医疗损害救济的合同路径研究——兼与侵权路径比较

发布时间：2018-09-04 18:17

【摘要】：医疗损害救济偏重于侵权路径的研究,而忽略了对合同路径的研究。从实践人本医疗、做好医患双方的利益平衡等旨趣出发,合同路径更能体现私法自治的特点,能较为精细明确特定医疗服务中医患双方的权利义务,在个案中贯彻意思自由,同时还增强可预见性与合理期待,有利于定分止争、减少防御性医疗,促成医患双方的合作者格局;而作为事后调整方式的侵权路径却陷入规范失灵等问题,并不一定能很好地分担医疗风险、维护医患和谐。从宏观而言,应当重视医疗合同的功能与价值,正视医患关系的契约本质,保障患方的自决权和"行动者"地位,满足其差异化需求;从微观而言,应当厘清医疗损害救济的合同法路径,确立其优越地位,做好与侵权路径的契合互补。
[Abstract]:Medical damage relief focuses on the research of tort path, but neglects the research of contract path. Starting from the purport of practicing human-based medical treatment and balancing the interests of both doctors and patients, the contract path can better reflect the characteristics of private law autonomy, be able to define the rights and obligations of both doctors and patients in a specific medical service, and implement the freedom of meaning in individual cases. At the same time, it also enhances predictability and reasonable expectation, which is conducive to dividing and ending disputes, reducing defensive medical treatment, and promoting the pattern of cooperation between doctors and patients; however, the tort path, as a way of subsequent adjustment, falls into the problem of normative failure, and so on. Do not necessarily share medical risks very well, maintain doctor-patient harmony. From the macroscopic point of view, we should attach importance to the function and value of medical contract, face up to the contractual essence of doctor-patient relationship, guarantee the right of self-determination and the status of "actor" of the patient, and satisfy their different needs. It is necessary to clarify the path of contract law of medical damage relief, establish its superior position, and make a good match with tort path.
【作者单位】：西南政法大学;西南政法大学民商法学院;
【基金】：四川省社科联规划项目“伦理道德视野下我国医患纠纷的防控研究”(SC13E029) 广东省重点平台建设普通高校省级重大科研项目“医患关系衡平机制研究”的研究成果
【分类号】：D923.6

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