胡 灿 赵 敏

（湖北中医院大学人文学院，武汉 430065）

【摘 要】 医疗事故罪是我国在1997年增设的典型业务过失犯罪。本文检索2012年 9月29日至2017年10月10日，6年间中国裁判文书网全部医疗事故罪的一审判决文书 25 例为样本，年均医疗事故罪判决4.2起，医疗事故鉴定率88%，民事赔偿和解占80%，平均量刑为18.2个月，缓刑率52％。样本范围内，医疗事故罪主体多为基层医务人员、多发生在基层医疗机构、多由显而易见的过失引起。本文以实证分析 结果为依据探讨关于“主体”“严重不负责任”“因果关系”“造成就诊人死亡或者严重损害就诊人健康的行为” 在实际司法审判中的认定，为医疗事故罪的社会预防提出一些思路。

【关键词】医疗过失；医疗事故罪；实证研究；社会预防

【中图分类号】D915.13

【文献标识码】A

【文章编号】1674-1226（2018）01-0067-18

An empirical case study of medical malpractice crime in China. Hu Can, Zhao Min. College of Humanities,Hubei University of Chinese Medicine, Wuhan 430065, China.

【Abstract】The medical Malpractice crime is a typical type of crime regarding business negligence which was added in the 1997 Criminal Law. By searching on the website of China Judgements Online, this paper takes all the 25 first-instance judgements and decisions related to the medical accident crime in the past 6 years (from September29, 2012 to October 10, 2017) as research samples, and there are 4.2 medical accident crime adjudications on average every year. Among all these medical malpractice, 88% were related to judicial appraisal, 80% were ended up with civil settlements, the average sentences were 18.2 months and the probation rate is 52%. Within the scope of the samples, medical malpractice crimes are mostly committed by grass-roots medical personnel, mostly occurring in primary-level medical institutions and most often caused by obvious negligence. Based on the result of empirical analysis, this paper explores the identification of "subject", "seriously irresponsible", "causality" and "behavior that cause death or severe harm to the health of people attending consultation" in trial, and also puts forward some new ideas for social prevention of the medical malpractice crime.

【Key Words】 Medical negligence, Medical malpractice crime, Empirical research, Social prevention