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案例分析:长期住院是否过度行为?

发布时间:2017-10-18 来源:嘉昊律师事务所

案例分析:长期住院是否过度行为?

              判决要旨  

       SHANGZHECHAOCHUHELIXIANDUZHANGQIZHUYUAN,SHIGUODUYILIAOXINGWEIDEYIZHONGBIAOXIANXINGSHI。DUICIKEYICONGLIANGGEFANGMIANZHESHOUJINXINGPANDUAN:


YISHIFENXIZHUYUANSHIJIANYUSHANGQINGCHENGDUSHIFOUXIANGCHENG;


ERSHIXIANGJINGZHIYIYUANHEYISHENGDIAOCHAXIANGGUANQINGKUANG。


通  过  案  例  ................

案情简介】

       2015NIAN10YUE26RI,BEIGAOWEIMOUJIASHIGANA78U65CHELIANGZAIWANLIQUMOPANSHANNANLUYOUDONGXIANGXIDIAOTOUSHIYUANWAIRENLIMOUJIASHIDEDIANDONGCHEFASHENGPENGZHUANG,ZAOCHENGDACHENGZAIDIANDONGCHEHOUZUODEYUANGAOGAOMOUSHOUSHANG、DIANDONGCHESHOUSUNDEJIAOTONGSHIGU。


        JINGJIAOJINGBUMENRENDING:WEIMOUFUBENCISHIGUDEQUANBUZEREN,LIMOU、GAOMOUBUFUBENCISHIGUZEREN。


      GAOMOUZHUYUANZHILIAO320TIAN,CHUYUANZHENDUANWEISHUANGXIBANYUEBANSUNSHANG,ZHUYUANFEIYONGJIN8WANYUAN。JINGJIANDINGWEISHANGCANSHIJI,SHEANCHELIANGGANA78U65ZAIZHONGGUODADICAICHANBAOXIANGUFENYOUXIANGONGSINANCHANGZHONGXINZHIGONGSI(YIXIAJIANCHENGDADIBAOXIAN)TOUBAOLEJIAOQIANGXIANJI50WANYUANBUJIMIANPEISHANGYESANZHEXIAN。GAOMOUXIANGFAYUANQISU,YAOQIUPANLINGBEIGAOWEIMOU、DADIBAOXIANGONGTONGPEICHANGYILIAOFEI、SHANGCANPEICHANGJINDENGFEIYONGGONGJI23WANYUYUAN。


       YISHENQIJIAN,CHENGBANFAGUANJIUGAOMOUZHUYUANZHILIAOQINGKUANGXUNWENQIJINGGUANYISHENGDEZHI:GAOMOUZHUYUANSHUSHI,BUCUNZAIGUACHUANGXIANXIANG,YISHENGGAOZHIGAOMOUZHUYUANZHILIAOYIYIBUDA,GAOMOUWEIJIESHOUYISHENGJIANYI,YINGAOMOUANSHIJIAOFUZHUYUANFEI,WEILECHULIHAOYIHUANGUANXI,YIYUANMEIYOUQIANGXINGZELINGGAOMOUCHUYUAN。



 【裁判】

        JIANGXISHENGNANCHANGSHIWANLIQURENMINFAYUANJINGSHENLIRENWEI,YUANGAOZAIZHUYUANQIJIANDEGEYUEFENSUOFASHENGDEZHUYUANFEIYONGSHUEBUCUNZAIYICHANG,FAYUANYIZHIQUANDIAOQUDEYUANGAOTIWEN、MAIBO、HUXIDENGSHENGMINGTIZHENGBINGLIJILUGUOCHENGWANZHENG,NANYIZHENGMINGGAOMOUCUNZAIGUACHUANGXINGWEI,DADIBAOXIANTICHUYUANGAOGUACHUANGXINGWEIQUEFASHISHIYIJU,QIKANGBIANGUANDIANBUCHENGLI。

