【摘要】：我國院前急救資源面臨著被錯用、被占用、被浪費的問題,究其制度層面的原因主要是我國急救立法體系尚未完善,針對院前急救的法律規(guī)制不足,尤其是各地方性法規(guī)對“調(diào)度人員是否可以拒絕調(diào)派救護車和救護人員”以及“由患方還是救護人員決定運送目的醫(yī)院”兩個問題的規(guī)定不明確、不統(tǒng)一。本文在比較法視野下研究了美國、法國、日本等國家的制度經(jīng)驗,發(fā)現(xiàn)其普遍做法是：在急救呼叫受理的環(huán)節(jié),賦予調(diào)度人員決定是否派車的權(quán)利,進行傷患分級、分類響應(yīng)、優(yōu)先調(diào)度；在將患者運送醫(yī)院的環(huán)節(jié),賦予調(diào)度人員為患者選擇運送目的醫(yī)院的權(quán)利。為探尋域外經(jīng)驗的理論基礎(chǔ)以及在我國法律移植的可行性,本文著重分析了資源合理配置理論和權(quán)利沖突理論,并在此基礎(chǔ)上對院前急救資源的合理配置和院前急救資源濫用背后的權(quán)利沖突進行了法理剖析,認為可以借鑒域外經(jīng)驗賦予調(diào)度人員調(diào)派救護車輛和人員的決定權(quán),但應(yīng)結(jié)合我國國情和院前急救的實際情況將為患者選擇運送目的醫(yī)院的決定權(quán)有限度地賦予救護人員,并建議統(tǒng)一立法確立調(diào)度人員和救護人員的決定權(quán)(統(tǒng)稱急救人員的決定權(quán)),以期遏制我國院前急救資源的濫用,實現(xiàn)院前急救資源的合理配置。
[Abstract]:Our pre-hospital emergency resources are faced with the problem of being misused, occupied and wasted. The main reason for this problem is that the first aid legislation system of our country is not perfect, and the legal regulation of pre-hospital first aid is insufficient. In particular, the provisions of various local regulations on "whether dispatchers can refuse to send ambulances and ambulance personnel" and "whether the patients or ambulance personnel decide to transport the target hospital" are not clear and uniform. This paper studies the system experience of the United States, France, Japan and other countries from the perspective of comparative law. It is found that the general practice is to give the dispatcher the right to decide whether to send a car, to grade the injury, and to classify the response in the process of first aid call acceptance. Priority scheduling; In the process of transporting patients to the hospital, the dispatcher has the right to choose the destination hospital for the patient. In order to explore the theoretical basis of extraterritorial experience and the feasibility of transplanting laws in China, this paper focuses on the theory of rational allocation of resources and the theory of conflict of rights. On this basis, the reasonable allocation of pre-hospital emergency resources and the conflict of rights behind the abuse of pre-hospital first-aid resources are analyzed, and it is considered that the dispatching personnel can be given the right to decide the dispatch of ambulance and personnel from the outside experience. However, according to the national conditions of our country and the actual situation of pre-hospital first aid, the decision power of the patients to choose the destination hospital should be given to the ambulance personnel to a certain extent. It is suggested that unified legislation should establish the decision of dispatcher and ambulance personnel (collectively referred to as the decision of emergency personnel) in order to curb the abuse of pre-hospital emergency resources and realize the rational allocation of pre-hospital emergency resources.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：D922.16

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