马 辉

（首都医科大学卫生管理与教育学院卫生法学系，北京 100069）

【摘 要】法技术工具本身的缺陷，造成医方损害赔偿风险高、负担重，进而阻碍了基本医疗制度的推行。为了改变这一现状，医疗损害赔偿法律政策应调整为：基本医疗服务提供者有权根据自身条件提供诊疗服务；采用基本药物、使用适宜技术造成损害的不构成医疗过错；因过错造成患者损害的承担损害赔偿责任；该损害赔偿责任能够被有效转移或分担。而上述政策的落实，取决于鉴定制度改革是否成功。

【关键词】基本医疗；医疗过失；损害赔偿；法律政策；鉴定

【中图分类号】D915.13

【文献标识码】A

【文章编号】1674-1226（2018）04-0479-12

Study on legal system and policy of medical damage compensation in consistent with basic medical care.Ma hui. Department of health law, School of health administration and education, Capital Medical University, Peking 100069, China.

【Abstract】Compensation of medical injury in China brings high risk and heavy burden to medical service providers. The theory of constitution of tort liability is the cause of this phenomenon. In order to change this situation, the legal policy should be adjusted accordingly. The providers shall have the right to provide medical services according to their own conditions; medical damage caused by the treatments using the appropriate technology and drugs shall not be perceived as malpractice; If patients are injured due to the malpractice, the damages should be then compensated; the liability of the hospitals and medical personnel can be effectively transferred or shared. The reform of appraisal system is critical in implementing the above legal policies.

【Key Words】 Basic medical care, Medical negligence, Compensation, Legal policy, Appraisal