医源性犯罪鉴定问题

K. V. Pitulko
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摘要

文章揭示了刑事与非刑事情况的区别,导致患者治疗的不良后果的特点。进行这项研究的目的是确定疾病诊断和治疗中的专业疏忽所造成的社会危险的性质和程度。本文分析了描述医生和其他医务工作者因犯罪损害患者生命和健康而被追究刑事责任的动态的统计数据。认为医源性犯罪与医疗服务质量缺陷和医务人员履行职业职责不当存在有机联系。提交人揭示了求助者的死亡原因与健康恶化之间的区别,并分析了以康复为由对医务人员进行刑事起诉的做法。根据现代司法实践的材料,证明在刑法中没有必要单独划分“医源性犯罪”的范畴。鉴别不良治疗结果的方法似乎很有希望。提交人建议,根据对病人的生命和健康造成损害的情况的刑事或非刑事性质,详细规定医务工作者和医疗组织的法律责任。
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Problems of Iatrogenic Crimes Qualification
The article reveals the features of the distinction between criminal and non-criminal circumstances, leading to a patient treatment unfavorable outcome. The aim of the research undertaken is to identify the nature and degree of social danger of professional negligence in the diagnosis and treatment of diseases. The article analyzes statistical data characterizing the dynamics of bringing doctors and other medical workers to criminal responsibility for committing crimes that caused harm to the life and health of patients. The organic connection of iatrogenic crimes with defects in the quality of medical care and improper performance of professional duties by medical workers is argued. The author reveals the difference between the causes of death and deterioration in the health of persons seeking medical assistance, and analyzes the practice of termination of medical workers criminal prosecution on rehabilitating grounds. On the basis of materials of modern judicial practice, it is proved that there is no need to separate the category «iatrogenic crimes» in the criminal law. A differentiated approach to qualification of adverse treatment outcomes seems promising. The author proposes detailing the legal liability of medical workers and medical organizations, depending on the criminal or non-criminal nature of the circumstances of causing harm to the life and health of the patient.
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