【作者】 李锦峰；

【导师】 章武生；

【作者基本信息】 复旦大学 ， 法律（专业学位）， 2014， 硕士

【摘要】 医患矛盾是当前我国社会管理中表现较为突出和尖锐的社会矛盾,围绕如何解决医患矛盾也是学者研究和讨论的热点。特别是在法治环境下,探索和完善制度化、法治化的纠纷解决机制解决医患矛盾尤为紧迫。《侵权责任法》颁布实施之前,我国解决医患矛盾主要的法律依据是《医疗事故处理条例》及《民法通则》等相关法律,纠纷解决机制不健全,行政色彩浓厚的医疗事故行政调解是主要的纠纷解决途径；《侵权责任法》颁布实施后,医患矛盾在民事法律领域表现为医疗损害责任纠纷,在立法上以医疗损害责任纠纷统一医疗事故和一般医疗损害赔偿纠纷二元化的纠纷处理机制,统一法律适用体系,建立起诉讼为主的医疗损害责任纠纷解决途径。文章基于此背景,结合当下主要的研究成果和司法实务实际,试图就医疗损害责任纠纷的解决机制进行研究。文章共四章,立足我国实际,采用历史分析法、比较分析法、案例分析法等研究方法,试图从国外医患矛盾解决机制的经验中探求完善我国医疗损害责任纠纷解决机制的建设性建议。第一章医疗损害责任纠纷概述,采用历史分析的方法,揭示医疗损害责任是在《侵权责任法》颁布后确立,旨在革除二元化纠纷解决机制的弊端,建立统一于医疗损害责任纠纷的纠纷解决机制：文章在前人研究的基础上,紧扣《侵权责任法》的规定,分析医疗损害责任的内涵和医疗损害责任纠纷的解决途径。第二章国外有关医疗损害责任纠纷的解决机制。通过分析日本、美国、德国三国有关医疗损害责任纠纷解决途径和方式方法,特别是就关键问题——因果关系和医疗过错认定——独特创新性的处断机制和纠纷解决途径的介绍,为我国制度完善提供借鉴参考。第三章我国医疗损害责任纠纷解决机制的现状和不足。本章采用案例分析法,从个案的司法过程,分析我国医疗损害责任纠纷解决机制中存在二元化的鉴定机制、纠纷解决机制相对单一等不足。第四章完善我国医疗损害责任纠纷解决机制的建议。本章立足我国的现状和不足,借鉴国外的有益经验,提出完善我国医疗鉴定机制和构建司法ADR机制两个方面的建议。强调医疗过错司法鉴定,不断完善鉴定人出庭作证制度和“专家辅助人”的机制；在纠纷解决方式上,在完善司法ADR的机制上,加强诉调对接机制的保障,促进纠纷快速有效解决。更多还原

【Abstract】 In recent years, the doctor-patient contradiction is the outstanding, sharp social contradictions our country’s social management life; and around how to solve the doctor-patient contradiction is the hot spots for scholar’s research. Especially under the background of rules of law, explore and perfect the dispute resolution mechanisms to solve the doctor-patient contradiction is particularly urgent. Prior to the implementation of the Tort liability Taw, the main legal basis for solving the doctor-patient contradiction are "Regulations on Handing Medical Accidents", "General Principles of the Civil Law" and other relevant acts. At that time, the dispute resolution mechanism is not sound as a whole, the way to settle the dispute just like the way that fits to the administrative problems. After the Tort Tiability Taw promulgated and implementation, the doctor-patient contradiction treats as medical damage liability dispute in the field of civil law. On the legislation, the new Acts unifies medical malpractice dispute and commonl medical damage compensation disputes, normalizes the dispute processing mechanism, unifies the system of law application. The purpose of all these reformation is to establish the lawsuit style for the disputes’resolution. Based on these background, the paper tries to research the resolution mechanism of the medical damages liability dispute combining with the present research achievement and actual judicial practice.The article which was consisted to four parts researched the resolution mechanism of doctor-patient conflicts in order to seek some useful suggestioons for perfect the medical damage liability disputes settlement. All the analysis based on the reality of our country, used the methods of historical analysis, comparative analysis, case analysis and other research methods.As the general statement, the first chapter adopts the method of historical analysis to clarify the proceedure that the medical damage liability dispute was established after the Tort Tiability Taw promulgated. The Acts is designed to establish a unified system of applicable law, avoids the deficiencies of the previous ways of the disputes settlement. The article analyzes the connotation and the solution of medical damage liability on the basis of predecessors’ research.Chapter two analyzes some foreign countries’ relevant disputes resolution mechanism, such as Japan, the United States and Germant. Through the analysis of the three countries, especially on the key issues——causal relationship and the recognition of medical treatment fault, provide some unique and innovative ways of dispute resolution reference for our country.The third chapter researches the present situation and the shortage of our country’s medical damage liability disputes settlement mechanism. This part uses the method of case analysis, reveals the deficiencies of the existing disputes resolution mechanism by the analysis of some cases.The last chapter basing on the current situation of our country, drawing the lessons from the abroad concludes some suggestions for consummating our country’s medical damage liability disputes resolution mechanism from two aspects. The first aspect is to perfect our country’s medical appraisal mechanism, concerned with medical treatment fault judicial appraisal, improve the system of expert witnesses to testify and the mechanism of "expert auxiliary"; the second aspect is to construct the Judicial ADR in order to extend more approach for disputes solving. As a detail, strengthen the coalition of suit and mediation for perfecting the judicial ADR mechanism to promote the quickly and efficiently disputes resolution.更多还原