从侵权行为法视角重新审视医疗损害赔偿制度

法律制度的健全、社会监督的加强、"医闹"的愈演愈烈构成了一个怪圈,使矛盾的焦点集中于目前的医疗损害赔偿制度。在思考和论辩中出现了一些认识误区,对于制度的完善非但无益,反而会加剧医患矛盾。从医疗损害赔偿的"损害"界定、归责原则和赔偿原则三个方面,针对目前相关认识误区,立足于侵权行为法的角度,提出将医疗侵权行为的构成要件限定为医疗事故行为是合理的,医疗损害赔偿原则应坚持过错推定,需要调整的是赔偿标准而非赔偿原则。

Re-examination on the Compensation System for Medical Damages from the Law of Torts

With the legal system coming to perfect,the enhancement of public supervision,the growing medical dispute has composed a strange circle.The contradiction focuses on the system of compensation for medical damages.Some misunderstandings appeared recently do no good to the improvement of the system.On the contrary,they have aggravated doctor-patient contradiction.In connection with those misunderstandings,this article analyzes the definition of medical compensation,the principles of assumed liability and the compensation principles from the law of torts.The point of view is that it is reasonable that medical tort refers to the medical malpractice action;the compensation for medical damages should adhere to the principle of fault liability.It is the compensation standard rather than the compensation principle that should be adjusted.