论医疗过错损害赔偿责任宜适当限缩——以当前基本医疗服务改革为视角

发布时间：2018-01-16 15:18

本文关键词：论医疗过错损害赔偿责任宜适当限缩——以当前基本医疗服务改革为视角　出处：《广西大学学报(哲学社会科学版)》2017年03期 　论文类型：期刊论文

【摘要】：建构科学公平让老百姓得到真正实惠的基本医疗服务体系是当下医疗卫生体制改革的重要任务。医疗过错损害赔偿责任泛化内生性的增加医疗成本并危及患者的生命与健康。基于既往基本医疗成本控制措施收效甚微引起的反思、推进管理式医疗中必须面对的制度难题、理性借鉴美国经验的需要以及医改基本路径的政策方向,当前基本医疗服务改革中应积极推进医疗损害赔偿责任特别立法并适度限制赔偿责任,在实体层面建立无过错医疗损害补偿制度,建立规范的医疗过错损害赔偿原因力规则,从内部限制医疗过错赔偿责任的幅度。
[Abstract]:It is an important task to construct a scientific and equitable basic medical service system for the common people to get real benefits. The extension of medical fault compensation liability endogenously increases the medical cost and endangers the patient's health care system. Life and health. Based on the previous basic medical cost control measures caused by little effect of reflection. To promote the management of medical care must face the system problems, rational reference to the needs of the United States experience and the policy direction of the basic path of health care reform. At present, in the reform of basic medical services, we should actively promote the special legislation of medical damage compensation liability and limit the liability appropriately, and establish the no-fault medical damage compensation system at the entity level. To establish standard rules of causative force for medical fault compensation and limit the scope of medical fault compensation liability internally.
【作者单位】：南方医科大学卫生管理学院;
【基金】：南方医科大学卫生管理学院资助项目(WG2016001)
【分类号】：D922.16;D923
【正文快照】： 基本医疗服务体系的改革与完善依然是当下医疗卫生体制改革的重要任务。有学者认为,获取基本医疗服务是公民保障生命健康的基本权利,应当通过法律加以明确,使之成为"拟制公共产品";[1]73公立医院的根本目标是为全体社会成员提供公平、可及的基本医疗服务;[2]129既往基本医疗成

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