论医师多点执业中患方的法律风险与防控  

Discussing the patients' legal risk and control in multi-sited practice

作　　者：阚凯[1] 石悦[1] 

机构地区：[1]大连医科大学人文与社会科学学院,辽宁大连116044

出　　处：《中国卫生事业管理》2015年第11期853-855,共3页Chinese Health Service Management

基　　金：辽宁省卫生发展研究中心项目"我省医生多点执业的法律风险与防控机制研究"(编号:2014LNWSFZCI);中国博士后科学基金第56批面上资助项目"医患的法益平衡与纠纷解决机制的重建"(编号:2014M561444);四川省医事卫生法治研究中心项目(编号:YF15-Q08;YF15-Z03)

摘　　要：允许医师多点执业是新医改方案中的一项重大探索,各方参与者面临的潜在法律风险是制约其发展的重要原因。其中,患方的法律风险表现在生命健康权易受侵害、责任承担主体不明确、知情同意权利和财产权益难保障三个方面。医师多点执业患方法律风险的防控机制建构可以分为宏观和微观两个层次,前者包括坚持公益性原则,整治走穴行为,开发新型的医疗责任保险险种等;后者包括建立多点执业首诊负责制、严格交接班制、特别档案管理下的准入准出制,对多点执业聘用合同的必要条款作出强制性规范等。Multi-sited practice is a major exploration in Health Care Reform,which will be restricted by the participants＇ potential legal risk. Patients＇ legal risk embodies in three aspects of the right to life and health being infringed, unclear responsibility, the rights to informed consent and property being violated. The prevention and control mechanism of its legal risk can be developed from macro and micro perspectives. The former includes insisting on the principle of public welfare, regulating the moonlighting behaviors, developing new-type medical liability insurance. The latter includes establishing multi-sited practice system of first-patient responsibility, regulating shift system, accessing quasi-out under special file management, and mandatorily regulating essential terms of the employment contract.

关 键 词：医师多点执业 医疗侵权责任 第一执业机构 第二、三执业机构 

分 类 号：R-051[医药卫生]