医疗过错认定规则中诊疗规范的适用

发布时间：2018-02-21 21:49

本文关键词： 诊疗规范医疗过错医疗水平循证医学证据　出处：《山东大学》2017年硕士论文　论文类型：学位论文

【摘要】：从《侵权责任法》第五十八条第一项的规定①中不难看出,我国法院在认定医疗过错时应更加倾向于客观标准,诊疗规范在医疗过错认定是至关重要的。然而,对于究竟何为诊疗规范以及在医疗过错认定过程中怎样适用诊疗规范,在理论上和实务上都少有研究。针对司法实践活动中认定医疗过错时适用诊疗规范的困难,作者认为首先应当明确诊疗规范的含义及内容,厘清层次不清的诊疗规范,其次要善于利用循证医学证据对诊疗规范进行选择适用。论文的研究对象是如何在医疗过错认定过程中恰当的适用诊疗规范,充分发挥诊疗规范的作用。论文首先对诊疗规范的概念进行了论述;接着阐述了中外各国对医疗过错的定义及判定标准;然后着重论述了诊疗规范在医疗过错认定中的适用及局限性,并针对存在的局限性提出了相对应的对策,即发挥循证医学证据及医疗损害鉴定的积极作用,最后考虑到诊疗规范本身的刻板性和滞后性以及临床医学发展的需要,提出了适当限制适用诊疗规范的观点,即医疗机构的行为违反诊疗规范时,推定医疗机构有过错,但符合患者利益的情况除外。本文的创新点在于论述了在医疗过错认定中适用诊疗规范的局限性并提出了相对应的解决措施,同时提出了对诊疗规范适用的限制,从而有利于医学的进一步发展。
[Abstract]:It is not difficult to see from the first item of Article 58th of the Tort liability Law that the courts of our country should be more inclined to the objective standard when determining the medical fault, and the diagnosis and treatment norm is very important in the determination of the medical fault. There is little research on what is the diagnosis and treatment norm and how to apply the diagnosis and treatment norm in the process of medical fault determination. In view of the difficulty of applying the diagnosis and treatment norm when determining the medical fault in the judicial practice, The author thinks that the meaning and content of the diagnosis and treatment standard should be clarified first, and the diagnosis and treatment standard with unclear levels should be clarified. Secondly, we should be good at making use of evidence-based medical evidence to select and apply the diagnostic and therapeutic norms. The research object of this paper is how to apply the diagnostic and therapeutic norms properly in the process of medical fault determination. This paper first discusses the concept of diagnosis and treatment norm, then expounds the definition and judgment standard of medical fault in China and foreign countries, and gives full play to the function of diagnosis and treatment norm. Then, the paper discusses the application and limitation of diagnosis and treatment norm in medical fault identification, and puts forward corresponding countermeasures, that is, exerting the positive function of evidence based medical evidence and medical damage identification. Finally, considering the rigidity and lag of the diagnostic and treatment norms and the needs of the development of clinical medicine, this paper puts forward the view that the appropriate restrictions on the application of the diagnostic and treatment norms are put forward, that is, when the behavior of the medical institutions violates the diagnostic and treatment norms, it is presumed that the medical institutions are at fault. The innovation of this paper is to discuss the limitations of the application of diagnostic and therapeutic norms in the identification of medical fault, and to put forward the corresponding solutions, at the same time, to put forward the limitations of the application of diagnostic and therapeutic norms. This is beneficial to the further development of medicine.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D923

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