导　　师： 刘银良

学科专业： 030105

授予学位： 硕士

作　　者： ;

机构地区： 内蒙古大学

摘　　要： 从目前的立法和司法现状看,我国医疗案件纠纷存在案由的双轨制、法律适用的双轨制和医疗过失鉴定的双轨制,使得我国司法实践中对医疗过失的认定,根据医学认定和法律认定有时会得出截然不同的认定结果。虽然《侵权责任法》已经生效实施,但是如果不从制度上解决法官在医疗纠纷案件中过分依赖医学判断或者法律判断,就不会使目前的困境得到有效的解决。为进一步规范医疗过失认定制度,促使医学专业的过失判断和法律过失判断之间达成认识和执行上的统一,有必要做进一步的改革和完善。本文以医疗行为过失判断为研究对象,结合法学和医学两个方面的知识,从理论和实务上着手,主要运用实证分析、归纳演绎等分析方法,对医疗过失认定进行了探讨。 第一部分是医疗过失认定的基础理论。首先从比较法研究的角度,对大陆法系、英美法系和我国民法关于一般侵权过失理论的相关学说进行了介绍,在此基础上对医疗过失的概念进行了界定。然后从具体医疗注意义务和抽象医疗注意义务两个方面提出了医疗过失认定中注意义务的一般标准。最后,提出了医疗过失认定的辅助性规则。 第二部分是我国医疗过失认定的立法与司法实践。在该部分,从制度设计层面入手,以我国医疗纠纷中的案由双轨制、鉴定程序双轨制以及赔偿标准双轨制为重点,以及《侵权责任法》与《医疗事故处理条例》之间的关系,对我国医疗过失认定的立法与实践中存在的问题进行总结分析。同时,对其他国家的医疗过失认定制度作相关介绍。 第三部分是完善我国医疗过失司法认定的若干制度构想。首先是规范医疗过失鉴定制度,取消医疗事故鉴定,统一为医疗过失及医疗过失与患者损害后果之间的因果关系的司法鉴定,并且将对鉴定人的临床实践经验的要求� From the current legislative and judicial perspective, there is two-track in China's medical dispute cases'cause, the applicable laws and Medical negligence assessment. It makes the judicial identification of medical negligence in our country's judical practice will come to different legal results, according to medical and judical identification. Although the 'Tort Law' has come into effect, we will not be effective to solve the current predicament, if we do not resolve disputes in the medical judgments by the over-reliance on medical or legal judgments from the system.In order to To further standardize the identification system, to promote the same between medical and legal negligence judgments's understanding and implementation, We need to further reform and improvement. In this paper, we make The 'negligence' identification in Medical disputes become the main target, combining both legal and medical knowledge by the start of theory and practice, and we use empirical analysis, induction and deduction and other analytical methods for the discussion of medical negligence identifition. The first part is an overview of medical malpractice. First, we make a contrast of the concept of medical negligence and related discrimination, and describes the nature of medical malpractice and negligence recognized standard from the theoretical definition of the concept and scope, meanwhile, propose the relevant theory of negligence identification. After accordingly study.,we made a few basic principles of 'negligence' identificationThe second part is recognized by our medical malpractice legislation from judical practice. In this section, starting from system design level, making our medical malpractice cause of action in the two-track system, identification procedures and compensation standards for two-track two-track system as the focus,clearing the relationship between 'Tort Liability Act' and 'Regulations of Medical Malpractice,'we make a conclusion and analysis for China legislation of health of and practice of fault ident

关 键 词： 医疗过失 认定 医疗注意义务 鉴定

领　　域： [政治法律] [政治法律]