“互联网+”医疗损害责任分担规则研究.pdfVIP

42医学与法学2023年第15卷第3期

◆医疗纠纷防范与处理

“互联网+”医疗损害责任分担规则研究*

何鞠师游静

摘要：“互联网+”医疗因运营模式多样，民事法律关系复杂，难以完全适用一般医疗损害责任规则而致

其损害责任分担规则不明。应将是否具有直接医疗处置权作为该损害分担规则的判断基础，并运用风险分

散理论填补被害人的损失：互联网诊疗模式下，由直接进行诊疗活动的医疗机构承担责任；远程医疗模式下，

会诊型远程医疗的邀请方作为直接的医疗处置权主体承担责任；共同诊疗型远程医疗，由共同作出医疗处置

权的邀请方与受邀方承担连带责任；“互联网+”医院模式下，由执行医疗处置权的医师所注册的各个医疗机

构承担连带责任；且赔偿后各方可根据相关协议进行追偿，同时允许医疗机构向有过错的医务人员进行追

偿；第三方平台因技术原因而泄露、遗失病例或就诊等信息造成患者损害的，应承担责任。

关键词：“互联网+”医疗；医疗损害责任；医疗处置权；风险分散

ResearchontheRegulationsofInternet+MedicalDamageLiabilitySharing

HeJushiYouJing

Abstract：Internet+medicaltreatmenthasunclearregulationsofliabilitysharingfordamageduetoitsdi⁃

verseoperationmodes,complicatedcivillegalrelationshipanddifficultyinfullyapplyingthegeneralregulationsof

liabilityformedicaldamage.Itisnecessarytotaketherightofdirectmedicaldisposalasthejudgmentbasisofthe

damagesharingregulation,andusetheriskdispersiontheorytocoverthevictimsloss:undertheInternetdiagnosis

andtreatmentmode,themedicalinstitutionsdirectlycarryingoutdiagnosisandtreatmentactivitiesshallbeartheli⁃

ability;underthetelemedicinemodel,theinviteeoftheconsultationtelemedicinebearstheliabilityasthemain

bodyofthedirectmedicaldisposalright;fortelemedicineforcommondiagnosisandtreatment,theinviterandthein⁃

viteewhojointlymakemedicaltreatmentdisposalshallbearjointliability;undertheInternet+hospitalmodel,

eachmedicalinstitutionregisteredbythedoctorwhoexecutesthemedicaldisposalauthorityshallbearthejointli⁃

ability;aftercompensation,allpartiescanpursuecompensationaccordingtorelevantagreements,andmedicalinsti⁃

tutionsareallowedtopursuecompensationfromthemedicalstaffatfault;andanythird-partyplatformthatleaksor

losesinformationaboutmedicalcasesormedicaltreatmentduetotechnicalreasonsandcausesdamagetopatients

shallbeheldliable.

KeyWords：Internet+medicaltreatment;medicaldamageliability;medicaldisposalright;riskdispersion

优质医疗资源的区域均衡布局，事关“健康中