本文選題：醫(yī)療事故　切入點(diǎn)：醫(yī)療過錯(cuò)　出處：《廣東財(cái)經(jīng)大學(xué)》2017年碩士論文

【摘要】：現(xiàn)階段,醫(yī)療損害糾紛日益增多,醫(yī)療損害鑒定意見成為了法院認(rèn)定醫(yī)療損害案件事實(shí)的重要依據(jù),醫(yī)療損害鑒定意見的科學(xué)性和公正性直接影響著糾紛的解決。目前,我國醫(yī)療損害鑒定在司法實(shí)踐中仍存在著諸多問題。因此,本文通過分析我國當(dāng)前醫(yī)療損害鑒定制度的相關(guān)法律法規(guī),結(jié)合司法實(shí)踐典型案例,引出醫(yī)療損害鑒定的司法實(shí)踐問題,從立法和實(shí)踐的角度分別探討醫(yī)療損害鑒定實(shí)踐障礙的成因,并針對實(shí)踐障礙提出相關(guān)對策,試圖構(gòu)建一個(gè)統(tǒng)一、規(guī)范的醫(yī)療損害鑒定制度。本文除了前言和結(jié)語外,共分為三部分展開論述:第一部分主要是對醫(yī)療損害鑒定的實(shí)踐檢視。該部分從實(shí)踐演變的角度展示各時(shí)期不同的醫(yī)療損害鑒定體制,分析各時(shí)期鑒定體制中存在的弊端及其發(fā)展。同時(shí),以實(shí)踐中三個(gè)司法典型案例為研究對象,引出醫(yī)療損害鑒定實(shí)踐中所存在的問題,主要包括鑒定體制“雙軌制”、異地鑒定難以推開、鑒定意見的采信混亂等問題。第二部分主要是對產(chǎn)生醫(yī)療損害鑒定實(shí)踐問題的原因進(jìn)行剖析。該部分主要從四個(gè)方面展開討論,第一方面從“雙軌制”鑒定制度、鑒定主體、聽證制度、重復(fù)鑒定和錯(cuò)誤鑒定追責(zé)制度五個(gè)方面去分析醫(yī)療損害鑒定的立法缺陷。第二方面從醫(yī)療過錯(cuò)的復(fù)雜性、鑒定的專業(yè)性、鑒定檢材的有限性和相關(guān)管理機(jī)制的問題四個(gè)方面去剖析鑒定意見的生成障礙。第三方面對實(shí)踐中阻礙異地鑒定實(shí)施的原因進(jìn)行說明。第四方面,通過醫(yī)療損害賠償訴訟中法官對“無過失醫(yī)療過程”的追求以及對鑒定意見的依賴等相關(guān)審理行為,對實(shí)踐狀態(tài)進(jìn)行反思。第三部分主要是提出解決醫(yī)療損害鑒定實(shí)踐問題的對策。該部分主要針對前述醫(yī)療損害鑒定的實(shí)踐問題,從相關(guān)法律法規(guī)、鑒定主體、鑒定程序等方面提出解決的對策,主要包括三方面的內(nèi)容,在立法的角度上,從鑒定范圍、鑒定程序、鑒定意見采信規(guī)則去完善醫(yī)療損害鑒定制度。在構(gòu)建統(tǒng)一的醫(yī)療損害鑒定體系的角度上,從統(tǒng)一的鑒定機(jī)構(gòu)、規(guī)范的專家鑒定人資格標(biāo)準(zhǔn)和統(tǒng)一的鑒定機(jī)制運(yùn)行模式去解決醫(yī)療損害“雙軌制”問題。在規(guī)范異地鑒定的角度上,從異地鑒定的適用范圍及啟動、鑒定機(jī)構(gòu)的選取等相關(guān)規(guī)定去推動異地鑒定的發(fā)展。力圖構(gòu)建更加公正合理的醫(yī)療損害鑒定體系。
[Abstract]:At present, the medical injury dispute is increasing day by day, the medical injury appraisal opinion has become the important basis for the court to determine the fact of the medical injury case, the scientific and impartial opinion of the medical injury appraisal opinion directly affects the settlement of the dispute. There are still many problems in the judicial practice of medical injury appraisal in our country. Therefore, by analyzing the relevant laws and regulations of the current medical injury appraisal system in our country, combined with the typical cases of judicial practice, This paper introduces the judicial practice of medical injury appraisal, probes into the causes of the practical obstacle of medical injury appraisal from the angle of legislation and practice, and puts forward some relevant countermeasures in view of the practical obstacle, and tries to build a unified system. In addition to the preface and conclusion, It is divided into three parts: the first part is mainly to examine the practice of medical injury identification. At the same time, taking three typical judicial cases in practice as the research object, the problems existing in the practice of medical injury appraisal are introduced. Mainly including the appraisal system "two-track system", it is difficult to push the appraisal in different places. The second part is mainly to analyze the causes of the practical problems of medical injury identification. This part mainly discusses from four aspects. First, from the "two-track system" appraisal system, the main body of appraisal, The system of hearing, the system of repeated identification and the system of liability for false identification are five aspects to analyze the legislative defects of medical injury appraisal. Second, from the complexity of medical fault and the professional nature of identification, The limitation of appraisal materials and the problems of relevant management mechanism are analyzed in four aspects to analyze the obstacles to the formation of appraisal opinions. The third aspect explains the reasons that hinder the implementation of the appraisal in different places in practice. The fourth aspect, Through the pursuit of "no-fault medical process" by the judge in the lawsuit for medical damages, and the reliance on the appraisal opinion, The third part is to put forward the countermeasures to solve the practical problem of medical injury appraisal. This part mainly aims at the practice problem of medical injury appraisal, from the relevant laws and regulations, the appraisal subject, Measures to solve the problem are put forward in the aspects of appraisal procedure and so on, which mainly include three aspects. From the angle of legislation, from the scope of appraisal, the appraisal procedure, In the view of constructing a unified medical damage appraisal system, from the point of view of establishing a unified medical damage appraisal system, from the point of view of a unified appraisal institution, The standard standard of expert appraiser qualification and the unified appraisal mechanism operating mode are used to solve the problem of "double track system" of medical damage. From the point of view of standardizing the appraisal of different places, the scope of application and the starting of the appraisal of different places are discussed. The selection of identification institutions and other relevant provisions to promote the development of remote identification and try to build a more fair and reasonable medical damage identification system.
【學(xué)位授予單位】：廣東財(cái)經(jīng)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：D922.16

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