Abstract
The social insurance law stipulates that the medical expenses that should be borne by the third party shall not be covered by the basic medical insurance fund. In practice, a large number of medical liability dispute cases are paid by the basic medical insurance fund, and after the court's decision, the third party has the obligation to pay. It is very rare for the court to treat the patient and the medical insurance department as the subjects of equal civil rights, on the contrary, the court always ignores or avoids the interests of medical insurance department, which can not be disregarded. It is necessary for the medical insurance department to promote the judicial department to issue a judicial interpretation and regulate the management mode of medical insurance fund payment in such cases, or refer to the general knowledge in the field of industrial injury and commercial insurance, legislate to change the stipulation that the medical insurance fund does not double compensate in order to adapt to the judicial practice, and improve the status quo of the conflict between the judicial trial and the medical insurance related law stipulation.
Key words
medical damage /
third party /
medical insurance fund /
double indemnity
Cite this article
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The Method and Improvement Strategy of Medical Insurance Fund for Handling Medical Damage Liability Dispute Cases[J]. China Health Insurance. 2023, 0(5): 42-46 https://doi.org/10.19546/j.issn.1674-3830.2023.5.007
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References
[1] 张向东、张向明等医疗损害责任纠纷民事一审民事判决书[EB/OL].(2021-12-30)[2023-03-18].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=VQTcRSDTJBAlVUB30qz+MP8hAgK3/aqObXXJQLmTO9AmRIvqz1nUZZO3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBzxi8gwu7L6HoKoc8sJ/Gxm.
[2] 高洪全、曹县县立医院医疗损害责任纠纷民事一审民事判决书[EB/OL].(2023-03-06)[2023-03-18].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=nQaEQdsLTgvskTzBGoWzGievJa43Rjg7+4fD5TTTg5M+HuUJ18mSh5O3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBzxi8gwu7L6HkaBZAJzzXvI.
[3] 王世斋、青岛大学附属医院医疗损害责任纠纷民事二审民事判决书[EB/OL].(2023-02-15)[2023-03-18].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=OJatr6oGTDLNEb7K82m3+fbV7VUAkAoeyMFnmeKHS8Q5Nu6ZKdbid5O3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBzxi8gwu7L6HsusWKs1oHBl.
[4] 郭江边、金华市中医医院医疗损害责任纠纷一审民事判决书[EB/OL].(2023-03-08)[2023-03-18].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=DJhb2Ojc+NICvdfwPCpfHNTjgEkEuoT64QZ0n7mLE9hHdTVXsfUPH5O3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBzxi8gwu7L6Hokj0ytJ8DSG.
[5] 辽宁中医药大学附属医院、杨忠文医疗损害责任纠纷二审判决书[EB/OL].(2023-02-11)[2023-03-18].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=uAs45pMi7XWLFsmkXWk8DGIMY2bmEcQPPyf0lFVisWRFONnazpcBNpO3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBzxi8gwu7L6Hkn8QYasq2i2.
[6] 郭增与北京市丰台中西医结合医院医疗损害责任纠纷二审民事判决书[EB/OL].(2023-04-04)[2023-04-06].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=HhxJUUuixFDci5FntrgBoA6HmvX0Gxa1HkD4md1o+DokzszYV2KqrpO3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBykihtXhP2Jj83qo98HnZr+.
[7] 朱信果、黄礼想等机动车交通事故责任纠纷民事一审民事判决书[EB/OL].(2021-11-30)[2023-03-18].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=hVmS6czW3wbnnEzhBSK0LgKXH1QS6F8tUwxL7mJeZnbjyDi1Y4H9D5O3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBzxi8gwu7L6HoG36KIecIT1.
[8] 曹建科与尹艺博,华安财产保险股份有限公司陕西分公司提供劳务者受害责任纠纷一审民事判决书[EB/OL].(2022-10-26)[2023-03-18].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=XqZDNCyi3Wrg11nLEJ9vEIJ2HSEcAIh+5qdNSIjA9yxR9Mdq8Qwki5O3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEByiYW8jeNUMlGqUtmOG9lcx.
[9] 曹某、灵台惠仁中医医院医疗损害责任纠纷民事一审民事判决书[EB/OL].(2021-10-14)[2023-04-06].https://wenshu.court.gov.cn/website/wenshu/181107ANFZ0BXSK4/index.html?docId=OOqpMK6es40UxyaseR/KtH3XhRqKZ1VLitSgq+afR82eKckzwPeba5O3qNaLMqsJZf8q8KwbR0/k+M0+SP1JDhyf8jQfxlEqJkCmK0ExEBykihtXhP2Jj/LBtyB9l9LV.
