乡村医生医疗损害赔偿责任的分解机制研究  

Decomposition mechanism of liability for medical damages produced by rural doctor

作　　者：刘炫麟[1] 

机构地区：[1]首都医科大学卫生法学系,北京100069

出　　处：《中国卫生法制》2015年第5期9-12,20,共5页China Health Law

基　　金：北京高等学校"青年英才计划"项目(YETP1674);北京市社会科学基金项目(14FXC028)

摘　　要：我国《侵权责任法》在《医疗事故处理条例》的基础上拓宽了赔偿项目并提高了赔偿标准,这使得在农村卫生室执业的乡村医生医疗损害赔偿的风险明显增加,并在实践中产生了乡村医生推诿病人、患者"看病更难更贵"等多种弊端,因此国家有必要构建适宜的风险分解机制以平抑或者消除这些弊端。通过对目前医疗责任保险、互助金、基金以及医疗责任保险与基金混合四种模式在资金的筹集与总量、保护力度和操作可行性三个方面的考察和分析,认为基金模式更具优越性,但亦须在其筹集、管理和赔付三个方面进行必要的优化设计。On the basis of the Malpractice Handling Regulations,the Tort Liability Law in our country broadens the compensation projects and increases the amount of compensation,which makes the risk of medical damage compensation for rural doctors working in the village health clinics increased significantly,and produces many disadvantages,such as shuffle patients,patients with ＂seeing doctor harder and more expensive＂ and so on.It is necessary to build appropriate risk decomposition mechanism to ease or eliminate these disadvantages.After investigating and analyzing the four current modes（medical liability insurance,fund,mutual fund and the mix of medical liability insurance and fund）in the three aspects of raising and total amount of fund,the strength of protection and the feasibility of operation,the mode of fund is more superiority,but it need some optimization designs on the three aspects of raising,management,and compensation of fund.

关 键 词：乡村医生 损害赔偿责任 分解机制 医疗责任保险 基金 互助金 

分 类 号：D901[政治法律—法学理论]