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《民法典》第1221条("当时的医疗水平"作为注意义务标准)评注

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《民法典》第1221条规定了医疗技术损害责任,其核心概念是"当时的医疗水平".该概念自从在《侵权责任法》第57条中首次出现以来,一直存在争议.日本、德国及英美法的经验表明,应当从一般注意义务的角度来理解"当时的医疗水平".对于"当时的医疗水平"的判断,有必要正确认识诊疗规范的效力差异,强制性诊疗规范本身就是注意义务,而权威性及参考性诊疗规范都只是判断医疗注意义务的重要依据,而非唯一标准.考察"当时的医疗水平"时,应当遵循一般的过错理论,主要的判断步骤可以依次划分为:正确认识诊疗规范的作用、尊重少数人的观点、提高对于预防与避免风险的注意要求、考虑医疗资源配置的差异性影响、谨慎审查医师的自由裁量权.
Article 1221 of the Civil code stipulates the liability for medical technology damage,and its core concept is"the medical level at that time".The concept has been controversial since it first appeared in Article 57 of the Tort Liability Law.The experience of Japan,Germany,and Anglo American law suggests that"the level of medical care at that time"should be understood from the perspective of general duty of care.For the judgment of the"medical level at that time",it is necessary to have a correct understanding of the differences in the effectiveness of diagnostic and treatment norms.Compulsory diagnostic and treatment norms themselves are obligations of care,while authoritative and reference diagnostic and treatment norms are only important basis for judging medical attention obligations,rather than the only standard.When examining the"medical level at that time",a general fault theory should be followed,and the main judgment steps can be divided into:correct understanding of the role of diagnostic and treatment norms,respect for minority perspectives,increasing attention to risk prevention and avoidance requirements,considering the differential impact of medical resource allocation,and carefully reviewing the discretion of physicians.

medical personnelmedical technology damagediagnosis and treatment obligationsthe medical level at that time

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江苏大学法学院

德国哥廷根大学

医务人员 医疗技术损害 诊疗义务 当时的医疗水平

教育部人文社会科学研究一般项目

19YJC820002

2024

法治研究
浙江省法学会

法治研究

CHSSCD北大核心
影响因子:0.997
ISSN:1674-1455
年,卷(期):2024.153(3)
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