醫(yī)鬧涉嫌相關(guān)犯罪之間的界分,以期為醫(yī)鬧行為的刑法規(guī)制提供更為準(zhǔn)確的規(guī)范標(biāo)準(zhǔn)。
[Abstract]:Our country is in the social transition period, is also the frequent period of all kinds of social contradictions and disputes, the medical incident has become one of the focus issues of the government and the society. The incident not only seriously affects the stability of medical order, infringes on the legitimate rights and interests of medical personnel, but also hinders the innovation, development and progress of medical cause. The reason why the medical incident has been repeatedly prohibited is closely related to the imperfection of the medical and health system and the legal system in our country. One of the important reasons is that the current criminal law of our country has some defects in the regulation of medical behavior. In 2015, the Criminal Law Amendment (9) was formally implemented, and the amendment made a moderate amendment to Article 290 of the Criminal Law. "Medical treatment" is written into the first paragraph of this article, which explicitly regulates the crime of mass agglomeration and disturbing social order. However, the revision does not highlight the protection of the legitimate rights and interests of medical personnel, and the social effect before and after the revision is not obvious. In view of the frequent medical incidents, it is imperative to strengthen the criminal law regulation. This article is divided into four parts: the first part mainly expounds the theory of medical noisy behavior, including the concept, type, development situation, causes and hazards, for the further in-depth study of the criminal law of medical trouble; At present, there is no consensus on the concept of "medical noise" in the theoretical circle. The author thinks that "medical noise" refers to patients and their stakeholders, as well as organizations or individuals employed by patients, using medical disputes as an excuse to make trouble at the scene of medical institutions. Endangering the normal order or threat of medical institutions and infringing on the legitimate rights and interests of medical personnel and their interested parties. From the angle of criminal law, the author divides the medical scene into benign one and malignant one. The second part discusses and combs the necessity and current situation of the criminal regulation of medical-noisy behavior, and analyzes the predicament of the criminal regulation of medical-noisy behavior in order to make the regulation of medical-noisy behavior more targeted in the criminal law. The author points out the theoretical and practical dilemmas of the regulation of medical noise in the criminal law. In theory, there are the absence of the principle of the regulation of the criminal law, the absence of the criminal legislation, the absence of the function of protecting the medical personnel, and the incomplete regulation of the existing charges. In practice, it is mainly the application of vagueness between suspected related crimes. In the third part, the author studies the criminal law regulation of doctor-patient disputes in foreign countries, draws lessons from other countries, and provides reference for the regulation of medical-patient disputes in China. The author thinks that our country should draw lessons from foreign advanced experience and set up special charge to regulate medical trouble. The fourth part, studies the perfect way of the criminal law regulation of medical trouble in our country. In order to solve the problem of criminal law regulation, we should stick to the basic principles of the criminal law, such as the restraint of criminal law, the preferential application of civil conduct, the combination of leniency and severity, the addition of law to define the concept of medical-making, the establishment of violent medical-crime, and the establishment of articles of imaginative coopetition. In view of the practical dilemma of the criminal law regulation of medical trouble, it is necessary to further clarify the division between the related crimes, in order to provide a more accurate standard for the criminal regulation of medical-noisy behavior.
【學(xué)位授予單位】:江西理工大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2017
【分類號】:D924.3

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