BAN VE DU AN LUAT BOI THUdNG THIET HAI VA GIAI QUYET TRANH CHAP TRONG HOP DONG DjCH vy KHAM, CHiTA BENH THEO PHAP LUAT VIET NAM Dinh Thj Thanh Nga* *TS Khoa Luat Trudng DH Sai Gon Thdng lin baj vii-t: Tit khda; Hgp ding dich vy khira, ch&a b^nh; trdch nhi^m boi thudng thi^t h^i; giai quy^t tranh chip Ljch su bdi viei N h ^ b&i Bien t | p Duy?t bAi 19/02/2020 04 03-2020 08/03/2020 Article Infomatlc n: Key words; Service contract on medical examina ion and treatment; liability for daitlage compensation; dispute senlement Article Hi.slory Received Edited Approved 19 Feb 2020 04 Mar 2020 08 Mar 2020 Tom tit: "** LAP / PHAP_/S610(410}-T5/2O2O - I , L I.' L Ab-ilract: Medical examination and treatment activities are established in the fonn of service contracts between the patients and medical examination and treatment units In particular, the liability to pay for damages and settle disputes in the contract must comply with the general provisions of the civil law with special characteristics This article presents the current status of Vietnamese law and suggested recommendations for further improvements of the law on these issues I Trdch nhi^m boi thu^g thi^t hai hpp dong djch vy kham, chira benh Dich vy kham chiia bpnh (DVKCB) anh hudng tryc tiep den sire khoe ngudi va ludn an chira nhung nii ro khdng the kiem soat dupc Vi vay, chira bpnh md ngudi bpnh phdi gdnh chiu cac thipt hai thi bdi thudng ludn la npi dung dupc chii y La mpt loai hpp ddng dan sir, hpp ddng dich vy kham chiia berth (KCB) ciing chiu sy dieu chinh ciia Bp ludt Dan sy (BLDS), bao gdm bdn can cii: cd thipt hai thyc te phat sinh, cd hdnh vi vi pham nghia vy, cd ldi, cd mdi OC iNOHilN etni , Ho?t dpng khdm, chua b$nh du(?c thi^t l^p d^'J'.Wjh thuc hpp d^ng djch vv gifia ngudi b?nh vk ca sd khdm chua b^nh Trong trtch nhi^m b6i thirdng thift h?i vd giai quyet tranh chfip irong hgp d6ng phAi tuan thii nhiing quy djnh chung cua phdp lull dan 5v nhung cung c6 nhirng diem d^c ihii Bdi viet trinh bdy th\rc Ir^ng quy djnh ctia phdp lu^l Vi?t Nani vd nhung ggi y hodn thJ?n cdc quy djnh cua phdp lu^t ve van de ndy quan h? nhan qud giiia hanh vi vi ph?im nghia vu vdi thipt hai thuc te a) Hdnh vi vi phgm nghia vu ldm phdt sinh trdch nhiim boi thu&ng Van de can xac dinh Id hdnh vi vi ph^m nghia vu hpp ddng dich vu KCB Id hanh vi nao va trdch nhipm bdi thudng tinh mang, site khde ngudi b?nh bi xam pham qua trinh thyc hipn hpp d5ng Id bdi thudng vi pham hpp ddng hay ngoai hpp dong Cd th^ cho rang, day la boi thudng thipt hai ngodi hpp dong vi cdc ben chi cd thoa thuan ve vipc KCB vd thu lao md BANVE DUAN LUAT KBCB, tai bien la "hdu qud gdy tdn hgi din khdng cd thod thu|in ve cdc vdn de khac Vi dy, doi vdi ngudi hdnh nghe, vipc xam pham sue khoe tinh mgng cua ngu&i bpnh sai tinh m^ng, sue khoe ciia bpnh nhan Id trudng sot chuyin mdn ky thudt lrong KCB hogc rdi hpp '"ngu&i ndo ldi cd y hogc vo y xdm ro xdy ngodi y mudn KCB mgc du phgm din tinh mgng sue khoe, danh dtr, ngu&i hdnh nghi dd tudn thu cdc quy dinh nhdn phdm, uy tin, tdi sdn, quyin, l(ri ich