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1、.硕 士 学 位 论 文论医疗损害惩罚性赔偿27 / 27.作 者 姓 名：王晶.指 导 教 师：范雪飞副教授.西 南 政 法 大 学Southwest University of Political Science and Law.摘要.医患关系是社会的一种基础关系,医疗机构和患者地位的不对等性构成它的主要特征。为保护患者合法权益,提高整个医疗机构系统及其工作人员对患者生命健康的重视程度,保证医疗机构各项服务质量,充分惩治医疗不法行为,笔者认为,应当将消费者权益保护法第 49 条关于惩罚性赔偿的规定引入由于故意恶意或者其他重大过错导致的医疗损害案件中,甚至建立起专门性的医疗损害惩罚性赔偿原则
2、。实践证明,该项原则在国内国际是一项已经成熟并成效显著的原则。我国的医疗损害案件相关立法应当引进惩罚性赔偿原则,以更好地与补偿性惩罚原则进行配合,调整医疗损害案件。以敦促医疗机构规范医疗行为,更好地保障公民的生命健康权,全面弥补受害人损失,保护医患双方的利益,减少医患纠纷。本文从一个典型案例入手,采取案例分析法,在对基础理论阐述的同时提及案例,细致分析它们的构成,就惩罚性赔偿原则在医疗损害案件司法实践中的具体适用予以研究。论文通过搜集大量国内外医疗纠纷案例,比较各案件中医疗损害赔偿的具体处理,针对惩罚性损害赔偿制度的基础理论及实际案例的司法判决进行分析。同时对中西方在医疗损害案件中适用惩罚性赔
3、偿制度的情形进行比较,寻找各案件的共性,来以此强化论点。本文开篇介绍了医疗损害的概念、惩罚性赔偿制度的概念及其在中西方的历史发展,举出代表性案例来说明惩罚性原则的历史源头和重要历史意义。针对国内现实状况阐述将惩罚性赔偿制度引入医疗损害案件的必要性,从惩罚性赔偿的主观要件出发来重点详细分析惩罚性赔偿制度在我国医疗损害案中的适用范围。最后论述了医疗损害案件中惩罚性赔偿金额度的确立,具体要从五个方面来确定数额。对于当前国内调整医疗损害案件相关立法进行反思,并提出建立医疗损害案件的惩罚性赔偿制度专门立法的展望。关键词： 医疗损害；惩罚性赔偿；医患关系；主观要件；金额1.AbstractThe doct
4、or-patient relationship is a relationship of consumption, which centeredon life consumption, and great disparity in strength on both doctors is the maincharacteristic of this relationship. In order to curb illegal behavior, to improve thequality of the whole medical system, prompt medical units to s
5、trengthen theunderstanding of the importance of patients life and health, improve service quality ofmedical units, the author thinks that, for major medical accidents caused by maliciousor gross negligence shall apply article 49 of the relating to punitive damages. And the punitive compensation syst
6、emis a kind of mature and effective system proved by practice .The legislation ofmedical damage cases in China should introduce the punitive damages compensationsystem, in order to better cooperate with compensatory punishment principle to adjustmedical injury cases. This measure can fully compensat
7、e the victim loss, bettersafeguard citizens life and health, attaches great importance of medical institutionsand their staff members to the citizens life and health, protect the interests of bothdoctors and reduce medical disputes.This article was written from a typical case taking the Case Analysi
8、s Method. Itexpounds the basic theory , mention the case at the same time, and analyze the casesin detail. It also studies the application of punitive damages compensation principlesin real medical damage cases. It based on collecting a large number of domestic andforeign medical dispute cases, comp
9、aring the concrete processing of punitive damagecompensation in the medical damage cases, in the light of the basic theory of punitivedamages system and judicial decisions analysis of actual cases. This article comparesthe difference between Chinese and western in how they applying the punitivecompe
10、nsation system in medical damage cases, finds commonalities in each case tostrengthen the argument.This article begins with the concept of medical damage, the concept of punitivedamages system, then referring to the western history development of punitivedamages principle, citing typical case to ill
11、ustrate the historical origins of punitiveprinciple and its historical significance. It expounds the necessity and possibility ofthe application of punitive damages system in medical damage cases in China, putsforward suitable conditions while applying of the punitive damages system in medical2.dama
12、ge cases in China, and elaborates this part in detail starting from the subjectivefactor of punitive damages system. Finally it discusses the establishment of theamount of punitive damages compensation in medical damage cases, in particular it isfrom five aspects to determine the amount of concrete.
13、 For the current domesticlegislation which is relevant to the adjustment of medical damage compensation, weshould reflect, and put forward the establishment of medical damage cases of punitivedamages system legislation in the future.Keywords: medical damage; punitive damages; the doctor-patient relationship;subjective elements; the amount3.目录.引言. 1一、医疗损害及惩罚性赔偿概述.2一医疗损害的概念及性质. 2二惩罚性赔偿的概念. 2三惩罚性赔偿的历史发展. 3二、我国医疗损害案引入惩罚性赔偿制度的必要性.4一我国医疗损害案件基本解决现状. 4二惩罚性赔偿制度的功能. 6三引入惩罚性赔偿制度的必要性.
