非法行医罪“情节严重”的实质含义  

The Substantive Meaning of the Crime of Illegal Medical Practice with "Serious Circumstance"

作　　者：方悦 FANG Yue(The People’s Procuratorate of Zhejiang Province,Hangzhou,310012,China)

机构地区：[1]浙江省人民检察院,浙江杭州310012

出　　处：《南京中医药大学学报（社会科学版）》2023年第3期185-191,共7页Journal of Nanjing University of Traditional Chinese Medicine(Social Science Edition)

摘　　要：“国家医疗管理秩序”不是非法行医罪的保护法益,破坏医疗管理秩序不能作为本罪实质的处罚根据。现有单一法益说与双重法益说均有缺陷,非法行医罪的保护法益应是公共卫生安全。非法行医罪是具体危险犯,处罚根据是行为足以给公众的生命安全和身体健康造成实害的具体危险。对罪状中的“情节严重”应采取实质解释,确定医疗行为是否达到足以侵害不特定或者多数人生命安全和身体健康的危险程度。对于受过2次行政处罚后又实施非法行医行为的处罚,应从保护公共卫生安全这一目的出发,从违法程度、违法主体、违法间隔时间等方面进行限制,并坚持禁止重复评价原则。The"national medical management order"is not a legal benefit protection for the crime of illegal medical practice.Disrupting the medical management order cannot be used as the substantive punishment basis for this crime.The existing single legal interest theory and dual legal interest theory have defects.The protection of legal interest in the crime of illegal medical practice should be public health safety.The crime of illegal medical practice is a specific dangerous crime,and the punishment is based on the specific danger that the behavior is enough to cause harm to the public's life safety and physical health.A substantive explanation should be adopted for the"serious circumstance"in the criminal case to determine whether the medical behavior has reached a level of danger that is enough to harm the safety and physical health of unspecified or majority individuals.For the punishment of illegal medical practice after receiving twice administrative penalties,for the purpose of protecting public health safety,restrictions should be imposed on the degree of illegality,the subject of illegality,and the interval between illegalities,and the principle of prohibiting repeated evaluations should be adhered to.

关 键 词：法益 医疗管理秩序 情节严重 行政处罚 非法行医罪 

分 类 号：D922.16[政治法律—宪法学与行政法学]