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作 者:苏雄华[1] 蒋明婉 Su Xionghua;Jiang Mingwan(School of law,Jiangxi University of Science and Technology,Ganzhou,Jiangxi 341000,China)
出 处:《卫生法学》2024年第5期52-59,共8页Health Law
摘 要:近年来,民营医院套路治疗乱象丛生。这些民营医院以合法成立的医院为掩护,利用医患间信息不对称、医患关系不对等的状况,频繁地对病患实施违法犯罪行为,给众多受害者造成身体和心理上的伤害,扰乱了正常医疗秩序,严重阻碍了我国民营医院的良性发展,造成了较为恶劣的社会影响。民营医院套路治疗可划分为夸大疗效型、夸大病情型、虚构病情(疗效)型和术中加价型四种类型。司法实践中对民营医院套路治疗的刑法规制,要结合后续的收费方式确定具体类型,准确区分罪与非罪、此罪与彼罪的入罪路径。以行为人是否具有非法占有目的,可将民营医院套路治疗分为有价值治疗和无价值治疗两种情形。对于有价值的套路治疗,依照收费方式、受害者的心理强制有无及指向,分别按民事欺诈或者强迫交易罪处理;对于无价值的欺骗型套路治疗,如果受害者自愿缴费,应认定为诈骗罪;对于无价值的强迫型套路治疗,根据收费方式的强制程度,分别认定为敲诈勒索罪或者抢劫罪。In recent years,private hospitals have treated chaos with routine therapy.Under the cover of legally established hospitals,these private hospitals frequently commit illegal and criminal acts against patients by taking advantage of the asymmetric information between doctors and patients and the unequal relationship between doctors and patients,causing physical and psychological harm to many victims,disrupting the normal medical order,seriously hindering the benign development of private hospitals in China and causing relatively bad social impact.Routine therapy in private hospitals can be divided into four types:exaggerated curative effect type,exaggerated condition type,fictitious condition(curative effect)type and intraoperative price increase type.In judicial practice,the criminal regulation of routine therapy in private hospitals should be combined with the subsequent charging methods,determine the specific types,and accurately distinguish between crime and non-crime,this crime and that crime.According to whether the actor has the purpose of illegal possession,the routine treatment in private hospitals can be divided into two situations:valuable treatment and worthless treatment.For valuable routine treatment,according to the charging method and the victim's psychological compulsion,they are treated as civil fraud or forced trading respectively.For worthless deceptive routine treatment,if the victim voluntarily pays the fee,it should be considered as fraud.For the worthless compulsive routine therapy,according to the coercive degree of the charging method,it is respectively identified as extortion or robbery.
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