论违反医疗告知义务的侵权责任

发布时间：2018-03-15 05:12

本文选题：医疗告知义务　切入点：侵权责任　出处：《苏州大学》2015年硕士论文　论文类型：学位论文

【摘要】：《侵权责任法》第55、56条对医疗告知义务做出了规定,首次将其置于侵权损害赔偿责任的范畴之内,意义重大。但理论界和实务界对其所作出的不同解读,导致“同案不同判”的结果出现。本文从分析医疗告知义务的性质与履行入手,探讨了违反医疗告知义务侵权责任的认定,并明确其赔偿范围,以为相关案件的解决提供思路。本文一共分为四部分:第一部分探讨医疗告知义务的性质。基于医患之间成立的医疗服务合同,医疗告知义务具有意定性。同时,由于医疗行为的风险性、侵袭性等原因,医疗告知义务又被赋予了法定性。对此,国内外相关法律法规都做出明确规定。由此,患方可从合同角度诉请违约损害赔偿,也可从侵权角度请求侵权损害赔偿。第二部分探讨医疗告知义务的履行。告知主体包括医疗机构和对患者进行具体诊疗活动的医务人员。告知对象为患者本人时,应以其是否具有识别能力作为判断患者是否具有同意能力的标准;对象为患者近亲属时,应明确告知顺位。告知内容主要包括医疗行为的实施主体、过程、效果和费用。告知方式除了传统的口头、书面等,还可采用录音录像方式。第三部分探讨违反医疗告知义务侵权责任的独立性。从我国目前的法律规定、比较法的分析以及其与诊疗损害侵权责任的不同三个方面,可以证实其具有独立性。第四部分探讨了违反医疗告知义务侵权责任的认定。首先,为平衡医患双方的利益,违反医疗告知义务的判断标准可采用明示患者与合理医师标准。其次,违反医疗告知义务所致损害可分为物质性损害和精神性损害。最后,违反医疗告知义务侵权责任可依照是否伴有诊疗过错分为两种类型,对其造成的物质性损害应予赔偿,对严重精神性损害应要求精神损害赔偿,对一般精神损害应要求医方承担赔礼道歉的责任方式。
[Abstract]:Article 5556 of the Tort liability Law provides for the obligation of medical notification, and puts it within the scope of tort liability for the first time, which is of great significance, but it is interpreted differently by theorists and practitioners. This paper analyzes the nature and performance of medical notification obligation, discusses the determination of tort liability for breach of medical notification obligation, and clarifies its compensation scope. This article is divided into four parts: the first part discusses the nature of the obligation of medical notification. Based on the medical service contract established between doctors and patients, the obligation of medical notification is qualitative. Because of the risk and invasiveness of medical treatment, the duty of informing medical treatment has been given legal qualification. The relevant laws and regulations at home and abroad have clearly stipulated this. As a result, patients can sue for damages for breach of contract from the angle of contract. The second part discusses the implementation of the obligation of medical notification. The main body of notification includes medical institutions and medical personnel who conduct specific diagnosis and treatment activities for patients. When the object of notification is the patient himself, Whether the patient has the ability to recognize or not should be taken as the criterion to judge whether the patient has the ability to consent; when the object is the close relative of the patient, it should be clearly informed of the sequence. The content of the notification mainly includes the main body and process of the medical action. Effect and cost. In addition to traditional oral and written methods, audio and video recording can also be used. The third part discusses the independence of tort liability for breach of the obligation of medical notification. The analysis of comparative law and three different aspects of tort liability of diagnosis and treatment can prove its independence. Part 4th discusses the determination of tort liability for breach of the obligation of medical notification. First of all, in order to balance the interests of both doctors and patients, The criterion of violating the obligation of medical notification can be determined by the standard of express patient and reasonable physician. Secondly, the damage caused by breach of obligation of medical notification can be divided into material damage and mental injury. Finally, The tort liability for breach of the duty of medical notification can be divided into two types according to whether or not it is accompanied by diagnosis and treatment fault, the material damage caused by it should be compensated, and the compensation for mental damage should be demanded for serious mental damage. For the general mental damage should require the medical party to bear the responsibility of apologizing.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D923

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