我国医疗纠纷院内调解机制的困境与完善路径  

The Dilemma and Countermeasures of In-hospital Medical Dispute Mediation in China

作　　者：白永旗 张冰斌 郭渠莲 张代英 Bai Yongqi;Zhang Bingbin;Guo Qulian;Zhang Daiying

机构地区：[1]西南医科大学附属医院儿科 [2]西南医科大学司法鉴定中心 [3]西南医科大学附属医院手术室

出　　处：《医学与法学》2023年第2期75-80,共6页Medicine and Jurisprudence

基　　金：四川省社会科学规划重大课题“医疗告知与知情同意不对等所致医疗纠纷的中立性调解技能研究”(项目编号:SC18EZD045);四川医事卫生法治研究中心青年课题“医疗损害鉴定的问题与对策研究——以某中心200例医疗纠纷鉴定案为实证”(项目编号:YF19-L01)的阶段性成果。

摘　　要：我国医疗纠纷院内调解机制面临调解机构中立性不足、调解人员专业性不强、公信力不高和公众对其的认同度不高等现实困境,其内在原因主要是调解主体的中立性偏离、调解程序的专业性和规范性不足以及“诉调衔接”机制的不完善,故对之完善的路径应主要包括:加强对院内调解的宣传力度,提升调解人员的专业性与调解程序的规范性,强化院内调解组织的中立性以及从主体、程序、效力等方面完善“诉调衔接”机制。The in-hospital medical dispute mediation in China faces the the realistic dilemma of insufficient neutrality of mediation institutions,unprofessional mediators,low credibility,and low public recognition.The inter⁃nal reasons are the deviation of neutrality of the mediation subject,the lack of professionalism and standardization of the mediation procedure and the imperfection of the mechanism of"litigation and mediation combination".Therefore,the following countermeasures should be taken to improve it:strengthening the publicity of the mediation in the hos⁃pital,improving the professionalism of the mediation personnel and the standardization of the mediation procedure,strengthening the neutrality of the mediation organization in the hospital,and improving the mechanism of"litigation and mediation combination"from the aspects of subject,procedure and effectiveness.

关 键 词：院内调解 中立性 调解程序 诉调衔接 

分 类 号：R197.1[医药卫生—卫生事业管理] D926[医药卫生—公共卫生与预防医学]