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医疗纠纷的非诉讼程序(ADR)解决方式研究

Research on the ADR (Alternatvie Dispute Resolution) for the Medical Dispute

【作者】 峗怡

【导师】 蒲川;

【作者基本信息】 重庆医科大学 , 社会医学与卫生事业管理, 2008, 硕士

【摘要】 因与百姓身体健康利益密切相关,医疗纠纷成为各种纠纷类型中冲突对抗较为严重的一种纠纷类型,该纠纷还属于当事人双方都希望快速有效解决的纠纷类型。由于非诉讼途径解决方式ADR(Alternative dispute resolution )在纠纷解决方面所表现出来的简便、经济、快捷、专业性及保密性强等优点,逐渐成为许多国家和地区解决医疗纠纷的趋势。此文旨在利用ADR理性程序设计,借鉴国外经验,整合优化我国已有的医疗纠纷协商、调解的ADR方式,使ADR成为医疗纠纷解决的“适宜技术”,扩展多元解决医疗纠纷的资源,为公正合理地解决我国医疗纠纷找到更为适切的路。本文属于定性研究,主要通过文献查阅方法来获取最新研究资料和相关的法律法规条文,研究过程主要采用对比研究方法以及案例分析方法,通篇分四章进行阐述:前三章主要对ADR进行概述,并结合国情分析ADR在我国纠纷解决的可行性;论述了我国医疗纠纷解决的历史渊源、解决现状以及我国法律背景,从而探讨ADR适用我国医疗纠纷解决的必要性;并介绍了美国、日本、德国、其他国家及我国台湾地区运用ADR解决医疗纠纷的实践及对我国的相关启示。第四章是论述重点,主要对我国医疗纠纷ADR方式解决相关问题进行研究,首先是ADR程序公正性,其次分析了ADR解决机制下第三方力量,再次对不同医疗纠纷选择适合的ADR方式进行阐述,并设想一些适合我国医疗的ADR方式,最后论述了ADR执行力保障问题。

【Abstract】 Medical dispute is one of the severest conflict confrontation of all the dispute types because it is quite related to people’s health benefit, it also belongs to the dispute type that the two related sides wish to resolve it swiftly and effectively. Because of the advantage of convenience, economy, swiftness, profession and the confidentiality and so on, ADR finally becomes the tendency of resolving the medical dispute in many countries and areas. This article aims to use the rational design of ADR procedures and learn from the foreign experience, optimize and integrate the existed ADR methods like negotiation and mediation, and let ADR be the "appropriate technology" to resolve medical disputes which can expand multiple resources, and find a more appropriate way to solve our medical disputes fairly and reasonably.This paper belongs to the qualitative study, mainly by the way of document inspection to find the newest researching data and the related law and regulation, also use the way of comparative study and case analysis. The paper includes the following four parts:The first three chapters mainly generalizes the ADR,and combines our national condition to analyze ADR’s practical role in our national medical dispute resolution; it describes the history, the practical ways and the law background of our national medical dispute resolution, and discuses the necessity of ADR’s application for national dispute resolution; further more introduces the practical use of ADR to resolve medical disputes in the United States, Japan, Germany, other countries and China’s Taiwan region and their experience for our inspiration.Chapter four is the key research for the whole paper, which mainly focus on the related problems of ADR for national medical dispute, first of all, is the justice of ADR procedures, then the analysis of the ADR settlement mechanism of the third-party’s force, later on the proper ADR method for different medical disputes, at the same time, supposes some ideas for our national medical ADR methods, and the final implementation is to guarantee the execution for ADR.

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