       CANZHAOGONGANBUBANBUDE《RENSHENSUNHAISHOUSHANGRENYUANWUGONGSUNSHIRIPINGDINGZHUNZE》GUIDING,SHOUSHANGZHEGUANJIEBUWEISUNSHANGWUGONGSHIJIANBIAOZHUN:GUANJIERENDAISUNSHANGWEI70RI,ZHUYAOJIJIANDUANLIEWEI70RI,ZHITILIDUANWEI90RI。YUANGAOBEIZHENDUANWEISHUANGXIBANYUEBANSUNSHANG,ZHUYUAN320RI(ZHUYUANSHIJIANZHISHAOBUDAYUWUGONGSHIJIAN),YUSHANGSHUBIAOZHUNXIANGBI,MINGXIANGUOZHANG,GUYUANGAOCUNZAIGUODUYILIAOQINGKUANG,EWAIJIAZHONGLEPEICHANGZERENRENDEFUDAN,YOUSHIGONGPING,GUGAOMOUDUIQIGUOCUOKUODADESUNSHI,YINGCHENGDANXIANGYINGDEZEREN。GAOMOUWUGONGQI、HULIQIHEYINGYANGQIJUNZHUODINGWEI150TIAN,GAOMOUCHAOQI170TIANDEZHUYUANQIJIANSUOCHANSHENGDECHUANGWEIFEI、HULIFEI、KONGDIAOQUNUANJIANGWENFEIHEJI8000YUYUAN(BAOHANZAIZHUYUANFEIYONGZHINEI),YOUGAOMOUZIDAN。DUIGAOMOUCHAOQI170TIANJISUANCHULAIDEZIQINGRENYUANHULIFEI、ZHUYUANHUOSHIBUZHUFEI、YINGYANGFEIHEWUGONGFEI4.2WANYUYUANYEYINGZUOXIANGYINGKOUJIAN。JUCIZUOCHUYISHENPANJUE:DADIBAOXIANZAIJIAOQIANGXIANJISHANGYESANZHEXIANXIANEFANWEINEIPEICHANGGAOMOUGEXIANGSUNSHI15WANYUYUAN。


       YUANGAOGAOMOUBUFUTIQISHANGSU,SHANGSUQIJIANGAOMOUSHENQINGCHESU。JIANGXISHENGNANCHANGSHIZHONGJIRENMINFAYUANERSHENCAIDING:ZHUNYUGAOMOUCHEHUISHANGSU。YISHENPANJUESHENGXIAO。

    


【评析】


      GAOMOUZHANGQIZHUYUANNENGFOURENDINGWEIGUODUYILIAOXINGWEISHIBENANCHULIDEGUANJIANSUOZAI,DUICI,KEYICONGYIXIALIANGGEFANGMIANJINXINGFENXI:


      1.ZHUYUANSHIJIANDEZHANGDUANYINGDANGYUSHANGZHESUNSHANGCHENGDUXIANGPINGXING。YIBANERYAN,SHOUSHANGCHENGDUYUEZHONG,ZHUYUANSHIJIANYUEZHANG;FANZHI,ZEYUEDUAN。YISHENFAYUANYIJUGONGANBUBANBUDE《RENSHENSUNHAISHOUSHANGRENYUANWUGONGSUNSHIRIPINGDINGZHUNZE》XIANGGUANGUIDING,ZUOWEIPANDUANGAOMOUSUNSHANGXUYAOZHUYUANSHIJIANDECANZHAOBIAOZHUN。SUIRANZAIGAIPINGDINGZHUNZEZHONGWEINENGZHAODAOMINGQUEDAAN,DANKEYIZAIGAIPINGDINGZHUNZEZHONGZHAODAOYUGAOMOUSUNSHANGZUIXIANGLEISIDESANZHONGSUNSHANGJINXINGBIJIAO:GUANJIERENDAISUNSHANG、ZHUYAOJIJIANDUANLIE、ZHITILIDUAN,WUGONGSHIJIANFENBIEGUIDINGWEI70RI、70RI、90RI。QIANLIANGZHONGSUNSHANGJIGUANJIERENDAISUNSHANG、ZHUYAOJIJIANDUANLIEYUGAOMOUDESHUANGXIBANYUEBANSUNSHANG,NANYIPANDUANSHUQINGSHUZHONG,DANZHITILIDUANSUNSHANGHENMINGXIANZHONGYUGAOMOUDESHUANGXIBANYUEBANSUNSHANG,GAOMOUZHUYUANSHIJIANWEI320RI,SHIZHITILIDUANSUNSHANGWUGONGSHIJIANDESANBEIYISHANG,MINGXIANCHAOGUOHELIDEXIANDU。XIANYUYILIAOZHUANYEZHISHI,FAGUANDUIYUCILEIWENTIDEPANDUANKENENGYOUXIENANDU,KEFUDEFANGFACHUZIXUNYILIAOZHUANJIAWAI,HAIKEYIYUYIWANGLEISIANLIJINXINGDUIBI。BIZHECENGBANLIGUOJIAOTONGSHIGUSHANGZHESHANGCANPINGDINGWEISANJI、ZHUYUANSHIJIANJINWEI92TIAN(WUGONGQIQUEDINGWEI199TIAN)DEANLI,BENANGAOMOUSHANGCANPINGDINGWEISHIJI,ZHUYUANSHIJIANYUSHANGCANCHENGDU,TONGYANGYEMINGXIANBUCHENGBILI。