hprpchuyin mon ky thugt Neu tai biln xdy md phdp khdc cda ngudi khdc md gdy thiet hai ngudi hdnh nghe khdng cd sai sdt chuyen thi phdi boi thuang" (Bihi 584 BLDS nam mdn thi khdng phat sinh trdch nhipm bdi thudng thi?t hgi 2015), nen phdi dp dung can cii ve trdch nhi?m boi thudng ngodi hpp ddng de dn dinh Xdc dinh sai sot chuyin mon ky thudt trdch nhipm b^i thudng Nhimg cung cd the Bdi thudng cd sai sdt Id trudng hpp cho rdng, mgc dii khdng dupc cdc ben thoa dupc Ludt KBCB quy dinh rat cy the Dieu thu|in trudc nhung hanh vi vi pham nghia vy 76 Lugt KBCB nam 2009 quy dinh: "Truang lugt djnh cua ben KCB Id hdnh vi vi pham hpp xdy sai sdt chuyen mdn Ay thugt gdy hpp ddng tai biin cho nguoi bpnh hogc cdc truang Theo chiing tdi, bSn cung cap dich vy tdt hpp tgi diim b Diiu 73 cua Lugt thi doanh nghipp bdo hiim cd trdch nhipm bdi thu&ng yeu phdi thyc hipn hpp dong vdi day dii thipt hgi cho ngudi bpnh theo hpp dong bao nhirng nghia vy lugt djnh Ngudi bpnh vd hiem da ky vdi co sd KCB, neu ca s& KCB ben cung iing KCB deu cd cdc quySn va nghTa vy tuong iing vdi vdi tu each la chua mua bdo hiim thi phdi ti^ boi thu&ng" cdc di^u khodn thudng 1? (dupc phdp lugt Theo quy dinh ciia khodn Dilu 73 quy djnh sdn, giao ket dupc coi la mac Ludt KBCB, ngudi hdnh nghe dupc xac nhien thira nhgn) dudi hinh thiic hpp dong dinh Id cd sai sdt chuyen mdn ky thugt NghTa vy phdp ly cua co sd KCB cdn bao cd mpt cdc hdnh vi; vi phgm trdch gom ca vipc td chiic vipc cap cuu, kham nhipm cham sdc, dieu tri ngudi bpnh; b?nh kip thdi, bdt bupc chuyen co sd KCB vi pham cac quy dinh ve chuyen mdn ky {Di^u 53 Lu^t Khdm bpnh, chiia bpnh nam thuat vd dao dire nghi nghipp; xdm phgm 2009 - Lu^t KBCB); ngudi hanh nghi quyen ciia ngudi benh thyc hi§n KCB tai cdc co sd KCB cdn cd Ngudi hdnh nghi chi dupc xdc dinh la nghia vy tuan thu cdc quy dinh vk chuyen khdng cd sai sdt chuyen mdn ky thuat mon ky thudt va dgo diic nghe nghipp, cac thupc mpt hai trudng hpp Mpt la, da nghia vy khdc dupc Luat quy dinh de dap thyc hipn dung cac quy 6\nh vl chuyen mon ling quyen ciia ngudi bpnh nhu giii bi mat ky thugt qud trinh KCB ma van xdy thong tin (myc chuang III Lugt KBCB) tai biln ddi vdi ngudi benh Hai la, Nhu vgy, vipc vi phgm mpt nhirng trudng hop cdp ciru nhtmg thiiu phuang tien, thilt bi ky thuat, thiiu ngudi hanh nghi nghTa vy Lu^t KBCB quy dinh cua mpt theo quy dinh cua phdp lugt md khdng thi cdc ben duac xem la hdnh vi vi pham khdc phyc dupc hoac benh dd chua cd quy hpp dong, se phdt sinh trdch nhipm bdi dinh chuyen mdn de thyc hien dan den xay thudng neu ben vi pham cd ldi cd y hoac vd y gay thipt hgi cho ben Trong dd, trudng tai biln ddi vdi ngudi b?nh; cdc trudng hap bdt kha khdng khdc dan din xdy tai hpp bien nhit dan d6n trach nhiem bdi thudng Id xdy tai biln cho ngudi benh biln ddi vdi ngudi benh (khodn Dieu 73 Luat KBCB) Theo quy dinh cua khoan 13 Dilu Lugt NOHltN CVU S610{410)-T5/202O\_LAP P H A P I Vf " ' BAN VE DU AN LUAT Nhu vay sai sdt chuyen mdn ky thugt ciing chinh Id hanh vi vi phgm cac nghia x'y ciia ngudri hanh nghe thyc hipn djch