医疗纠纷协商和解的利弊分析及对策

协商和解是解决医疗纠纷的重要方式,有明确的法律依据,但在实践当中也存在诸多弊端。要充分发挥协商和解的优势,消除其弊端关键在于依法办事,只有依法办事才能从根本上保障医患双方的合法权益。     

大数据时代第三方医药平台的涉法革新

充分应用云计算技术的第三方医药平台逐步成为在线交易的主要场所与信息集散地,医药生产企业、经销商、各类医疗机构和其他用户通过站点交易工具完成询价、洽谈、签约、支付、配送与售后服务等。亟待通过立法完善电子身份认证与审查制度、构筑电子居间监管系统、明确医药电子错误及建立医药电子合同管控机制等,进一步促进平台内医药信息共享与交易公平。     

试析就医权的滥用及其规范

本文在明确医患关系中就医权与行医权的法律涵义基础上,剖析了我国当前医患关系中存在的患方滥用就医权的常见情形,分析了限制就医权相关权能的法理依据,提出了引导患方依法行使就医权的三种途径。     

中草药致死非法行医案件的勘验分析

根据非法行医罪自身的特点以及实践勘验多起非法行医案件遇到问题进行剖析,拟确定技术有效的勘验和准确的鉴定思路。     

Alleged Biological Father Incest: A Forensic Approach

Paternal incest is one of the most serious forms of intrafamilial sexual abuse with clinical, social, and legal relevance. A retrospective study was performed, based on forensic reports and judicial decisions of alleged cases of biological paternal incest of victims under 18 years old (n = 215) from 2003 to 2008. Results highlight that in a relevant number of cases: victims were female; the abuse begun at an early age with reiteration; the alleged perpetrator presented a history of sexual crimes against children; sexual practices were physically poorly intrusive, which associated with a forensic medical evaluation performed more than 72 h after the abuse, explain partially the absence of physical injuries or other evidence—these last aspects are different from extrafamilial cases. In conclusion, observations about paternal incest are likely to exacerbate the psychosocial consequences of the abuse and may explain the difficulty and delay in detect and disclose these cases. Few cases were legally prosecuted and convicted.     

Retropharyngeal Hematoma Secondary to Cervical Spine Surgery: Report of One Fatal Case

A 53‐year‐old woman suffering from radicular pain due to cervical herniation underwent a spinal surgery consisting of anterior cervical discectomy and fusion with an implantable titanium cage. Five hours after the procedure, the patient developed cervical swelling and dyspnea. An emergency surgery permitted evacuation of a deep cervical hematoma and intubation of the patient, who died some minutes later. The family of the deceased lodged a complaint with the public prosecutor because of unclear circumstances of death. After analysis of the medical records by two forensic pathologists, a medicolegal autopsy was ordered. Massive retropharyngeal and mediastinal hematomas were diagnosed. Pathological study confirmed acute cervical hemorrhage, but failed to detect the source of bleeding. The forensic pathologists concluded that death was due to mechanical asphyxia secondary to pharyngeal compression by the cervical hematoma. To the best of our knowledge, death secondary to retropharyngeal hematoma in this neurosurgical context is rarely encountered.     

医疗机构大型化和医疗服务市场化对公立医院改革的启示

医疗机构的大型化和医疗服务的市场化对公立医院来说,除了带来严峻的考验也提供了改革的借鉴。医疗机构整合的发展模式为公立医院提供了一个新的改革模式参考,公立医院如何发挥"团结力量大"的优势,利用不同医院间的专业和特长采取联盟的优势,发挥规模经济效益,将改革效益回馈到医院的医疗服务和管理机制,形成公立医院治理的良好循环,值得期待。     

医疗事故技术鉴定的调查取证

医疗事故技术鉴定中,进行调查取证是至关重要的环节。调查取证对明确案情事实,保证医疗事故技术鉴定结论公正、公平,合理、科学解决医患纠纷,缓解社会矛盾起着非常重要的作用。但在某些情况下,司法机关可能对医疗事故技术鉴定的调查取证不予认可,其原因是多方面的。因此应当重视调查取证工作,注意其规范性、程序性和有效性,从而提高调查取证工作的质量,保障医疗事故技术鉴定的公信力。     

违反告知义务引发医疗纠纷案例分析

告知义务是医师应尽的注意义务之一,在医疗损害赔偿诉讼中原告常以医师在医疗活动过程中未能履行告知义务造成病人损害而要求医疗机构承担赔偿责任。本文介绍了5例有关医师违反告知义务的医疗损害案件及人民法院审理结果,并对医师违反告知义务时如何判定其是否存在医疗过错以及医疗过错与损害后果之间的因果关系进行了分析和讨论,旨在为医疗损害司法鉴定提供参考。     

对医学生职业生涯规划教育的几点思考

在高校中开展大学生职业生涯规划教育已成为教育部的明确要求。而医学生因专业性较强,在开展职业生涯规划教育方面也存在着一定的独特性。分析医学生职业生涯规划教育的现状,探讨针对医学生职业生涯规划教育的特点,有助于提高医学生职业生涯规划能力。