【摘要】：隨著我國醫(yī)療體制不斷的深入發(fā)展，與之相配套的醫(yī)療損害鑒定制度也在不斷的改進和完善。1987年國務(wù)院頒布并實施了《醫(yī)療事故處理辦法》（以下簡稱《辦法》），標志著我國醫(yī)療糾紛鑒定體制由此建立，該體制確定了在處理醫(yī)療損害糾紛時以衛(wèi)生行政部門做出的醫(yī)療事故鑒定為唯一依據(jù)，但其行政性的“一元制”鑒定模式具有嚴重的行業(yè)保護色彩，且越來越不能滿足實際需要。為了解決《辦法》帶來的矛盾和壓力，2002年,國務(wù)院頒布《醫(yī)療事故處理條例》（以下簡稱《條例》），由于該《條例》存在的弊端，司法實踐中將醫(yī)療損害鑒定以“醫(yī)療事故”為界，劃分為醫(yī)療事故技術(shù)鑒定及法醫(yī)類司法鑒定，而由此形成了“二元制”鑒定模式。在現(xiàn)行的二元制鑒定模式的基礎(chǔ)上，新頒布的《侵權(quán)責任法》第七章中關(guān)于醫(yī)療損害的規(guī)定雖解決了先前及當今醫(yī)療損害方面的諸多法律問題，但因《侵權(quán)責任法》為實體法，屬私法范疇，不能對鑒定啟動以及鑒定模式的選擇等涉及公法問題作出規(guī)定，故《侵權(quán)責任法》并沒有對處理醫(yī)療損害糾紛中采用何種鑒定方式作出明確規(guī)定�！肚謾�(quán)責任法》已實施三年之久，相關(guān)的司法解釋仍未出臺，我國解決醫(yī)療糾紛的“二元制”鑒定模式仍未有所改變，且還將在一定時期內(nèi)繼續(xù)存在，這不僅給醫(yī)患委托、鑒定實行和司法實踐帶來了空前的難度和挑戰(zhàn)，也使醫(yī)患矛盾愈演愈烈，不利于醫(yī)患糾紛的解決。本文通過對我國醫(yī)療損害鑒定相關(guān)制度的演進、適用、比較來剖析我國現(xiàn)行醫(yī)療損害鑒定制度在司法實踐中存在的問題，在此基礎(chǔ)上提出重建我國醫(yī)療損害鑒定制度的對策，，以此更好的解決醫(yī)患矛盾，維護醫(yī)療秩序，促進社會和諧發(fā)展。 本文共分四章。第一章從我國醫(yī)療損害鑒定制度的歷史沿革入手，分析我國醫(yī)療損害鑒定制度，從《醫(yī)療事故處理辦法》時期至《醫(yī)療事故處理條例》時期，到《侵權(quán)責任法》頒布后各個時期的特點及發(fā)展演變；第二章通過對我國各個時期醫(yī)療損害鑒定制度的分析，總結(jié)出當前醫(yī)療損害鑒定制度在司法實踐中存在的問題；第三章雖然司法實踐中我國醫(yī)療損害鑒定制度存在諸多問題，但在實踐中達成的共識也具有借鑒意義；第四章在通過對我國醫(yī)療損害鑒定制度在司法實踐中存在的問題分析及對司法實踐中基本共識的借鑒，提出重建我國醫(yī)療損害鑒定制度的對策。
[Abstract]:With the continuous development of medical system in China, the corresponding medical damage appraisal system is constantly improved and perfected. In 1987, the State Council promulgated and implemented the "measures for handling Medical malpractice" (hereinafter referred to as "the measures"). This marks the establishment of a medical dispute appraisal system in China, which determines that the medical malpractice appraisal made by the health administrative department is the only basis for handling medical injury disputes. But its administrative "monistic system" appraisal mode has serious industry protection color, and more can not meet the actual needs. In order to solve the contradictions and pressures brought about by the "methods", in 2002, the State Council promulgated the regulations on handling Medical malpractice (hereinafter referred to as "the regulations"). In judicial practice, medical injury identification is divided into technical identification of medical malpractice and forensic identification, which is divided into "medical malpractice" and "dualistic system". On the basis of the current dualistic appraisal model, the provisions on medical injury in Chapter 7 of the newly promulgated Tort liability Law have solved many legal problems in medical injury before and today, but the Tort liability Law is a substantive law. Under the category of private law, it is not possible to regulate the initiation of appraisal and the choice of identification mode, which involve public law issues. Therefore, the Tort liability Law has not made a clear provision on how to deal with medical injury disputes. The Tort liability Law has been in force for three years, and the relevant judicial interpretation has not yet been issued. The "dualistic system" appraisal mode for solving medical disputes in our country has not been changed, and it will continue to exist in a certain period of time, which not only brings unprecedented difficulty and challenge to doctors and patients, but also brings unprecedented difficulties and challenges to the practice of appraisal and judicial practice. It also makes the contradiction between doctors and patients become more and more serious, which is not conducive to resolving the disputes between doctors and patients. Through the evolution, application and comparison of the relevant systems of medical injury identification in China, this paper analyzes the problems existing in the judicial practice of the current medical injury appraisal system in China, and then puts forward some countermeasures for rebuilding the medical injury appraisal system in China. In order to better solve the contradiction between doctors and patients, maintain the medical order, promote the harmonious development of society. This paper is divided into four chapters. The first chapter begins with the historical evolution of medical injury appraisal system in China, and analyzes the medical damage identification system in China, from the period of "measures for handling Medical malpractice" to the period of "regulations on treatment of Medical malpractice". The characteristics and evolution of each period after the promulgation of the Tort liability Law; The second chapter summarizes the problems existing in the current medical injury appraisal system in judicial practice through the analysis of the medical injury appraisal system in various periods of our country. The third chapter, although there are many problems in the judicial practice of medical injury appraisal system, but the consensus reached in practice also has reference significance; In the fourth chapter, through the analysis of the problems existing in the judicial practice of medical injury appraisal system in our country and the reference to the basic consensus in the judicial practice, the author puts forward the countermeasures to rebuild the medical injury appraisal system in our country.
【學(xué)位授予單位】：遼寧師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：D922.16;D923

