【作者】 陈敏；

【导师】 刘华义；

【作者基本信息】 中国海洋大学 ， 法律， 2012， 硕士

【摘要】 近年来,我国医疗损害赔偿纠纷案件逐年增加,因其涉及到医患双方利益、社会稳定等诸多方面的问题,一直受到社会各界的普遍关注。医疗损害赔偿制度自建立以来得到逐步的完善,但是至今无论在理论上还是实践中都有很多问题没有得到解决,突出表现在法律适用、鉴定程序及赔偿标准的二元化等方面,导致医患矛盾成为社会的一个焦点,医疗损害赔偿案件也成为法院审理的难点。但是由于医疗行为的特殊性,致使医疗损害赔偿毕竟不同于一般的侵权纠纷,所以有必要对医疗损害赔偿制度存在的不足进行研究和完善。本文采用历史方法、比较方法和实证分析方法等方法,通过研究医疗损害赔偿制度的历史演进,探求其在不同历史发展时期的发展脉络,寻求其发展规律,并通过对一些案例反映的问题及其他国家的医疗损害赔偿制度进行研究分析,试图提出新的见解,构建适合我国国情的医疗损害赔偿制度。本文共分四部分一、我国医疗损害赔偿制度的概说。该部分简要概述医疗损害赔偿的概念及其需要考虑的因素,并根据《医疗事故处理办法》出台前后到《医疗事故处理条例》的实施,再到最高人民法院下发的《关于参照<医疗事故处理条例审理医疗纠纷>民事案件的通知》,将医疗损害赔偿制度的发展历程分为三个阶段,通过对每个阶段的情况介绍,可以反映出医疗损害赔偿制度发展的过程中出现的“二元化”的问题。二、医疗损害赔偿制度的矛盾现状及其原因分析。对现行医疗损害赔偿制度的现状从适用法律、鉴定程序、赔偿标准等方面进行分析,找医疗损害赔偿矛盾现状产生的原因。三、我国医疗机构的性质及对国外相关制度的评析。通过分析我国医疗机构的性质及医改过程中存在的问题,研究医改过程中吸收国外制度情况,以此通过研究发达国家医疗损害赔偿制度,取其精华,试图找到适合我国国情的医疗损害赔偿制度。四、对医疗损害赔偿制度的完善提出合理化建议。从立法上解决法律适用的统一问题、完善医疗损害鉴定制度等方面提出司法建议,并从引入强制性的医疗损害责任险、鼓励自愿性医疗损害意外险等社会保障方面建议引入保险机制以分散医疗损害风险。更多还原

【Abstract】 In recent years, the disputes of medical damage compensation increased year by year and drawn public attention as the result of involving many aspects such as interests of the hospital and patient, social stability, etc. The medical damage compensation system has improved gradually since its establishment, however, there are still many problems have not been settled both in theory and practice. The highlight problems are application of law, evaluation procedure and double standard of compensation, which caused the hospital and patient conflicts become a social focus, and the medical damage compensation cases turn into difficulties in court proceedings. Due to the particularity of medical conduct which caused the medical damage compensation distinct from ordinary tort dispute, it is necessary to research and perfect the insufficiency of the medical damage compensation system.This thesis adopts the historical, comparative and empirical analysis approaches, and attempts to propose the new opinions on the establishment of Chinese medical damage compensation system through investigating the historical evolution of medical damage compensation system, searching the development trends in different periods, seeking the development regulations, and analyzing the issues reflected from some cases and medical damage compensation system is other countries. This thesis is divided into four parts:1. The development history of medical damage compensation system in our country. It divides the medical damage compensation into three stages which are the periods of Method on Handling Medical Malpractices, the implementation of Regulation on Handling Medical Malpractices, and the Notice of the Supreme People’s Court on Trying Civil Cases on Medical Disputes by Referring to the "Regulation on Handling Medical Malpractices". It reflects the course of development of medical damage compensation system and the problem of double standard by introducing the situations of each stage.2. The current situation of contradiction of medical damage compensation system and the cause for judicial conflicts and the cause analysis. It finds out the cause for judicial conflicts by analyzing the current situation of medical damage compensation system in aspects of application of law, evaluation procedures and compensation standard, etc.3. Comments and analysis on the nature of Chinese medical institution and foreign related system. By analyzing the nature of medical institution in China and problems existing in the course of medical reform, to research the situation concerning the absorption of foreign system during the medical reform, It attempts to find out the medical damage compensation system suitable for our country by researching and selecting the essence of the medical damage compensation system in other countries.4. Rationalization proposal on perfection of medical damage compensation system. It proposes the judicial suggestion which includes unification of application of law, perfection of medical damage evaluation system, etc. on courts trial of medical damage compensation cases. It also proposes the social security suggestions of introducing the insurance mechanism to spread risk of medical damage by bringing in mandatory liability insurance of medical damage and encouraging voluntary casualty insurance of medical damage.更多还原