日本医疗ADR制度探究

发布时间：2018-06-06 19:45

本文选题：医疗纠纷 + 医疗纠纷解决机制　；参考：《山东大学》2017年硕士论文

【摘要】：随着社会主义市场经济的繁荣与发展,网络传媒信息技术的高度发达,医疗纠纷引起的医患冲突越来越多,且经常升级为恶性事件,极大地影响了社会的和谐与稳定。我国当前医疗纠纷解决机制不够完善,司法裁判解决医疗纠纷缺乏专业性,裁判结果往往难以解决医患双方矛盾,时常造成"案结事未了"的结果,这不仅无法妥善解决医疗纠纷,甚至有损司法权威。日本一向以医疗体制完善、医疗质量优异、医疗保障充分、医患纠纷少、医患冲突缓和而著称。据不完全统计,每年日本医疗纠纷案在法院受理的案件数中仅占2.5%,99.7%的医疗纠纷是通过非诉讼方式解决的,这得益于其构建的医疗ADR(Alternative Dispute Resolution)制度。日本与我国是东亚邻邦,一衣带水,两国有着相似的文化背景,因而在解决社会问题、调节人际关系、维护社会稳定的制度上,有着高度的借鉴性。本文将通过解析日本医疗ADR制度,阐述日本医疗ADR制度在解决医疗纠纷中发挥的巨大作用,探究其制度精髓,汲取其优秀制度成果,将日本医疗ADR制度中国化,进一步构建和完善我国医疗纠纷解决机制。本文正文共分为五章。导论部分主要阐述了本文的研究背景、研究方法以及本文的创新点。第一、二章为概念解析部分,在该部分笔者将解释ADR理论的概念、基本原理,阐述ADR理论的基本性质与特点,进一步引出ADR理论在医学领域的应用与发展,即医疗ADR理论,以期使读者对ADR理论有基本的了解,并对国外个别国家的医疗ADR进行介绍。第三章是对日本医疗ADR制度建立过程的概述。这一部分笔者将通过介绍日本医疗ADR制度建立的背景、建立的过程以及制度最终的完成,系统而概括地向读者展现日本医疗ADR制度的构建过程。第四章是对日本医疗ADR制度的进一步详解。笔者将介绍日本医疗ADR制度中最具代表性的四个类型:医师会主导型ADR、律师会主导型ADR、NOP法人主导型ADR、法院裁判型ADR。通过对上述四种类型概念、运作方式、成效的介绍,读者将进一步了解日本医疗ADR制度。第五章介绍日本医疗ADR制度取得的成效及其优缺点。首先,通过分析日本最高裁判所、日本医师协会、律师协会提供的数据,以图表的形式直观明了地展示日本医疗ADR制度取得的成效,展现出日本医疗ADR制度在解决医疗纠纷中发挥的巨大作用。其次,总结日本医疗ADR制度存在的优点,并指出日本现行医疗ADR制度的不足,通过正反两个方面比较,使读者对医疗ADR制度有一个更为全面的认识。第六章通过介绍我国当下医疗纠纷解决机制的现状,阐述我国现阶段部分地区医疗ADR的探索经验,并结合日本医疗ADR制度提出我国在构建和完善医疗纠纷解决机制上的相关措施建议。
[Abstract]:With the prosperity and development of the socialist market economy and the highly developed information technology of the network media, there are more and more doctor-patient conflicts caused by medical disputes, which are often upgraded to malignant events, which greatly affect the harmony and stability of the society. The current medical dispute resolution mechanism in our country is not perfect, the judicial decision to resolve the medical dispute is lack of professionalism, the adjudication result is often difficult to solve the contradiction between the doctor and the patient, and often results in the result that "the case is over". This not only can not properly resolve medical disputes, or even undermine the authority of the judiciary. Japan is famous for its perfect medical system, excellent medical quality, adequate medical security, few doctor-patient disputes and media-patient conflicts. According to incomplete statistics, only 99.7% of medical disputes in Japan are settled by non-litigation methods in the number of cases accepted by the court every year, which is due to the construction of the medical ADRRN-based alternative dispute resolution system. Japan and China are neighbors of East Asia, with a similar cultural background, so they have a high degree of reference in solving social problems, adjusting interpersonal relations and maintaining social stability. This paper will analyze the Japanese medical ADR system, expound the great role of Japanese medical ADR system in resolving medical disputes, explore the essence of Japanese medical ADR system, draw on its outstanding system achievements, and make the Japanese medical ADR system Chinese. Further construction and improvement of China's medical dispute resolution mechanism. The text of this paper is divided into five chapters. The introduction mainly describes the research background, research methods and innovation of this paper. In the first and second chapters, the author will explain the concept and basic principle of ADR theory, expound the basic nature and characteristics of ADR theory, and further elicit the application and development of ADR theory in medical field, that is, medical ADR theory. In order to make readers have a basic understanding of ADR theory and introduce medical ADR in foreign countries. The third chapter is an overview of the establishment of Japan's medical ADR system. In this part, the author will introduce the background of the establishment of Japanese medical ADR system, the establishment process and the final completion of the system, systematically and generally show the construction process of the Japanese medical ADR system to the readers. The fourth chapter is the further detailed explanation of Japanese medical ADR system. The author will introduce the four most representative types of Japan's medical ADR system: the leading ADR of the Medical Association, the ADR-based ADRNP of the Law Society, the ADR-based of the legal person of the Law Association, and the ADR-based of the Court of Justice. Through the introduction of the above four types of concepts, modes of operation and effectiveness, readers will further understand the Japanese medical ADR system. Chapter five introduces the effect of Japanese medical ADR system and its advantages and disadvantages. First of all, by analyzing the data provided by Japan's Supreme Magistracy, Japan's Medical doctors Association, and the lawyers' Association, the results of Japan's medical ADR system are clearly and visually illustrated in the form of charts. It shows the great role of Japanese medical ADR system in resolving medical disputes. Secondly, this paper summarizes the advantages of Japanese medical ADR system, and points out the shortcomings of the current medical ADR system in Japan. By comparing the positive and negative aspects, readers have a more comprehensive understanding of the medical ADR system. The sixth chapter introduces the current situation of medical dispute resolution mechanism in China, and expounds the exploration experience of medical ADR in some parts of our country at this stage. Combined with Japan's medical ADR system, the author puts forward some suggestions on how to construct and perfect the medical dispute resolution mechanism in China.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D931.3;DD912.1

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