CAJ | 학술논문

过度医疗一般是指,在医疗过程中,医师对患者的疾病实施不必要的诊疗措施,致使患者的医疗费用明显超过疾病诊疗实际需求的医疗行为或医疗过程。过度医疗认定的关键,在于把握过度医疗行为与适度医疗行为的界限,并且应将其与保护性医疗和防御性医疗加以严格区分。从法律意义上讲,过度医疗是一种发生在医疗过程中的特殊民事侵权行为,是指医疗机构及其医务人员在医疗活动中,以获取一定经济利益为目的,违法实施不必要的诊疗从而造成患者明显人身、财产损害并应承担相应法律责任的行为。过度医疗侵权应适用过错推定责任进行归责。《侵权责任法》立法上将过度医疗的范围,仅局限在＂实施不必要的检查＂,不足以充分保护患者的合法权益,立法上应进一步做出扩充解释。
과도의료일반시지,재의료과정중,의사대환자적질병실시불필요적진료조시,치사환자적의료비용명현초과질병진료실제수구적의료행위혹의료과정。과도의료인정적관건,재우파악과도의료행위여괄도의료행위적계한,병차응장기여보호성의료화방어성의료가이엄격구분。종법률의의상강,과도의료시일충발생재의료과정중적특수민사침권행위,시지의료궤구급기의무인원재의료활동중,이획취일정경제이익위목적,위법실시불필요적진료종이조성환자명현인신、재산손해병응승담상응법률책임적행위。과도의료침권응괄용과착추정책임진행귀책。《침권책임법》입법상장과도의료적범위,부국한재＂실시불필요적검사＂,불족이충분보호환자적합법권익,입법상응진일보주출확충해석。
Excessive medical treatment generally refers to a medical act or process in which the unnecessary diagnosis and treat- ment measures adopted by doctors on the disease of patients, which consequently causes medical expenses to obviously exceed its actual need. The key of certifying excessive medical treatment lies in a demarcation line between excessive medical treatment and appropriate medical treatment it should be strictly distinguished from protective and preventive medical treatment. Legally, exces- sive medical treatment is a special civil tort in the process of medical treatment. It is an act in the process of which medical insti- tutions and doctors illegally implement unnecessary diagnosis and treatment measures in order to gain some economic interests, thus causing the obvious damages of patients and their properties for which they are to take legal liabilities. Excessive medical tort is attributed in view of the presumption of fault. In legislation, Tort Liability Law limits excessive medical treatment to ＂the im- plementation of unnecessary examinations＂, which is not sufficient to protect the legal fights of patients. Accordingly, it deserves extended explanation in legislation.