CAJ | 학술논문

《侵权责任法》第59条出身于我国“医药不分家”的医疗体制,它过于注重医疗机构“销售”医疗产品这一表征,而没有对医疗服务区别于商品销售的特性给予充分考虑.在医药尚未分离的时代,第59条具有存留价值.在医疗机构走向“医药分家”的进程中,与其狭隘地、机械地、不加区分地适用第59条从而将其演化为旧体制的“固化剂”,不如全面地、辩证地分析医疗机构的责任归属、使其细微地反映不同情形,将第59条演变为新体制产生和建立的“压力阀”和“推动器”.可通过类型化处理方式,比如医疗机构的类型化、服务商品区分的类型化、产品缺陷的类型化、医疗产品的类型化和与医疗产品有关的责任类型化,来缓解第59条对医疗服务提供者所带来的负面影响.
《침권책임법》제59조출신우아국“의약불분가”적의료체제,타과우주중의료궤구“소수”의료산품저일표정,이몰유대의료복무구별우상품소수적특성급여충분고필.재의약상미분리적시대,제59조구유존류개치.재의료궤구주향“의약분가”적진정중,여기협애지、궤계지、불가구분지괄용제59조종이장기연화위구체제적“고화제”,불여전면지、변증지분석의료궤구적책임귀속、사기세미지반영불동정형,장제59조연변위신체제산생화건립적“압력벌”화“추동기”.가통과류형화처리방식,비여의료궤구적류형화、복무상품구분적류형화、산품결함적류형화、의료산품적류형화화여의료산품유관적책임류형화,래완해제59조대의료복무제공자소대래적부면영향.
Article 59 of Tort Liability Law was born in a context where provision of health service is not separated from sale of medical products. It gives too much emphasis to the fact that medical institutions are involved in the affair of selling goods, lacking full consideration of the distinct nature of health care. In an era when provision of health service is still integrated with sale of medical products, there is room for Article 59. There is a need to view Article 59 in a context, to differentiate circumstances, and to transform Article 59 into a vehicle of promoting new health care reform, rather than applying it mechanically and uncritically and making it become an obstacle to new reform. There is also a need to categorize several key factors, such as medical institutions, service-goods dichotomy, defects of products, medical products and liabilities relating to medical products, in order to alleviate the negative impacts that Article 59 has exerted on medical institutions.