单位非法行医的定罪与处罚问题研究

发布时间：2018-02-09 20:58

本文关键词： 非法行医罪单位非法行医主题类型定罪与处　出处：《河北大学》2014年硕士论文　论文类型：学位论文

【摘要】：从当前的基本情况看，我国的单位非法行医现象比较严重，主要可分为非法执业的医疗机构行医、聘用非执业医师行医和医疗机构超范围行医三种类型。单位非法行医犯罪不仅对公众生命健康及财产权益造成了极大的危害，而且在很大程度上危害了国家医疗卫生管理秩序，同时侵犯了社会主义市场经济秩序。对于非法执业的医疗机构行医的行为，应当区分不同情况来定罪与处罚。首先，在无证合伙经营医疗机构非法行医行为中，对于医疗机构未取得许可证而行医的情形，违反了《医疗机构管理条例》第15条的规定，情节严重的以非法行医罪论处；对合伙经营的医疗机构非法行医的情形，对其负责人和直接行为人以非法行医罪主犯论处，其他责任人宜以从犯论处；对于医疗机构不具备相应的能力而行医的情形，一般情形，只需行政处罚，情节严重的定非法行医罪；对医疗机构许可证被吊销后行医的情形，构成犯罪的，对相关责任人定非法行医罪。其次，在非法处分《医疗机构执业许可证》行为中，对于出卖、转让、出借《医疗机构执业许可证》的情形，一般按未取得《医疗机构执业许可证》处罚，情节严重的，出卖人、转让人、出借人与使用人共同构成非法行医犯罪；对于伪造、变造《医疗机构执业许可证》行为的情形，按照未取得《医疗机构执业许可》处罚，情节严重的，构成非法行医罪。最后，对于为非法医疗机构提供资金、经营场所的情形，如具有共同犯罪故意且造成了严重后果，以非法行医罪共犯论处。对于聘用非执业医师行医的行为，也应当针对不同情况具体定罪与处罚。首先，对非卫生技术人员非法行医的情形，，如行为人事先获得了医疗机构执业医师的同意，构成犯罪的，行为人与该医疗机构主要负责人共同构成非法行医罪；如偶然为特定人医治疾病，不构成非法行医罪；其次，对实习医生非法行医的情形，如因医疗机构管理混乱执行了只有实习医生签字的处方或因带教医师失责造成严重后果的，应以医疗事故罪追究主管人员、相关责任人员和带教医师的刑事责任；如若实习医生擅自违规操作，构成犯罪的，以非法行医罪追究其刑事责任。最后，医疗机构的直接主管人员教唆或者帮助没有取得医生执业资格的人非法行医的，对其以非法行医罪的教唆犯或帮助犯追究刑事责任。对于超范围行医行为的定罪与处罚，也应作具体分析。首先，对于医疗机构超范围行医的情形，一般医疗机构超出范围开展诊疗活动，情节严重的构成非法行医犯罪，追究医疗机构主要负责人的刑事责任；而在重大灾害、事故等紧急情况下的超范围行医行为，是法律所认可的有益于社会的行为，不构成非法行医罪。其次，对于医疗机构中医生超范围行医的情形，经合法批准的医生跨地区执业，是为法律所保护的行为；医师仅超越注册的执业地点从事医疗服务，不构成刑法意义上的非法行医；在非法医疗机构中兼职行医，造成严重后果的，以过失致人重伤罪或过失致人死亡罪论处；如果行为人以行医为名，实施伤害或杀人的行为，则应定故意伤害罪或故意杀人罪。
[Abstract]:From the current situation, the phenomenon of our country's unit of illegal medical practice is more serious, can be divided into medical institutions, the illegal practice of medical practitioners, employment of non medicine and medical institutions beyond the scope of practice. Three types of unit crime of illegal practice not only for public life and health and property rights caused great harm, but also endanger the the national health management order to a great extent, and violation of the order of the socialist market economy.
For the illegal practice of medical institutions for medical behavior, should distinguish the different situation to conviction and punishment. First of all, in partnership undocumented medical institutions act, without obtaining a license for medical institutions and medical situation, in violation of the provisions of the regulations on the administration of medical institutions < > fifteenth, if the circumstances are serious punished for illegal medical practice the crime of medical institutions; partnership of illegal practice, the person in charge and direct action to the crime of illegal medical practice principal responsible person should be punished, the other as accessory; for the medical institutions do not have the corresponding ability and medical situation, in general, only administrative penalties, in serious cases of illegal medical practice set crime; medical institutions for medical license revoked, constitutes a crime of illegal medical practice, set the relevant persons responsible for the crime of illegal disposal. Secondly, in the "practice license of medical institution" behavior , for sale, transfer, lend the "practice license of medical institution", the general has been achieved by the "practice license of medical institution" punishment, if the circumstances are serious, the seller, the assignor, the lender and the use of common people constitute the crime of illegal medical practice; for forged license > < altered medical behavior the agency, in accordance with the "has not obtained the practicing permit of medical organizations on punishment, if the circumstances are serious, constitute the crime of illegal medical practice. Finally, to provide funds for illegal medical institutions, business places, such as the common intentional crime and causing serious consequences, shall be punished as an accomplice to the crime of illegal medical practice.
For the hiring of non physician practice behavior, should according to different specific conviction and punishment. First, the non health technical personnel of illegal practice, such as the behavior of personnel first obtain a practicing physician medical institutions to constitute a crime, the perpetrator and the main person in charge of medical institutions constitute the crime of illegal medical practice such as; accidental for specific treatment of diseases, does not constitute the crime of illegal medical practice; secondly, to intern illegal practice, as a result of confusion in management of medical institutions to implement the only intern signature prescription or for teaching physicians negligence causing serious consequences, should be the crime of medical accident investigation officer, responsible personnel and criminal the responsibility to teach physicians; if the intern unauthorized illegal operations, which constitutes a crime, the crime of illegal medical practice criminally. Finally, the persons directly in charge of medical institutions abet Or to help a person who has not obtained the qualification of a doctor to practise medicine illegally, he shall be investigated for criminal responsibility for the instigator or the helping offender who is guilty of illegal medical practice.
On conviction and punishment beyond the scope of practice, should make a concrete analysis. First of all, for medical institutions beyond the scope of practice of the case, the general medical institutions carry out medical activities beyond the scope of the plot, constitute the crime of illegal medical practice is serious, criminal responsibility is mainly responsible for the medical institutions; and in major disasters, beyond the scope of practice of accident behavior emergency situations, is recognized by the law for the benefit of the society, does not constitute the crime of illegal medical practice. Secondly, the Chinese medical institutions for students beyond the scope of practice, legally approved doctor regional practice, is for the protection of legal act; physicians only beyond the certified practice place in medical service that does not constitute illegal practice in criminal law; the illegal medical institutions in part-time practice, causing serious consequences, the crime of negligence causing serious injury or death caused by negligence crime; if The perpetrator shall, in the name of medical practice, carry out the act of injury or murder, and the crime of intentional injury or intentional homicide shall be determined.

【学位授予单位】：河北大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：D922.16;D924.3

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