我国医疗纠纷的行政调解机制研究

发布时间：2018-08-26 08:43

【摘要】：医疗纠纷作为媒体的关注点热度不曾递减,医疗机构或者医务工作者每一个不寻常的行为都会受到关注,但在近几年本应是救死扶伤的医疗机构与寻求治疗的患者成了针锋相对的敌人,为了缓解医患关系的紧张局面,无论是学者在理论层面的研究还是实践部门在制度层面的探索都在不遗余力的寻找最佳解决途径。目前三大主要解决途径为和解、调解和诉讼。本文以运用行政调解机制解决医疗纠纷为重点,全文共分为四部分:第一部分主要从基本概念着手,区分医疗纠纷与医患纠纷、医疗纠纷与医疗事故,界定卫生部门行政调解的主体法律关系,对医疗纠纷的成因进行梳理,通过界定概念梳理原因,更好的找出适合的解决方式,促进医患关系和谐,医疗行业健康发展。第二部分分析医疗纠纷解决机制的现状。虽然解决机制有两大类,但目前非诉讼解决机制是解决医疗纠纷的主流方式,该部分详细介绍各种类型解决机制的优势与缺陷,从而引出行政调解机制存在的必要性。行政调解方式操作性不强是由于其存在一些待解决的问题,通过分析问题的所在、找到解决的办法,才能够得出更具有可操作性、符合我国实际的解决医疗纠纷的方案。第三部分介绍了部分国家和地区相关问题的解决方式,医疗纠纷是一个全球性的问题,很多国家已经经历过了“医疗崩溃时期”,所以其他国家和地区发展较好的解决机制对我国是有借鉴意义的,通过分析其他国家各具特色的医疗纠纷解决机制,找出共性,再结合我国的个性,对卫生行政部门特有的优势进行阐述,使行政调解机制更好的与人民调解相配合解决医患矛盾、化解纠纷。第四部分详细介绍行政调解解决医疗纠纷机制的完善。《医疗事故处理条例》明确规定双方当事人可以运用行政调解方式解决纠纷,但由于调解的范围、地位、协议效力的问题使行政调解的实际运用率不高,所以对行政调解在医疗纠纷机制中如何完善进行分析,使法律的规定得到实践的有效运用就成为本文的研究重点。
[Abstract]:The heat of medical disputes as a media concern has not diminished. Medical institutions or medical workers are concerned about every unusual behavior. But in recent years, medical institutions that were supposed to be life-saving medical institutions and patients seeking treatment have become enemies of tit-for-tat, in order to ease the tension between doctors and patients. Whether scholars in the theoretical level of research or practice departments in the institutional level of exploration are sparing no effort to find the best solution. At present, the three main solutions are conciliation, mediation and litigation. This paper focuses on the use of administrative mediation mechanism to resolve medical disputes, the full text is divided into four parts: the first part mainly from the basic concept of medical disputes and doctor-patient disputes, medical disputes and medical malpractice, Define the main legal relationship of administrative mediation in the health sector, comb the causes of medical disputes, through defining the concept of combing the causes, better find out the appropriate solutions, promote the harmonious relationship between doctors and patients, the healthy development of the medical industry. The second part analyzes the current situation of medical dispute resolution mechanism. Although there are two kinds of settlement mechanism, the non-litigation mechanism is the mainstream way to solve medical disputes at present. This part introduces the advantages and disadvantages of various types of resolution mechanism in detail, which leads to the necessity of the existence of administrative mediation mechanism. The operation of administrative mediation is not strong because there are some problems to be solved. Only by analyzing the problem and finding the solution can we get a more operable and practical solution to the medical dispute in our country. The third part introduces some countries and regions related to the solution of problems, medical disputes is a global problem, many countries have gone through the "medical collapse period," So other countries and regions to develop a better resolution mechanism is of reference to our country, through the analysis of the medical dispute resolution mechanism with different characteristics in other countries, find out the commonalities, and then combine our individual characteristics. This paper expounds the special advantages of the administrative department of health, and makes the administrative mediation mechanism better cooperate with the people's mediation to solve the contradiction between doctors and patients and to resolve the disputes. The fourth part introduces in detail the perfection of the mechanism of administrative mediation in resolving medical disputes. The Regulation on handling Medical malpractice clearly stipulates that both parties may use administrative mediation to resolve disputes, but due to the scope and status of mediation, The problem of the validity of the agreement makes the actual application rate of the administrative mediation not high, so how to perfect the administrative mediation in the medical dispute mechanism and how to make the effective use of the legal provisions in practice becomes the research focus of this paper.
【学位授予单位】：甘肃政法学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D925.3;D922.16

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