医学与社会
醫學與社會
의학여사회
Medicine and Society
2015年
11期
74-76
,共3页
医患关系%医疗风险%过错责任%风险责任%强制医疗责任保险
醫患關繫%醫療風險%過錯責任%風險責任%彊製醫療責任保險
의환관계%의료풍험%과착책임%풍험책임%강제의료책임보험
Doctor-patient Relationship%Medical Damage Risk%Fault Liability%Risk of Liability%The Insurance of Compulsory Medical Liability
我国《侵权责任法》对医疗损害行为确立了“过错责任为基础”的归责体系，这在设计模式上存在一定局限性，即囿于单一的损害赔偿的藩篱而无法完全填补患者所遭受的医疗损害。为消弭侵权责任法调整的局限，笔者以医疗损害归责体系为逻辑路径，引入以风险责任为基础的责任分散方式来弥补侵权法化解的局限性，并在此基础上建立统一的强制医疗责任保险制度，进而实现对医疗损害风险有效分散，实现对医疗损害责任的正义分配，从而使医患关系回归至“医乃仁术”的正途中。
我國《侵權責任法》對醫療損害行為確立瞭“過錯責任為基礎”的歸責體繫，這在設計模式上存在一定跼限性，即囿于單一的損害賠償的藩籬而無法完全填補患者所遭受的醫療損害。為消弭侵權責任法調整的跼限，筆者以醫療損害歸責體繫為邏輯路徑，引入以風險責任為基礎的責任分散方式來瀰補侵權法化解的跼限性，併在此基礎上建立統一的彊製醫療責任保險製度，進而實現對醫療損害風險有效分散，實現對醫療損害責任的正義分配，從而使醫患關繫迴歸至“醫迺仁術”的正途中。
아국《침권책임법》대의료손해행위학립료“과착책임위기출”적귀책체계，저재설계모식상존재일정국한성，즉유우단일적손해배상적번리이무법완전전보환자소조수적의료손해。위소미침권책임법조정적국한，필자이의료손해귀책체계위라집로경，인입이풍험책임위기출적책임분산방식래미보침권법화해적국한성，병재차기출상건립통일적강제의료책임보험제도，진이실현대의료손해풍험유효분산，실현대의료손해책임적정의분배，종이사의환관계회귀지“의내인술”적정도중。
The "Tort Liability law"established the behavior of medical damage fault liability based responsibility system, which has some limitations in the design mode, that is confined to a single way of damages does not completely fill the barriers patients suffered health damage .To eliminate the limitations of tort adjustments, the author of the medical harm rule system as a logical path, the introduction of risk-based liability responsibility in a decentralized manner to compensate for the limitations of tort law to resolve , and the establishment of compulsory medical liabil-ity insurance system on this basis, and then decentralized health risks to achieve justice in the distribution of medical damage , so doctors and pa-tients to eliminate obstacles to the return to the "Medical is Humanity"are on the way to the doctor-patient relationship.
