公共政策、医疗行为与责任配置——关于医疗损害责任制度绩效的观察和评论  

Public Policy,Medical Behavior and Duty: An Observation of Medical Malpractice Liability

作　　者：杨彪[1] 

机构地区：[1]中山大学法学院,广东广州510275

出　　处：《现代法学》2011年第5期184-193,共10页Modern Law Science

基　　金：2009年教育部人文社会科学研究项目"医事法原理研究"(09YJC820123);中央高校基本科研业务费2011年中山大学青年教师培育项目"防御性医疗行为法律规制的国际经验与中国问题研究"

摘　　要：从法政策学的角度对侵权责任的制度绩效进行观察和验证,是后侵权责任立法时期中国民法学的重要学术使命之一。本文以医疗损害责任为分析对象,竭力展示公共政策与责任配置之间的微妙关系。研究表明,现阶段公共卫生政策的实质是通过加强管制约束来提高医疗服务的质与量。在此背景下,医疗损害责任的功能定位只能是激励而非补偿;且由于医疗服务自身的特性,相关责任配置的隐性激励作用更加突出。我国现行医疗损害责任在归责原则、责任形态和损失分摊方面分别存在激励不足、不当管制和风险无关的缺陷,极有可能导致制度失灵、立法目的落空,亟需加以改进。Observing and considering tort liability from the perspective of law and policy is an important task for Chinese jurists in the post-tort-liability-lawmaking period. This article, taking as target medical malpractice liability, tends to show the subtle relation between public policy and liability attribution. The study proves that the essence of the existing public health policy is to improve medical services by way of administra- tion and control. In this context, the function of the medical malpractice liability regime seems to center on stimulation rather than indemnity ; and due to the inherent nature of medical services, attribution of relevant lia- bility might result in stimulation＇ s functioning more prominent. Unfortunately, China＇ s existing medical mal- practice liability regime has lots of problems in the aspects of liability attribution, mode of liability and contribution of loss, which, if not properly solved, may lead to collapse of the system and defeat of the legislative in- tent.

关 键 词：卫生政策 医疗行为 医疗损害责任 激励 预防 

分 类 号：D922.16[政治法律—宪法学与行政法学]