医院未征得患者同意使用自费药纠纷初探——从社会法“倾斜保护”理论的视角出发

在基本医疗保险制度施行中,医保定点医院未征得患者同意使用自费药的行为构成对患者的一般侵权或侵权违约的竞合;针对医患双方实质地位的不平等,应运用民法及有关社会法的“倾斜保护”理论处理自费药纠纷且应授权执法者考虑个案的具体情况,决定医患双方间如何分担自费药费用,以实现公平正义的法律追求及维护医保患者的利益。

Disputes Arising out of Prescribing Self-Funded Medicines Without Patients' Consent: From the Perspective of "Unequal Protection Theory" in Social Law

While applying the basic medical insurance system,hospitals designated as the participants of the system often arouse disputes over tort law or both tort law and contract law because of prescribing self-funded medicines without consent of the patients.Given the unequal status of the patients and the hospitals,we should employ civil law and the "unequal protection theory" in social law to settle these disputes and authorize judicial officers to decide case by case how to contribute the fees of self-funded medicines between the patient and the hospital.Only in this way can we maintain equality and justice and protect the interests of the insured patients.