"人"概念的拓展:现代医学与医疗过失罪状之互文
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作者单位:

南开大学法学院,天津 300350

作者简介:

李丞铭(2002—),男,黑龙江鸡西人,博士研究生在读,研究方向为医事刑法学,通信作者,nkulcm@163.com。

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R-05;D924.3

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天津市法学会应用法学分会应用法学理论与实践研究课题一般项目"安全生产领域过失犯的归责逻辑与预防进路研究"(2026-ALKT-WZZ-003)


Expanding the concept of "human": intertextuality between modern medicine and medical negligence charges
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School of Law, Nankai University, Tianjin 300350 , China

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    摘要:

    在现代医学场景下,《中华人民共和国刑法》第335条医疗事故罪中"医务人员"与"就诊人"的二元定型化概念面临严峻的解释困境。基于现代医学与刑法规范的"互文"视角,新型医疗模式导致义务主体身份模糊与行为对象属性异化,进而引发罪责刑失衡与法益保护缺位。对此,采用整全论功能主义的刑法解释路径,突破传统的身份标签与诊疗目的限制,将"医务人员"界定为具备专业资质并实施实质医学干预的主体,将"就诊人"界定为接受医学干预并承受其特定风险的主体。通过对药物临床试验、医疗美容及预防性干预等典型场景的检视,这一重构有效划定了医疗事故罪与非法行医罪、普通过失犯罪的界限,实现了对医疗创新激励与生命法益保护的平衡。

    Abstract:

    In modern medical contexts, the conventional binary conceptualization of healthcare professionals and patients under Article 335 of the Criminal Law (Medical Malpractice) faces significant interpretive challenges. From an intertextual perspective between modern medicine and criminal law, emerging scenarios such as clinical drug trials, precision medicine, and medical aesthetics have blurred the identities of duty and alienated objects of conduct, resulting in imbalances in culpability and punishment and insufficient protection of legal interests. In response, adopting a holistic functionalist approach to criminal law interpretation moves beyond traditional identity labels and limitations on therapeutic intent. Under this approach, it redefines healthcare professionals as individuals with professional qualifications who perform substantive medical interventions, and patients as individuals who undergo diagnosis and bear the risks of medical intervention. By examining typical scenarios like clinical trials, medical aesthetics, and preventive interventions, this reconstruction effectively clarifies the boundaries between medical malpractice, illegal medical practice, and ordinary negligence, balancing the promotion of medical innovation with the protection of life as a legal interest.

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李丞铭,罗晴."人"概念的拓展:现代医学与医疗过失罪状之互文[J].南京医科大学学报(社会科学版),2026,26(5):548~554

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  • 收稿日期:2026-04-14
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  • 在线发布日期: 2026-11-02
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