非法行医罪若干疑难问题研究

发布时间：2018-01-15 16:22

本文关键词：非法行医罪若干疑难问题研究　出处：《华东政法大学》2014年硕士论文　论文类型：学位论文

【摘要】：近年来，我国医疗改革取得了一定成效，并在很大程度上解决了人民看病难的问题，，但也带来了一些负面影响，特别是日益严重的非法行医问题。为了解决这一危害人民身体健康与生命安全的问题，1997年刑法专门增设了一个罪名——非法行医罪。这一罪名设立之后，在一定程度上有效的打击与惩治了非法行医犯罪活动。但由于立法的不完善，罪与非罪界定的不明确，以及司法解释的缺失，在司法实践中，对于该罪的认定存在较多争议，新的问题也在不断出现。本文通过具体案例，根据我国现有法律法规的规定，结合中外学者及外国法的研究成果，运用实证分析、比较研究等方法，对非法行医罪若干疑难问题进行研究与分析，并试图提出解决相应问题的方法，以期对我国医疗卫生行业的健康有序发展有所裨益。本文主要从非法行医罪的构成要件展开，探析了非法行医罪在行医行为、因果关系、主体资格、界限标准等方面的实践难题，并提出了几点立法建议。首先，本文对非法行医罪中的“非法行医”和因果关系标准进行了界定，认为“行医”是以实施医疗业务为职业的行为，而要正确理解“非法行医”，需要注意将其与行政法意义上的“非法行医”进行区分；非法行医行为与损害结果之间是否存在引起与被引起关系是判断是否存在因果关系的标准。其次，本文探讨了非法行医罪中的主体问题，认为同时取得“医师资格证书”和“医师执业资格证书”才具备“医生执业资格”；认为单位可以构成非法行医罪主体，另外尚未获得医生执业资格的传统医学行医主体与美容机构中美容医师在一定情形下也应当受非法行医罪的规制；各国将非法行医罪规定为身份犯，这种身份是一种特殊的主体资格，是影响和决定行为人是否有罪、罪轻罪重、应当接受何种刑罚的重要因素。第三，本文对非法行医罪的界限标准问题进行了论述，包括其与医疗事故罪、故意伤害罪以及以行医方式实施的诈骗罪之间的区分，并对幼儿园喂药事件进行了定性分析，认为喂药行为难以依非法行医罪定性，但依据《治安管理处罚法》可对涉案人员进行治安拘留、罚款等处罚。最后，文章提出了几点非法行医罪立法完善之建议，包括明确非法行医罪的主体范围，明确“情节严重”的内涵，优化量刑幅度等。
[Abstract]:In recent years, China's medical reform has achieved certain results, and to a large extent to solve the problem of the people to see a doctor, but also brought some negative impact. In particular, the increasingly serious problem of illegal medical practice. In order to solve this problem of endangering people's health and life safety. In 1997, the criminal law specifically added a charge-the crime of illegal practice of medicine. After the establishment of this crime, to a certain extent, it effectively cracked down and punished the criminal activities of illegal practice of medicine. However, due to the imperfection of legislation. The definition of crime and non-crime is not clear, as well as the lack of judicial interpretation, in judicial practice, there are more disputes on the identification of the crime, new problems are also emerging. According to the existing laws and regulations of our country, combined with the research results of Chinese and foreign scholars and foreign law, using the methods of empirical analysis and comparative study, this paper studies and analyzes some difficult problems of the crime of illegal practice of medicine. The author also tries to put forward some methods to solve the problems in order to benefit the healthy and orderly development of the medical and health industry in China. This paper mainly from the constitution of the crime of illegal medical practice to explore the illegal practice of the crime in the practice of practice behavior, causality, subject qualifications, standards and other aspects of the practice, and put forward a few legislative suggestions. This paper defines the standard of "illegal practice" and causality in the crime of illegal practice of medicine, and holds that "practicing medicine" is an act of taking medical practice as a profession, and "illegal practice of medicine" should be correctly understood. Attention should be paid to distinguish it from "illegal practice of medicine" in the sense of administrative law; Whether there is a causality between illegal medical practice and the result of injury is the criterion to judge whether there is causality. Secondly, this paper discusses the subject of the crime of illegal practice of medicine. It is considered that "doctor qualification certificate" and "doctor practice qualification certificate" can be obtained at the same time. The author thinks that the unit can constitute the subject of the crime of illegal practice of medicine, in addition, the subject of traditional medical practice which has not been qualified as a doctor and the beauty doctor in the beauty agency should also be regulated by the crime of illegal practice of medicine under certain circumstances. The crime of illegal practice of medicine is defined as status crime in various countries. This status is a special subject qualification, and it is an important factor to influence and decide whether the perpetrator is guilty or guilty, and what kind of punishment should be accepted. This paper discusses the boundary standard of the crime of illegal practice of medicine, including the distinction between it and the crime of medical malpractice, the crime of intentional injury and the crime of fraud carried out by the way of practicing medicine. The qualitative analysis of the drug feeding incident in kindergarten shows that it is difficult to characterize the drug feeding behavior according to the crime of illegal medical practice, but according to the Law of Public Security Management punishment, the people involved in the case can be punished by public security detention, fine and so on. Finally. This paper puts forward some suggestions on how to perfect the legislation of the crime of illegal practice of medicine, including defining the scope of the subject of the crime of illegal practice of medicine, defining the connotation of "serious circumstances", optimizing the range of sentencing, and so on.
【学位授予单位】：华东政法大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：D924.3

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