过度医疗指医疗机构违反合理诊疗义务提供超过患者实际诊疗所需的医疗服务,实践争议聚焦过度医疗引发的医疗损害赔偿责任的认定。违反合理诊疗义务的过度医疗行为是医疗机构承担损害赔偿责任的前提,而损害与过度医疗之间的因果关系是损害赔偿责任成立的基础。基于过度医疗的侵权行为属性,医疗机构承担损害赔偿责任的构成要件为:主体适格上,行为人系合法的医疗机构;行为性质上,存在医学上判定的过度医疗行为;行为结果上,实际造成患者损害;责任成立上,损害与过度医疗之间存在因果关系。
<<Excessive medical treatment is a violation of the medical institutions obligations to provide reasonable diagnosis and treatment and a medical service that exceed the actual treatment required by patients. The controversy in practice focuses on the identification of medical damage liability arising from excessive medical treatment. Excessive medical treatment in violation of the obligation of reasonable diagnosis and treatment is the premise for medical institutions to assume the liability for damages,and the causal relationship between damages and excessive medical treatment is the basis for the establishment of liability for damages. Because excessive medical treatment has the attribute of tort,there are four elements for medical institutions to bear the liability for damages. First,in terms of subject suitability,the actor is a legitimate medical institution. Second,in terms of the nature of the act,there is excessive medical treatment judged by medical science. Third,in terms of the result of the act,it causes damage to the patient. Finally,in terms of the establishment of liability,there is a causal relationship between the damage and excessive medical treatment.
<<Keywords: | Causal RelationshipExcessive Medical TreatmentObligation of Reasonable Diagnosis and TreatmentLiability for Damages |