摘要
医疗行为失范是指医疗机构或医务人员在从事医疗服务过程中实施的违背医疗行为规范的行为。医疗侵权诉讼举证责任倒置和过错责任原则强化了医疗失范行为,医疗卫生行业财政资源配置的不足和失衡、信任危机引发的医患"委托-代理"困境、医疗服务定价机制的扭曲均诱致医疗行为的失范。应该通过制度构建行为规则和伦理建构信任关系来实现事前预防,同时设置修复受损医患关系的事后司法救济程序,以回归医疗卫生事业的公益属性,维护和谐医患关系。
Medical malpractice is the breach of medical regulations by medical institutions or medical workers in the process of providing medical service. The inversion of the evidential burden and the fault liability principle in medical infringement lawsuits have strengthened the definition of medical malpractice which is induced by the inadequacy and imbalance in the allocation of financial resources of health-care industry, the doctor-patient ＂principal-agent＂ dilemma resulted from the crisis of confidence and the distortion of the medical service pricing mechanism. Prior prevention of medical disputes can be conducted by establishing regulations through institution and building trust through ethic. At the meantime, ex post facto judicial relief procedures aiming at repairing doctor-patient relations should be established to bring back the public serving property to medical and health services and maintain harmonious doctor-patient relations.
出处
《中国行政管理》
CSSCI
北大核心
2015年第1期137-141,共5页
Chinese Public Administration
基金
社会保障国家级教学团队(教高函[2010]12号文)
教育部创新团队发展计划"社会管理法治建设"(编号:IRT13102)
中南财经政法大学中央高校基本科研业务费(编号:20132047)
关键词
医患纠纷
信任危机
医疗行为失范
medical dispute, crisis of confidence, medical malpractice
