特异体质患者医疗损害赔偿责任适用动态系统论及其制度之重构  

Dynamic System Theory of Medical Damage Liability for Patients with Idiosyncrasies and Its Reconstruction

作　　者：贾彦昊 曹廷生 JIA Yanhao;CAO Tingsheng(Shandong University,Qingdao,Shandong 266237,China;Nanjing Intermediate People's Court,Nanjing,Jiangsu 210022,China)

机构地区：[1]山东大学,山东青岛266237 [2]南京市中级人民法院,江苏南京210022

出　　处：《医学与法学》2025年第2期101-107,共7页Medicine and Jurisprudence

基　　金：教育部课题“《民法典》体系下夫妻身份关系协议效力研究”(项目编号:22YJC820005)的阶段性研究成果。

摘　　要：特异体质损害赔偿责任之减免的既有理论存在缺陷,司法实务中也未形成统一认识。动态系统论克服传统要件思维的僵化模式,以一系列序位清晰、标准明确的要素来实现多元利益的有效平衡,契合特异体质损害赔偿之责任理论的发展路径与司法实务需求。在特异体质患者医疗损害赔偿中,其故意不作为程度、损害类型和特异体质的异常程度三个要素处于不同位阶,共同影响医患双方的责任分担比例。There are defects in the existing theory of medical damage liability for patients with idiosyncrasies,and no unified understanding has been formed in judicial practice.The dynamic system theory overcomes the rigid mode of traditional element thinking and realizes the effective balance of multiple interests with a series of elements with clear order and standard,which conforms to the development of the theory of damage liability for patients with idiosyncrasies and the needs of judicial practice.In the compensation for medical damage of patients with idiosyncrasies,the degree of intentional omission,the type of damage and the abnormal degree of idiosyncrasies have different levels,which jointly affect the proportion of responsibility sharing between doctors and patients.

关 键 词：特异体质 责任减免 动态系统论 蛋壳脑袋规则 

分 类 号：D923[政治法律—民商法学] R-05[政治法律—法学]