中国医疗纠纷解决法律机制现状、问题及对策研究 - 基于 ≪医疗事故条例≫、≪医疗纠纷预防和处理条例≫的比较解读
Research on the Status Quo, Problems and Countermeasures of Legal Mechanism of Medical Dispute Resolution in China - Based on the Comparative Interpretation of Medical Malpractice Regulations and Medical Dispute Prevention and Management Regulations
이지행(广东海洋大学管理学院讲师); 김왕식(공주대학교)
36호, 227~254쪽
초록
防范和处理医疗纠纷是指在医疗活动中,医患双方正确履行各自的义务, 将医疗纠纷消除于未然。中国每年都会发生大量的医疗纠纷,医患关系持续紧张,矛盾日益突出。因此需要进一步明晰现阶段医患之间的问题根源, 明确现有医患纠纷,解决现有法律机制所存在的问题。为了更好的解决日趋复杂的医疗纠纷,中国在近五年内连续出台了多部新的法律文件并修订了多部旧法。在新的法律机制之下,中国医疗纠纷的解决方式发生了一些新的变化。因此,本文对≪医疗事故条例≫、≪医疗纠纷预防和处理条例≫的对比解读和分析,探索完善现有医疗纠纷解决法律机制的合理路径。经研究发现,≪医疗事故条例≫和≪医疗纠纷预防和处理条例≫两部行政法规的适用范围存在冲突, 且重叠较多, 有必要进行厘清。关键在于≪医疗纠纷预防和处理条例≫主要适用于医疗纠纷预防和非诉讼民事处理,而≪事故条例≫主要适用于医疗行业的行政监管,而两者在医疗纠纷预防和处理制度方面重复和冲突的部分以≪医疗纠纷预防和处理条例≫为准。本文通过对两部行政法规的解读并结合相关实施经验提出三个方面建议。一是在协调解决医患纠纷的法律制度方面,建设和解协议书审查制度并简化调解程序;二是关于医疗纠纷处理的法律机制方面, 建立统一鉴定机构, 实施鉴定标准化管理;三是在医疗纠纷非诉讼机制方面,提出明确的医疗纠纷人民调解制度并制定医疗纠纷预防和处置法。
Abstract
Preventing and managing medical disputes means that in medical activities, doctors and patients correctly fulfill their obligations respectively and prevent medical disputes. A large number of medical disputes has occurred in China every year, and the relationship between doctors and patients has been tense and contradictions between are becoming increasingly prominent. Therefore, it is necessary to further clarify the root of the problems between doctors and patients at this stage, clarify the existing disputes between doctors and patients and solve the problems in the existing legal mechanism. In order to better resolve increasingly complex medical disputes, China has successively issued new legal documents and revised some old laws in the past five years. Under the new legal mechanism, some new changes have taken place in ways of settling medical disputes in China. Therefore, this article intends to carry out a comparative interpretation and analysis of the Medical Malpractice Regulations and Medical Dispute Prevention and Management Regulations to explore an appropriate path to improve the existing legal mechanisms for medical dispute resolution. Researches have found that there exists conflicts and repetitions in the scope of application of Medical Malpractice Regulations and Medical Dispute Prevention and Management. It is necessary to clarify these two regulations. The key is that the Medical Malpractice Regulations is mainly applied to prevent medical disputes and settle non-litigation civil disputes, while the Medical Dispute Prevention and Management is mainly applicable to the administrative supervision of the medical industry. The part of repetition and conflicts in the prevention and settlement of medical disputes is subject to the Medical Dispute Prevention and Management. Combined with relevant practical experiences, this paper proposes three suggestions through the interpretation of the two administrative regulations. The first is to coordinate the legal system for resolving medical disputes, build a review system for settlement agreements and simplify mediation procedures; Second, for the legal mechanism of medical disputes resolution, a unified appraisal agency shall be established and standardized management of appraisal shall be put forward; Third, for non-litigation of medical disputes, a clear mediation system for medical disputes shall be proposed and law on the prevention and settlement of medical disputes shall be formulated.
- 발행기관:
- 법학연구소
- 분류:
- 국제거래법