rights and interests of doctors and patients. But it is insufficient jurisprudential basis and legitimacy crisis of legal forms through the form of mi

1 Vol. 3 6 No. 1 36 2 0 1 8 1 Hebei Law Science Jan. 2 0 1 8 DOI 10. 16494 /j. cnki. 1002-3933. 2018. 01. 011 511436 DF36 A 1002-3933 2018 01-0117-13 Study on the Jurisprudential Basis on the Implementation of Compulsory Medical Liability Insurance XU Xi-rong Guangzhou Medical University Guangzhou 511436 China Abstract In recent years the medical disputes are very serious in China. It is important to implement the compulsory medical liability insurance for protecting the legitimate 2017-11-06 www. cnki. net 2017 12 6 2015 15YJCZH193 2016 YQ2015131 2016 2016WTSC098 2014 65 1982-117

rights and interests of doctors and patients. But it is insufficient jurisprudential basis and legitimacy crisis of legal forms through the form of ministries regulations and the provinces local legislation to implement the compulsory medical liability insurance in our country. Throughout the legislation of developed countries the implementation of compulsory medical liability insurance has become to the international legislation trend. There are national level legislations to implement compulsory insurance for lawyers accountants and other 11 class professionals. The health care providers are also specialist and involving the protection questions of personal rights and interests. So it also must take a compulsory insurance. And given the implementation of compulsory medical liability insurance can achieve the public welfare purposes that the medical injury accident victims can get the compensation according to law and promote the medical security. According to the principle of the law reservation we must formulate a unified administrative regulation that is named of compulsory medical liability insurance regulations. Key words compulsory medical liability insurance public welfare proportionality principle the principle of the law reservation 2000 1 2016 2016 34 Lancet 2 3 1 2006 26 18 4 2017 2016 78 1 118

5 20 80 1988 6 2014 7 9 1 2015 100% 90% 2016 12 27 2016 78 2020 80% 2017 2 2016 2 2014 12 9 2 2004 27 2 2010 212 2 1 2 2014 42 2016 2017 66 119

1 2 3 4 5 6 7 8 2012 7 30 2013 186 9 9 瑏瑠 11 2 瑏瑡 1 2010 269 2 2010 452 3 2012 321 4 2010 21 5 2008 15 6 2011 116 7 2014 296 8 2017 57 50 9 2012 263 8 瑏瑠 2016 174 45 瑏瑡 11 2 120

7 1 2017 8 18 2016 2016 79. 3 2016 5. 8 IOM the Institute of Medicine 1999 To Err is Human Building a Safer Health System 98000 43458 42297 16516 290 8 1 1 121

9 Kentucky general welfare 1 10 11 1 2 3 12 13 1 Ky. REv. STAT. 304. 40-250 Supp. 1976. 122

14 59 1 49 11 2 3 4 1 59 2 15 3 18 4 46 123

1 2 3 4 5 6 1 29 2 14 10% 3 24 4 4 42 20 10 43 1 5 39 20 10 40 1 6 39 20 10 40 1 124

15 1. 125

2. 2002 21 1 2016 2016 983394 29140 61. 19 383. 384955 2 2007 2011 69. 46% 50 3 3. 4 1984 51 30121 1278 30195 3. 7% 95% 306 1278 27. 6% 95% 2671863 1 2 3 4 2002 326 2000 326 6000 100 11. 5% 21 2 42 5. 9% 326 2002 2 21 1 1998 372 100 11 13. 58% 50 100 45 55. 88% 10 50 19 23. 46% 10 6 7. 4% 2012 3 29 4 1989 8 The Harvard Medical Practice Study. H. H. Hiatt et al.. Special Report A Study of Medical Injury and Malpractice The New England Journal of Medicine 1989 7. 126

98609 27179 1 22. 2% 1 6 24. 4% 6 29. 6% 50% 22. 8% 50% 34. 4% 51. 3% 30. 7% 3. 7% 100 37000 27. 6% 16 5. 8 4. 17 127

1 2 3 4 2007 5 6 11 2 1 1 2007 2 2008 3 2009 2 2006 23 2009 6 3 2009 71 4 2010 5 5 2010 14 6 8 9 128

2016 3 16 1 2030 1. 16 N. 2017-02-23 6. 2 Li Jie. New generations of Chinese doctors face crisis J. Lancet 2012 379. 3 An Jingang. Which future for doctors in China J. Lancet 2013 382. 4 OECD. Policy Issues in Insurance Medical Malpractice prevention insurance and coverage options M. OECD PUBLISHING 2006. pp. 76-82. 5. M. 2000. 129-130. 6. J. 1992 1. 7. J. 2003 11. 8 Linda T. Kohn Janet M. Corrigan and Molla S. Donaldson. TO ERR IS HUMAN Building a Safer Health System M. National Academy Press 2000. pp. 26-27. 9 Richard A. Posner. Economic Analysis of Law M. Aspen Publishers 2007. pp. 203-204. 10. M. 2001. 389. 11. J. 1999 62. 12.. M. 2000. 238-239. 13. J. 2011 2. 14. M. 1999. 76. 15. J. 2008 24. 16.. M. 2006. 57-59. 17. J. 2017 8. 19 230 1 2014 See The Lancet. Violence against doctors Why China Why now What next Lancet 2014 383. 129