1、●中文摘要■●置萱iii萱iiii宣—■—iiii—●—■●i—葺iiii宣葺iiiiiiiii萱萱i萱萱宣i|■●■—iiiiiii葺■■■iiiiiiii■—一中文摘要看病難、看病貴已經(jīng)成為我國(guó)經(jīng)濟(jì)社會(huì)發(fā)展中的一道難題，在醫(yī)患糾紛的大量出現(xiàn)，醫(yī)患矛盾的不斷升級(jí)的背景下，《侵權(quán)責(zé)任法》出臺(tái)，其中規(guī)定了醫(yī)療損害責(zé)任一章。值此之際，本文對(duì)醫(yī)療損害責(zé)任的歸責(zé)原則這一問(wèn)題做出探討。醫(yī)療損害責(zé)任應(yīng)當(dāng)采取何種歸責(zé)原則在理論上有著不同的看法，我國(guó)在

2、經(jīng)過(guò)了保護(hù)醫(yī)療機(jī)構(gòu)階段和防御性醫(yī)療階段，面對(duì)雙軌制的困境，不得不重新思考醫(yī)療損害責(zé)任歸責(zé)原則的配置。本文第一部分，講述了我國(guó)醫(yī)療損害責(zé)任的基本概況，分析了我國(guó)處理醫(yī)患糾紛的歷程以及雙軌制的成因，并介紹了醫(yī)療損害責(zé)任歸責(zé)原則的不同學(xué)說(shuō)。第二部分，介紹了國(guó)外關(guān)于醫(yī)療損害責(zé)任歸責(zé)原則的立法，分析了不同國(guó)家獨(dú)特的制度設(shè)計(jì)，以期對(duì)我國(guó)醫(yī)療損害責(zé)任歸責(zé)原則的確立有所借鑒。第三部分，研究了《侵權(quán)責(zé)任法》頒布之前，我國(guó)醫(yī)患糾紛的經(jīng)典案例，對(duì)這些典型案件

3、應(yīng)當(dāng)采用何種歸責(zé)原則做出了分析。第四部分，筆者結(jié)合我國(guó)醫(yī)療損害責(zé)任的最新立法，提出了對(duì)如何完善我國(guó)醫(yī)療損害責(zé)任歸責(zé)原則的一點(diǎn)建議，以期能夠更好地解決醫(yī)患糾紛。關(guān)鍵詞：醫(yī)療損害責(zé)任；醫(yī)療行為；歸責(zé)原則；過(guò)錯(cuò)責(zé)任◆■I／IYIIlllllflflIIrJ9llIJ13lflll9f[PIl6Ifl[13fllll嫂’AbstractThereisdi歷cultandexpensivemedicaltreatmentinChinaIthasb

4、ecomethemajorissuesof0111“socialandeconomicdevelopmentInalargenumberofmedicaldisputesarise，themedicalpatientconflictisescalatingThen”TortLiabilityActintroduced，whichprovidesachapteronmedicalmalpracticeliabilityOnthisocca

5、sioninthispapertheprincipleofLiabilityforMedicalMalpracticeisstudiedIthasadifferentviewonhowtoestablishthemedicalliabilityimputationprinciple，intheoryThroughtheprotectingmedicalinstitutionsstageanddefensivemedicalphase，f

6、acingthedoubletracksystem，0111“countryhadtethinktheimputationofmedicalliabilityprincipleThefirstpart，abouttheresponsibilityofthebasicoverviewofmedicalmalpractice，thispaperanalyzesthehistoryofdealing謝tIlmedicaldisputes，an

7、dthecausesoftwotracksystem，andintroducestheprincipleofmedicalliabilityfixationofthedifferenttheoriesThesecondpart，thispaperintroducestheforeignaboutmedicalliabilityimputationlegislationanalyzestheuniquesystemdesignindiff

8、erentcountries，inordertoourmedicalliabilitytheestablishmentofimputationprincipleto峨Thetllirdpart，thispaperstudiestheclassiccaseinChinaofthesetypicalcasesbeforethetortliabilitylawenacted，whatshalladoptimputationprinciplem

9、adeanalysisThefourthpartaccordingtothelatestChinesemedicalliabilitylegislationofourcountry，Iputforwardmydesignsystemaboutmedicalliabilityimputationprinciple，inordertobetterabletosolvemedicaldisputesKeywords：liabilityform