Vertical Alignment,Elite Power,and the Democratic Recess in the French Health Care System

The article critically examines administrative restructuring of the French health care system. Despite calculated benefits of New Public Management (NPM) reforms, conflicts between values escalated. NPM-endorsed decentralization never took off in France. Instead, a re-concentration of health policy decisions benefited a Ministry-level welfare elite that sought to restore fiscal discipline rather than responsiveness to users. That process triggered a clash of culture with the medical profession and was at the expense of democratic participation. The role of citizens as reform overseers, although initially contained in the NPM doctrinal puzzle, never materialized. Key issues such as greater accountability and responsibility remain unresolved.     

完善医疗损害赔偿标准的立法思考

现行《医疗事故处理条例》和《最高人民法院关于审理人身损害赔偿案件适用法律若干问题的解释》对医疗损害赔偿标准的规定各有其不足,应在二者基础上,充分考虑医患双方及社会整体利益,大胆探讨,合理取舍,构建一个兼顾各方利益、能实现普遍社会公正的医疗损害赔偿标准。     

从“形神合一”谈构建中医心身医学的意义

“形神合一论”是中医心身统一思想的核心内容。构建中医心身医学有着坚实的理论基础和长期的临床实践,在心身医学迅速发展的今天,构建中医心身医学是十分必要的。     

疫情之下基于健康视角的农村进城务工人员 收入回报与提升研究

提升农村进城务工人员收入一直是近年来社会工作的重点,以往研究更多聚焦于农村进城务工人员教育、技术技能等的培养,忽视了健康的基石作用。新冠肺炎疫情的暴发,使健康的重要性再次受到关注。研究分析了健康对农村进城务工人员收入回报的影响,重点关注健康对农村进城务工人员和城镇职工这两类异质性劳动者收入可能存在的影响差异。研究表明,健康对两类就业人员收入的影响力度有差异,相比城镇职工,对于农村进城务工人员而言,健康是比教育更重要的人力资本。研究建议,在疫情防控进入常态化及推进新型城镇化进程中,为提升农村进城务工人员的收入回报,有关部门不应再局限于他们的教育、技能等认知能力的提升和培养,对其健康状况应同样给予足够重视,应通过完善医疗健康等社保体系支撑进城务工人员健康水平的提升,进而改善其收入。     

Hidden Law‐Making in the Province of Medical Jurisprudence

Judges articulate their role in controversial cases of medical ethics in terms of deference to Parliament, lest their personal morality be improperly brought to bear. This hides a wide range of law‐making activities, as parliamentary sovereignty is diffused by ‘intermediate law‐makers’, and judicial activity is more subtle than the deference account implies. The nature of litigation raises questions about the contributions of other legal personnel and also the nature of the parties' interests in test‐cases. While judges demonstrate an awareness of some of these issues and anxiety about the constitutional legitimacy of their work, a more nuanced account is needed of their proper role. This may be built on Austin's theory of tacit legislation. It may draw from human rights law. However, considerable work is required before the complexities of hidden law‐making can be properly incorporated into the province of medical jurisprudence.     

医务人员权利保护与医院投诉管理部门职能发挥

医患矛盾的加剧使得近年来我国恶性伤医事件不断发生,本文以2007年以来多起产生较大社会负面影响恶性伤医事件的处理结果为视角对现阶段我国医务人员权利保护状况加以分析。同时结合实地调查与相关法律规范的解读,本文在明确现有医院投诉管理制度存在缺陷的基础上,就医院投诉管理部门更好地在加强医患沟通中发挥作用提出建议。     

手术并发症发生因素与医疗过错鉴定

医疗损害案件中因手术并发症而导致的占了很大的比重。发生手术并发症的发生原因可归结为医疗与患者两个方面。医疗方面的因素主要包括手术人员的责任心不强、医学基础知识欠缺、医疗技术生疏、诊断失误、术后护理及管理缺陷等;患者方面的因素主要有自身解剖变异、个体体质差异等。手术并发症产生的原因大多是可以被认知的,在此基础上判断产生手术并发症的医疗行为是否有过错时不能一概而论,应遵循一定的标准。建议按照医学理论和实际操作能力划分为两个标准,预见义务采用＂医学水平＂标准;防范义务采用＂医疗水平＂标准。通过两个＂标准＂来综合考量手术并发症才是科学的。     

论法医学鉴定人出庭作证

本文探讨法庭作证的价值、方法。着重研究了法医学鉴定人的素质与鉴定结论的价值。最后息结指出只有高素质的法医学鉴定人才能承担新世纪的鉴定重任。使法庭作证永远走向成功。     

论医疗事故罪的几个问题

医疗事故罪应归入刑法分则第四章“侵犯公民人身权利、民主权利罪”为宜 ;医疗事故罪的主体 ,除卫生技术人员外 ,还应包括医疗机构中其他负有为保障公民的生命健康权益而必须实施某种特定行为的义务的人员 ;医疗事故罪的主观方面不应包括间接故意     

NONJUDICIAL ALTERNATIVES FOR RESOLVING END-OF-LIFE DECISIONS FOR MINORS

This note will discuss end-of-life decision making for minors. Minors who suffer from a terminal illness or who are in a persistent vegetative state are "children on the edge"—they are on the edge of life and death, as well as on the edge of the law. The judicial system and legislative action have proven to be ineffective tools in helping families find a peaceful resolution to life-threatening questions. Judicial intervention is often intrusive, as well as emotionally and financially difficult for the family to endure. As a result, alternatives have arisen, such as hospital ethics committees and mediation, which address these issues. These alternatives demonstrate respect for patient autonomy and family privacy, by considering the family's wishes in addition to the minor's medical condition. If people avail themselves of the resources already in place, judicial intervention only becomes necessary in extreme circumstances. Nonjudicial alternatives provide a more appropriate forum for resolution than the courtroom by eliminating opportunities for public spectacle and family intrusion.