医疗行为二元属性之困惑——以澳门终审法院第23/2005号上诉案的争议为视角

Confusion about the Dual Attributes of Medical Behavior——A Perspective of the Disputes on Court of Final Appeal No.23/2005

澳门法将公立医疗机构看成是公共行政实体,是公共福利机构;将公立医院中的医疗行为定性为公法管理行为,而把私立医疗机构中的医疗行为定性为私法管理行为。因医疗行为属性的二元化,引发了不少司法上的争议。若医疗行为定性采一元化,法律适用可直接由民法典中的民事责任制度规范,不必通过4月22日第28/91/M号法令转介,这样,赔偿标准更容易达到统一;而且法院、法官、法律适用三者之间的关系都理顺了,司法判决也更为公正。

The public medical institute is regarded as the subject of public administration,as well as the public welfare institution in Law of Macao.Then medical behavior in public hospital is characterized as public management behavior,while as private management behavior in private hospital.The dual attributes of medical behavior,has caused a number of judicial disputes.If the medical behavior becomes unitary,the application of law can be directly standardized by civil liability system in civil law without referring April 22 decree No.28/91/M.As a result,the more unified of the standard of compensations,the more harmonious of the relationship among the court,the judge and the applicable objects of law,and the more impartial of judicial decisions will be.