摘要
医疗保障服务协议不仅是经办机构与服务机构履行权利义务的规则,还是参保人享受医疗保障权益的基础。从理论基础、法律关系、运行机制三方面对我国医疗保障服务协议法学研究进行梳理后发现,学者们已经意识到医疗保障服务协议的功能和制度价值。研究热点集中在主体权利义务、协议订立与解除、违约责任等方面,并形成了一定的理论共识。同时,在服务协议法律性质界定、经办机构法律定位等方面存在不同的研究观点。总体来看,我国医疗保障服务协议的法学研究尚待深化,需要以实践问题为导向的体系性研究成果。展望未来,医疗保障服务协议的研究应当以参保人权益为本位,从社会法视角探寻法理基础,从契约规制视角健全运行制度。
The medical insurance service agreement is not only the rule of performing the rights and obligations of the agency and the service agency,but also the basis for the insured to enjoy the rights and interests of medical insurance.It can be found from theoretical basis,legal relation and operation mechanismthree aspects that the studies on legal scholars have realized the function and systemic value.The rights and obligations of the subject,the conclusion and termination of the agreement,the liability for breach of contract are the research hotspot.Some certain theoretical consensuses have formed.At the same time,there are different academic viewpoints on the definition of the legal character of service agreement and the legal orientation of the agency.On the whole,we need to dig deep into the legal research of medical security service agreement with practical problems.Looking to the future,the research on medical security service agreement should be based on the rights and interests of the insured,explore the legal basis from the social law,and perfect the operation system from the contract regulation.
出处
《盛京法律评论》
2022年第1期143-167,共25页
Shengjing Law Review
关键词
医保服务协议
法律属性
运行机制
系统协调
medical security service agreement
legal character
Operation mechanism
system coordination