      2.RENHESUNSHANGDOUCUNZAIYIGEXIANGDUIQUEDINGDEYILIAOZHONGJIESHIJIANWENTI。SUOWEIYILIAOZHONGJIESHIJIAN,SHIZHISUNSHANGZHIRIZHIJINGZHILIAODADAOZHILIAOXIAOGUOWENDINGZHIRIDESHIJIANDUAN,YILIAOZHONGJIESHIJIANDEXIANGDUIQUEDINGYIWEIZHEZHUYUANSHIJIANDEXIANGDUIQUEDING(YILIAOZHONGJIESHIJIANDENGYUZHUYUANSHIJIANJIASHANGBIYAODEMENZHENSHIJIAN)。YOUYUYILIAOZHONGJIESHIJIANDUIYUMEIGERENCUNZAIYIDINGDEGETICHAYI,YINERYAOJIEHEJUTIQINGKUANGJINXINGZONGHEFENXI。YIYUANFANGMIANWUYIDUIYUSHANGZHESHANGQING、XUANZEHEZHONGZHILIAOFANGANYIJIXUYAODUOZHANGDEZHUYUANZHILIAOSHIJIANZUIWEILEJIE。YINCI,FAYUANXIANGSHANGZHEDEZHENLIAOKESHIYOUQISHIJINGGUANYISHENGJINXINGDIAOCHAJIYOUBIYAO。GAOMOUJINGGUANYISHENGFANYINGYIGAOZHIGAOMOU:ZHUYUANZHILIAOYIYIBUDA,YINGAOMOUANSHIJIAOFULEZHUYUANFEI,YIYUANMEIYOUQIANGXINGZELINGGAOMOUCHUYUAN。YIYUANFANKUIYIJIANSHUOMINGGAOMOUZHUYUANCHAOGUOYILIAOZHONGJIESHIJIAN,BINGQIEGAOMOUZAITINGSHENZHONG,DUIQIZHANGQIZHUYUANSHIZHONGWEIZUOCHUHELIDEJIESHI,YINCI,GAOMOUZHANGQIZHUYUANSHUYUGUODUYILIAOXINGWEI。


ZONGSHANG,YISHENFAYUANYIJUBEIQINQUANRENYINGDUIQIGUOCUOCHANSHENGDESUNSHIZIDANDEFALVGUIDING,JIEHEBEIGAODADIBAOXIANKEYIJIESHOUDEDIXIANYIJISHANGZHEXIANGDUIRUOSHIDIWEI,JIANGGAOMOUHELIDEZHUYUANSHIJIANZHUODINGWEI150TIAN,CONGERZUOCHUJIAOWEITUODANGDEPANJUE。

┃来源:最高人民法院司法案例研究院

┃案例编写人:江西省南昌市湾里区人民法院 李智辉

┃原标题:长期住院是否属于过度医疗行为的司法认定——江西南昌中院裁定高某诉魏某等机动车交通事故责任纠纷案



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