论院前急救资源配置的急救人员决定权

发布时间：2018-10-31 10:10

【摘要】：我国院前急救资源面临着被错用、被占用、被浪费的问题,究其制度层面的原因主要是我国急救立法体系尚未完善,针对院前急救的法律规制不足,尤其是各地方性法规对“调度人员是否可以拒绝调派救护车和救护人员”以及“由患方还是救护人员决定运送目的医院”两个问题的规定不明确、不统一。本文在比较法视野下研究了美国、法国、日本等国家的制度经验,发现其普遍做法是：在急救呼叫受理的环节,赋予调度人员决定是否派车的权利,进行伤患分级、分类响应、优先调度；在将患者运送医院的环节,赋予调度人员为患者选择运送目的医院的权利。为探寻域外经验的理论基础以及在我国法律移植的可行性,本文着重分析了资源合理配置理论和权利冲突理论,并在此基础上对院前急救资源的合理配置和院前急救资源滥用背后的权利冲突进行了法理剖析,认为可以借鉴域外经验赋予调度人员调派救护车辆和人员的决定权,但应结合我国国情和院前急救的实际情况将为患者选择运送目的医院的决定权有限度地赋予救护人员,并建议统一立法确立调度人员和救护人员的决定权(统称急救人员的决定权),以期遏制我国院前急救资源的滥用,实现院前急救资源的合理配置。
[Abstract]:Our pre-hospital emergency resources are faced with the problem of being misused, occupied and wasted. The main reason for this problem is that the first aid legislation system of our country is not perfect, and the legal regulation of pre-hospital first aid is insufficient. In particular, the provisions of various local regulations on "whether dispatchers can refuse to send ambulances and ambulance personnel" and "whether the patients or ambulance personnel decide to transport the target hospital" are not clear and uniform. This paper studies the system experience of the United States, France, Japan and other countries from the perspective of comparative law. It is found that the general practice is to give the dispatcher the right to decide whether to send a car, to grade the injury, and to classify the response in the process of first aid call acceptance. Priority scheduling; In the process of transporting patients to the hospital, the dispatcher has the right to choose the destination hospital for the patient. In order to explore the theoretical basis of extraterritorial experience and the feasibility of transplanting laws in China, this paper focuses on the theory of rational allocation of resources and the theory of conflict of rights. On this basis, the reasonable allocation of pre-hospital emergency resources and the conflict of rights behind the abuse of pre-hospital first-aid resources are analyzed, and it is considered that the dispatching personnel can be given the right to decide the dispatch of ambulance and personnel from the outside experience. However, according to the national conditions of our country and the actual situation of pre-hospital first aid, the decision power of the patients to choose the destination hospital should be given to the ambulance personnel to a certain extent. It is suggested that unified legislation should establish the decision of dispatcher and ambulance personnel (collectively referred to as the decision of emergency personnel) in order to curb the abuse of pre-hospital emergency resources and realize the rational allocation of pre-hospital emergency resources.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：D922.16

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