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出 处:《湖南科技大学学报(社会科学版)》2015年第3期74-80,共7页Journal of Hunan University of Science and Technology(Social Science Edition)
基 金:国家社科基金重点项目(12AZD123);教育部哲学社会科学研究重大课题攻关项目(14JZD025)
摘 要:在法制化社会中,现代调解存在构造性矛盾,以判断型调解尤甚。医院内部调解在处理医疗过错冲突类纠纷时因为适用判断型调解而导致两种类型的合意困境——合意终结或合意向同意转变,使这种调解丧失了正当性基础。因此,如何在保持医院内部调解优势的基础上,促进其发挥更大的定纷止争作用,需要在功利主义的立场上从调解机构功能定位、医患双方关系距离、调解程序建构等方面努力重构合意。Modern mediation has encountered the structural contradictions in legitimacy society. Hospital internal mediation includes determined mediation, enlightening mediation, and therapeutic mediation. Enlightening mediation and therapeutic mediation can solve medical disputes effectively, while the determined mediation may encounter desirability dilemma, that is, termination of mediation procedure and the transition from desirability to acquiescence. Theoretically, the specific measures to eliminate the dilemma in internal determined mediation include limiting the coercive power of hospital internal mediation organization, strengthening communication between doctors and patients, narrowing the distance of relationship between doctors and patients, and advancing the process of the mediation in the hospital.
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