【參考文獻】

相關(guān)期刊論文 前10條

1 王良鋼;《醫(yī)療事故處理條例》在醫(yī)療糾紛民事訴訟中的邊緣化[J];當代醫(yī)學(xué);2005年10期

2 蔣德海;關(guān)于《醫(yī)療事故處理條例》的實踐思考[J];法律適用(國家法官學(xué)院學(xué)報);2002年11期

3 劉鑫;梁俊超;;論醫(yī)療損害技術(shù)鑒定危機與改革[J];證據(jù)科學(xué);2010年04期

4 張新寶;;行政法規(guī)不宜規(guī)定具體侵權(quán)責任[J];法學(xué)家;2007年05期

5 肖柳珍;王慧君;;《侵權(quán)責任法》背景下的醫(yī)療損害鑒定制度研究[J];廣西大學(xué)學(xué)報(哲學(xué)社會科學(xué)版);2010年06期

6 高桂林;張靖;;對我國醫(yī)療損害技術(shù)鑒定制度的思考[J];河北法學(xué);2010年01期

7 周士逵;曾勇;;過度醫(yī)療行為的法律研究[J];川北醫(yī)學(xué)院學(xué)報;2007年02期

8 夏文濤;程亦斌;金紀文;鄒合強;;醫(yī)療糾紛司法鑒定的程序設(shè)計[J];中國司法鑒定;2008年S1期

9 趙存喜;;評《侵權(quán)責任法》中的醫(yī)療損害責任[J];中國司法鑒定;2010年02期

10 袁軍;尹君;;完善重新鑒定程序之我見[J];中國司法鑒定;2011年01期

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