在法律技术层面,残障儿出生缺陷的救济路径为以侵害生育选择权而生的侵权之诉与以违反医疗服务合同义务而生的违约之诉。在实践中,由于合同相对性与赔偿范围的局限性,侵权之诉为出生缺陷的主要救济途径。在侵权之诉中,实践中主要围绕父母的出生缺陷请求权应否得到支持、残障儿的诉讼主体资格以及赔偿范围的确定等问题产生纠纷。本文将从案例出发,围绕出生缺陷的救济,进一步探讨合理的救济进路,平衡受害人利益与医疗机构责任之间的关系,以实现对受害人及其家庭的救济和对诊疗不端行为的预防。
<<With the development of gene detection technology and medical level,the standard of medical institution and medical staff’s duty has been improved. In violation of their duty of care,medical institutions and medical staffs fail to diagnose the malformation of the foetus or fail to fulfill the duty of full disclosure,thus deprived parents of their right to understand what happened on their foetus and decided whether to give birth or not. Medical institutions should bear the liability of compensation for property loss and mental damage suffered by parents due to the birth of a disabled child. Parents has two remedy way of wrongful birth of the disabled children:the medical tort liability of violating the right of birth choice and the breach of contract obligation of medical service. In practice,due to the limitations of the privity of contract and the scope of compensation,the action of tort is the main remedy way for wrongful birth. In tort action,there are disputes in practice about whether parents’ right of claim for wrongful birth should be supported,the qualification of the disabled children and the determination of compensation scope. This article will proceed from cases,around the wrongful birth relief,further discusses the reasonable relief route,measure the victim’s benefit and the medical organization responsibility relations,achieve redress for victims and their families and prevention of medical malpractice.
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