刑法视角下垂直小组医疗的过失竞合问题研究  

Study of Negligence Concurrence in Vertical Group Medical Treatment from a Criminal Law Perspective

作　　者：周寅子 姚军[1] Zhou Yinzi;Yao Jun

机构地区：[1]复旦大学法学院

出　　处：《医学与法学》2023年第1期74-78,共5页Medicine and Jurisprudence

摘　　要：小组医疗是当下医疗分工精细化的必然结果,但其也存在医疗团队未履行各自注意义务而致医疗过失竞合的情况,这是数个行为人未履行相应的注意义务、产生数个独立的过失相竞合的结果;其中高年资医生的过失行为主要由其自身过失以及监督过失组成,而低年资医生往往不具有诊疗决策权,若其试图履行注意义务而被不当干涉甚至否决后却要求其承担与高年资医生相同的医疗过失责任则有悖公平。故在医生因过失竞合而应承担刑事责任的场合,须从责任层面出发,限缩小组医疗中过失竞合成立的范围,否定低年资医生的结果回避可能性和期待可能性,使其在为履行注意义务而作出一定努力却被高年资医生打断的情况下,仍有机会从医疗过失之刑事责任中脱离。Group medical treatment is the inevitable result of the refined division of medical labor,but there are also cases of medical negligence concurrence due to the failure of medical teams to fulfill their respective duty of care,which is the result of several actors failing to fulfill the corresponding duty of care,resulting in several independent negligence concurrence.Among them,senior doctors’negligence mainly consists of their own negligence and supervision negligence,while junior doctors often do not have the right to make diagnosis and treatment decisions.It is unfair to require them to bear the same responsibility for medical negligence as senior doctors after their attempts to perform their duty of care are improperly interfered or even vetoed.Therefore,on the occasion that doctors should bear criminal responsibility due to negligence concurrence,the scope of negligence concurrence in group medical treatment should be limited from the level of responsibility,and the possibility of result avoidance and expectation of junior doctors should be denied,so that they can still have the opportunity to break away from the criminal responsibility of medical negligence even if senior doctors interrupt them when they make certain efforts to fulfill their duty of care.

关 键 词：注意义务 过失竞合 共同过失 刑事责任 小组医疗 

分 类 号：D914[政治法律—刑法学]