【作者】 王晓东；

【导师】 吴伟华；

【作者基本信息】 河北经贸大学 ， 法律（法学）（专业学位）， 2020， 硕士

【摘要】 随着我国医疗水平的提高和公民维权意识的增强,医疗纠纷的解决方式越来越受到人们的广泛关注。暴力伤医杀医事件在各大新闻媒体上屡见不鲜,医患之间的矛盾站在舆论的风口浪尖上,如何化解医患矛盾,合理解决医疗纠纷显得尤为重要。本文从我国医疗纠纷第三方调解的角度出发,通过分析第三方调解的现状及其运行过程中存在的问题,试图为医疗纠纷的解决寻求更加有效的途径。除了引言和结论外,论文主要包括四个部分。第一部分,医疗纠纷第三方调解机制概述。通过明晰医疗纠纷的概念,分析医疗纠纷的专业性、不可避免性、社会影响性等方面的特征,从而掌握医疗纠纷的新动态,为医疗纠纷的解决奠定理论基础。对医疗纠纷第三方调解机制进行概念解析,并与诉讼、行政调解等传统医疗纠纷解决方式进行对比,得出医疗纠纷第三方调解专业性和中立性强、效率高、成本低的制度优势,以及在创新医疗纠纷解决途径、缓解医生和患者之间紧张的关系、维护社会和谐等方面的积极意义。第二部分,医疗纠纷第三方调解的实践及问题。通过系统分析北京、上海、天津、南京、宁波五个地区在实践中的探索,总结各地区的有益经验,同时发现各地区存在的共性问题:调解人员队伍不够专业、调解机构的经费无保障、“二元化”鉴定模式的存在以及医疗责任保险的参与度不够。第三部分,医疗纠纷第三方调解机制的域外经验。通过系统比较德国的医疗事故专家委员会调解模式、美国的医疗纠纷解决委员会调解模式、日本的医师职业责任保险制度模式及韩国的医疗仲裁院调解模式,总结各个国家的先进经验,发现医疗责任保险非常发达,调解人员的专业能力和综合素质较高,结合我国的发展情况,得出应当加强医疗责任保险制度建设、提高调解员专业性两大启示。第四部分,提出完善我国医疗纠纷第三调解机制的建议。针对我国当前存在的问题,比较和借鉴域外国家的经验,提出加强调解人员队伍建设、完善调解机构的资金保障体系、完善和整合医疗鉴定方式、加强与医疗责任保险的配合、加大宣传力度五个方面的建议。更多还原

【Abstract】 People pay more and more attention to the resolution of medical disputes with the improvement of China’s medical level and the enhancement of citizens’ consciousness of rights safeguarding.News of violence,injury,even murder about doctor are common occurrences in major media.The doctor-patients conflict stands on the top of the wave of public voice.How to alleviate the doctor-patients conflict and reasonably solve the medical dispute is particularly important.From the perspective of third-party conciliation in medical disputes,this paper tries to find a more effective way for the resolution of medical disputes by analyzing the current situation and existing problems of third-party conciliation in China.In addition to the introduction and conclusion,the thesis consists of four parts.The first part is about the third-party conciliation mechanism of medical dispute(hereafter referred to as this mechanism).By clarifying the notion of medical disputes,this paper analyzes the features of the specialty,inevitability and social influence of medical disputes,so as to grasp the new dynamics of medical disputes and lay a theoretical foundation for the resolution of medical disputes.This paper analyzes the notion of this mechanism,and compares it with the traditional ways of resolution of medical dispute,such as lawsuit and administrative mediation,so as to obtain the advantages of third-party conciliation in professional and neutral,high efficiency and low cost,as well as the positive significance of innovating approaches in medical dispute,easing doctor-patient relationship and maintaining social harmony and stability.The second part is the practice and problems of this mechanism.Through a systematic analysis of the exploration mode of third-party conciliation in medical disputes in five regions of Beijing,Shanghai,Tianjin,Nanjing and Ningbo,the beneficial experience of each region is summarized,and the common problems in each region are found out: the team of mediators is not professional enough,the funds of organization are not guaranteed,the existence of "dual" appraisal mode and the insufficient participation of medical liability insurance.The third part is the other countries’ experience of this mechanism.By systematicallycomparing the mediating mode of medical dispute resolution committee in the United States,the mediating mode of medical accident expert committee in Germany,the mediating mode of medical professional liability insurance system in Japan and the mediating mode of medical arbitration court in South Korea,the author summarizes the advanced experience of various countries and finds that the medical liability insurance is very developed and the mediators have high professional ability and quality.The fourth part puts forward the suggestion of perfecting this mechanism in our country.By analyzing the exploration of third-party conciliation in medical disputes in various regions of China,combining with the existing problems of this mechanism in China,and comparing and drawing lessons from the experience of other countries,this paper puts forward suggestions in five aspects: strengthening the construction of mediators’ team,improving the fund guarantee system of mediation institutions,improving and integrating medical appraisal methods,strengthening the cooperation with medical liability insurance,and intensifying the publicity.更多还原