摘要
在推进数字健康发展、重塑管理服务模式的政策背景下,如何有效结合数字化的机遇从而驱动传统医疗服务迈入数字健康发展的新阶段是我国当下的重要议题。其中,从传统到多点远程的医师执业模式变迁便是上述趋势的实践范例。多点远程执业模式能够实现医疗资源的优化配置以及医疗服务的公平配给,但也使得其中的民事法律关系混杂了劳务关系、劳动关系、协助关系、服务关系等多个层次。上述法律关系的复杂性对既有的医师民事责任规则提出了挑战,具体来说,多点远程执业模式中作为责任前提的医患关系难以判断、确定责任程度的注意义务难以配置、实现责任分配的主体地位也难以认定。就此,因应数字健康的时代转变,医师民事责任规则需要进行调适优化。具体而言,应当基于合同规则判断医患关系在何时成立、区分线上线下匹配注意义务至何种程度、基于外部与内部认定相关主体以何来担责。
Under the policy setting of promoting the digital health development and reshaping the management service mode,how to effectively combine opportunities of digitization to promote the traditional medical service to move to the digital health development stage is the important issue in China at present,among them,the transformation from the traditional to the multi-point remote physician practice mode is one of the practical cases under the above tendency.The multi-point practice mode can realize the optimal allocation of medical resources and the fair distribution of medical services,however,it also lets civil legal relationships mixed with multiple levels of the labor relationship,labor relationships,assistance relationships and service relationship.The complexity of above legal relationships poses challenges to the existing physician civil liability regulation,in details,the doctor-patient relationship as the premise of responsibility within the multi-point remote practice mode can be difficultly determined,the duty of care of confirming the responsibility degree can be difficultly allocated,the main position of realizing the responsibility allocation also can be difficultly identified.In this regard,in response to the transformation of the digital health era,the physician civil liability regulation needs to be adjusted and optimized.In details,it is necessary to determine the doctor-patient relationship based on the contract regulation of when has been established,distinguish the degree of duty of care for online and offline matching,base on external and internal identification of relevant subjects to bear the responsibility.
作者
赵新颖
ZHAO Xinying(Guanghua School of Law,Zhejiang University,Hangzhou,Zhejiang,310008,China)
出处
《医学与社会》
北大核心
2025年第3期115-123,共9页
Medicine and Society
关键词
卫生法
数字健康
医师
民事责任
多点远程执业
Health Law
Digital Health
Physician
Civil Liability
Multi-point Remote Practice
