我国医疗损害赔偿制度研究

发布时间：2018-01-16 23:35

本文关键词：我国医疗损害赔偿制度研究　出处：《山东大学》2015年硕士论文　论文类型：学位论文

【摘要】：我国从20世纪80年代开始进行医疗体制改革,从改革之初的国家统包统揽的补偿体制,到1997年开始推进城镇职工基本医疗保险制度、医疗卫生体制和药品生产流通体制三项改革,再到2009年新一轮医改的开始,我国在医疗卫生行业已经作出了许多积极大胆的尝试,并取得了一定的成绩。我国居民的医疗条件和健康状况不断改善,卫生筹集结构不断优化,基本的医疗保障制度和卫生体系得到了建立与发展。但是,医疗行业的问题还很多,医疗资源的配置还不合理均衡,人们日益增长的多层次多样化的医疗服务需求和单一的医疗服务现状之间的矛盾日益突出,而且由于这些问题的根本性,很难在短时间之内得到改善。在这样的大背景下,加之医疗行为自身的高专业性和高风险性以及具体制度上的欠缺,医疗纠纷事件层出不穷,特别是医疗损害纠纷,其中争执的焦点是责任划分和损害赔偿问题。虽然经过长期的努力,特别是《侵权责任法》的颁布实施,医疗损害赔偿的法律制度日益健全,但还不能满足复杂多变的现实需求,这就对进一步完善医疗损害赔偿法律制度提出了要求。本文以从一般到个别,从问题到对策的思路,分五个章节对医疗损害赔偿制度进行了探讨,第一部分对医疗损害责任的内涵和外延进行了详细的论证,明确了其侵犯的客体、责任的范围、调整的行为对象以及过失的判断方法。第二部分以医疗损害责任的归责原则和举证责任为核心,探讨了医疗损害责任的性质并介绍了具体的规则原则和举证责任的分配体系。第三部分围绕着以损害赔偿为主的医疗损害侵权责任形式展开,阐述了赔偿的主体、原则和范围,并概括性地介绍了医疗损害的风险分担机制。第四部分以分析我国的医疗损害制度为主题,回顾了我国医疗损害赔偿制度的发展历史,并进一步论述了当下中国医疗损害赔偿制度的进步与问题。第五部分针对当今医疗损害赔偿体系中归责制度、赔偿制度、损害鉴定制度和风险分担制度等方面的问题,提出了自己的完善构想。
[Abstract]:China began to reform the medical system in 1980s, and from the compensation system of the national general contract at the beginning of the reform to the promotion of the basic medical insurance system for urban workers in 1997. Medical and health system and drug production and circulation system three reforms, and then in 2009, a new round of medical reform, China has made a lot of positive and bold attempts in the medical and health industry. Some achievements have been made. The medical conditions and health status of Chinese residents have been improved, the structure of health financing has been optimized, and the basic medical security system and health system have been established and developed. There are still many problems in the medical industry, the allocation of medical resources is not balanced, and the contradiction between the growing multi-level and diversified medical service demand and the single medical service situation is increasingly prominent. And because of these fundamental problems, it is difficult to improve in a short period of time. In this context, coupled with the high professional and high risk of medical behavior, as well as the lack of specific system. Medical disputes emerge in endlessly, especially medical injury disputes, in which the focus of disputes is the division of liability and compensation for damages, although after a long period of efforts, especially the promulgation and implementation of the Tort liability Law. The legal system of medical damage compensation is becoming more and more perfect, but it can not meet the complex and changeable practical needs, which puts forward the request to further improve the legal system of medical damage compensation. From the problem to the thinking of countermeasures, this paper discusses the medical damage compensation system in five chapters. The first part of the connotation and extension of the medical damage liability is demonstrated in detail, and the object of its infringement is clarified. The second part focuses on the principle of liability for medical damage and the burden of proof. Discussed the nature of medical damage liability and introduced the specific principles of the rules and burden of proof distribution system. This paper expounds the main body, principle and scope of compensation, and introduces the risk sharing mechanism of medical injury in a general way. Part 4th focuses on the analysis of medical injury system in China. This paper reviews the development history of the medical damage compensation system in China, and further discusses the progress and problems of the current medical damage compensation system in China. Part 5th is aimed at the imputation system in the current medical damage compensation system. Compensation system, damage appraisal system, risk sharing system and other aspects of the problems, put forward their own perfect ideas.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D923

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