中国行政管理
中國行政管理
중국행정관리
Chinese Public Administration
2015年
1期
137~141
,共null页
医患纠纷 信任危机 医疗行为失范
醫患糾紛 信任危機 醫療行為失範
의환규분 신임위궤 의료행위실범
medical dispute, crisis of confidence, medical malpractice
医疗行为失范是指医疗机构或医务人员在从事医疗服务过程中实施的违背医疗行为规范的行为。医疗侵权诉讼举证责任倒置和过错责任原则强化了医疗失范行为,医疗卫生行业财政资源配置的不足和失衡、信任危机引发的医患“委托-代理”困境、医疗服务定价机制的扭曲均诱致医疗行为的失范。应该通过制度构建行为规则和伦理建构信任关系来实现事前预防,同时设置修复受损医患关系的事后司法救济程序,以回归医疗卫生事业的公益属性,维护和谐医患关系。
醫療行為失範是指醫療機構或醫務人員在從事醫療服務過程中實施的違揹醫療行為規範的行為。醫療侵權訴訟舉證責任倒置和過錯責任原則彊化瞭醫療失範行為,醫療衛生行業財政資源配置的不足和失衡、信任危機引髮的醫患“委託-代理”睏境、醫療服務定價機製的扭麯均誘緻醫療行為的失範。應該通過製度構建行為規則和倫理建構信任關繫來實現事前預防,同時設置脩複受損醫患關繫的事後司法救濟程序,以迴歸醫療衛生事業的公益屬性,維護和諧醫患關繫。
의료행위실범시지의료궤구혹의무인원재종사의료복무과정중실시적위배의료행위규범적행위。의료침권소송거증책임도치화과착책임원칙강화료의료실범행위,의료위생행업재정자원배치적불족화실형、신임위궤인발적의환“위탁-대리”곤경、의료복무정개궤제적뉴곡균유치의료행위적실범。응해통과제도구건행위규칙화윤리건구신임관계래실현사전예방,동시설치수복수손의환관계적사후사법구제정서,이회귀의료위생사업적공익속성,유호화해의환관계。
Medical malpractice is the breach of medical regulations by medical institutions or medical workers in the process of providing medical service. The inversion of the evidential burden and the fault liability principle in medical infringement lawsuits have strengthened the definition of medical malpractice which is induced by the inadequacy and imbalance in the allocation of financial resources of health-care industry, the doctor-patient ＂principal-agent＂ dilemma resulted from the crisis of confidence and the distortion of the medical service pricing mechanism. Prior prevention of medical disputes can be conducted by establishing regulations through institution and building trust through ethic. At the meantime, ex post facto judicial relief procedures aiming at repairing doctor-patient relations should be established to bring back the public serving property to medical and health services and maintain harmonious doctor-patient relations.
