医疗事故过失的判定标准及对策——以日本和美国为例

Tae-Seok Hong
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摘要

医疗事故时有发生。这是一个过失问题,要证明这一点有很多困难。医疗事故与过失犯罪者有关,在某些情况下,刑罚比故意犯罪者轻,或者根本没有规定。对于这种医疗事故,受害者或受害者家属可能遭受他们本不需要遭受的损害,这不仅可能是精神上的困难,而且难以证明。另一方面,从医务人员的角度来看,如果加强对医疗事故的刑事处罚,由于可以被动处理,因此不容易加强刑事处罚。近年来,一系列严重的医疗过失案件引发了对医疗过失预防和医务人员刑事责任的大量讨论,医疗过失案件往往导致刑事案件的发生。近年来,有人指出,即使免除医疗过失的刑事责任,医疗事故的预防效果并没有提高医疗质量,例如,它没有作为一个正常的医疗制度,通过减少紧急医疗和传递病人。与此同时,美国的医疗事故案件往往不会受到刑事处罚。然而,即使在美国,也根本没有对医疗过失提起刑事诉讼,特别是医疗过失案件最近似乎呈上升趋势。虽然自20世纪80年代以来,医疗事故的数量一直在增加,但与日本相比,这似乎是微不足道的。但是,在美国,除了对医疗过失的处罚之外,还有包括制裁在内的各种制度,这是无法与日本简单比较的。如上所述,医疗过失的案例很多,但需要对其刑事责任问题进行深入讨论。美国和日本也有不同的过失制度,因此,对医疗过失的判定标准和对策进行研究,将具有重要意义。因此,在本文中,我们回顾了美国和日本判断过失的标准是什么,以及他们如何应对医疗过失。
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Criteria for Judgment of Negligence in Medical Accidents and Countermeasures: Reference to the cases of Japan and the United States
Medical accidents are occurring frequently. This is a problem of negligence and there are many difficulties in proving it. Medical accidents are related to negligence offenders, and in some cases, the sentence is lighter than intentional offenders or there are no regulations at all. For such medical accidents, the victim or the victim's family may suffer damage that they do not need to suffer, which may not only be mentally difficult, but also difficult to prove. On the other hand, from the standpoint of medical staff, if criminal punishment for medical accidents is strengthened, it is not easy to strengthen criminal punishment as it can be passively treated. In recent years, a series of serious medical negligence cases have led to a lot of discussions on the prevention of this and criminal responsibility for medical personnel, and cases of medical negligence are often leading to criminal cases. In recent years, it is pointed out that even if criminal responsibility is removed for medical negligence, the prevention effect of medical accidents does not improve the quality of medical care, and for example, it does not function as a normal medical system by reducing emergency medical care and passing on patients. Meanwhile, medical malpractice cases in the United States are often not subject to criminal punishment. However, even in the United States, criminal prosecutions for medical negligence have not been carried out at all, and in particular, medical negligence cases seem to be on the rise recently. Although the number of medical malpractice cases has been on the rise since the 1980s, it seems to be quite small compared to Japan. However, in the United States, in addition to the punishment for medical negligence, there are various systems including sanctions, which cannot be simply compared with Japan. As mentioned above there are many cases of medical negligence, but an in-depth discussion is needed on the issue of criminal responsibility for this. Since the U.S. and Japan also have different systems of negligence, it is thought that it will be meaningful to review the criteria for judging medical negligence and countermeasures. Therefore, in this paper we reviewed what the criteria for judging negligence in the United States and Japan are and how they respond to medical negligence.
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