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过程治理模式运用于医疗纠纷的理论和 实践框架分析∗
贾焕银
山东大学 法学院, 山东 威海 264209
摘要:
近年来,医疗纠纷已经被纳入社会纠纷治理框架,转变为一个社会治理问题。 恶性医疗事件的 频繁发生表明医疗纠纷并未得到有效治理。 当前的医疗纠纷治理实践可以归结为问题导向的治理模式。 这种治理模式注重医疗纠纷中的显性问题却忽视了其发生发展的内在逻辑,治理纠纷个案但却无法根治 原因事实,存在一种固有的视域障碍。 究其症结,主要在于该种治理模式强调对医疗纠纷静态的结构分 析而忽略其动态过程。 要克服这种视域障碍,就要从过程视角来认识医疗纠纷并以过程思维来理解医疗 纠纷治理实践,在具体治理中引入过程性分析,既治理个案又能够根治原因事实,塑造医疗纠纷过程治理 模式,进而实现对医疗纠纷的全面、整体、动态与根源治理。
关键词:  医疗纠纷  过程治理  概念框架  根源治理  社会治理  治理模式
DOI:
分类号:
基金项目:
Analysis of the Theoretical and Practical Framework of ProcessGovernance Model Applied to Medical Disputes
JIA Huan-yin
School of Law, Shandong University, Weihai 264209, Shandong, China
Abstract:
In recent years, medical disputes have been brought into the framework of social dispute govern_x005fance and transformed into a social governance problem. The frequent occurrence of malignant medical incidents indicates that medical disputes have not been effectively managed. The current practice of medical dispute governance can be attributed to the problem-oriented governance model. This governance model focuses on the obvious problems in medical disputes, but neglects the internal logic of their occurrence and development. It can not cure the causes of medical disputes, and there is an inherent barrier of vision. The crux lies in the fact that this governance model emphasizes the static structural analysis of medical disputes and neglects its dynamic process. To overcome this visual barrier, we should understand the medical disputes from the perspective of process and understand the treatment practice of medical disputes with process thinking, and introduce process analysis into the specific treatment of medical disputes, which can not only treat cases, but also radically cure the cause facts, and shape the process treatment mode of medical disputes, so as to achieve comprehensive, holistic, dynamic and root-cause treatment of medical disputes.
Key words:  medical disputes  process governance  conceptual framework  root governance  social gov_x005fernance  governance model
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