vy KCB Theo quy dinh ciia Dilu 73 Ludt KBCB, sai sdt chuyen mdn ky thugt phai Hpi ddng chuyen mon dupc quy dinh tai Dilu 74 va 75 ciia Lugt KBCB xdc dinh Hpi ddng chuyen mdn ngudi diing ddu co sd KCB thdnh lap thdi hgn ngdy Idm vjpc ke tir nhgn dupc yeu cau gidi quyet tranh chap, neu khdng ty thdnh lap dirpc thi de ngh] CO quan nha nude co tham quyen quan Iy ve y te qudn Iy tryc tiep thdnh lap Hdi ddng chuyen mdn Trong trudng hpp cac ben khdng nhat tri vdi kit lugn cua Hpi ddng chuyen mdn neu tren, thi cd quyen de nghj Bp Y tl thdnh Igp Hpi ddng chuyen mdn Trong thdi hgn 30 ngdy ke tir thdnh Igp, Hpi ddng chuyen mdn phdi hpp va mdi cdc ben lien quan tranh chap tham gia mpt sd phien hpp va phien ket lugn Thdnh phan ciia Hpi dong chuyen mdn bao gdm cdc chuyen gia thupc ITnh vyc chuyen mdn phii hpp, cdc chuyen gia cd lien quan den tai bien, lugt gia hogc lugt su Hpi ddng chuyen mdn hogt dpng theo nguyen tdc tgp the, quyet dinh theo da sd vd chju trach nhipm trudc phap lugt ve quyet djnh cua minh Cac tai biln cd ty Ip rdt cao tai benh vipn, nai KCB npi tni vd cd nhieu trudng hop bpnh ngng Cau hdi md du lugn thudng dgt Id: Hpi ddng chuyen mdn chinh b?nh vi?n Igp lipu cd thgt sy khdch quan ddnh gid hay khdng? Hien nay, chimg ta chua cd che tdi hoac co che kiem tra cu the nen cd mpt sd benh vien da dimg Hdi ddng khoa hpc ky thudt cua chinh dan vi minh thay cho vipc thdnh lap mdt Hpi ddng chuyen mdn dimg phan lu^* j ^ , ^^j gidi quyit tranh chdp t^'-"-;^^'^.''''!^} dupc thudng cd tai bien t^- ' , kh6„g„M Mv.ua , U ^ - H ; ; J ; ° « chuyen mon cap ca sa Bo i HOi d6ng chuyen m6n cap B^,0;j_, J phJn eo tham quyen d u a - ^ k t ' ^ i ^ ^ Cling ve sai sot chuyen mon Ky inu? Toa in, kk luan cua Hpi dong chuyen mon vin 14 can cir dS Toa in phdn quyet (Dieu 74 Luat KBCB) , , Tuy nhien day c6 mpt so van de djit ra: Thit nhat, khong nhit tri vcri ket lu|n cua Hoi d6ng chuyen inon cap ca sd, neu ngucri b?nh mu6n yeu cau Bp l?p HQI dong chuyen mon thi phai theo trinh, tv thii mc nao, vi se khong hpp phap ndu sii dvng thii tyc khiSu nai theo Luat Khieu nji (ip dyng cho quyet dinh hoac hanh vi hinh chinh) va Bp khong phii la co quan c6 tham quyen giii quySt tranh chip KCB (thim quyjn thupc T6a an) Tren thyc te, cic vu tranh chap thuang khong di theo trinh ty mi se qua Sof Y te, trudng hpp chua dupc giai quySt thi mcri den Bp Y te Thir hai, du Hpi ddng chuyen mon phii chju trich nhiem ve ket luan cua minh theo lu^t dinh nhung ket luan ciia Hpi dong chuyen mpn cip Bo dong thoi li kit luan cu6i cung yh sai sot chuyen mon ky thugt se rit kh6 di quy trich nhiem vi khong co co chi nao khai kien quyit dinh Vi thi, ca co ket luan cua Hpi dong chuyen mon thi nguoi benh van kho chap nhin va dem vu viec Toa an' Nam 2015, ba Duong Nggc Hucmg da kien B?nh vien Nguyen Tri Phuong sau phau Ihuat mjc dii phia Hpi d6ng chuyen mon cua b?nh vien da giai thich khong c6 sai s6t Vu vi?c cung da c6 kel luan ti, Hpi d6ng chuyen mon So Y ij TP.HCM va Bp Y ti ciing da hpp v4 ket lujn chi dinh kham, Chan doan va dieu trj cho ba Hucmg dung quy trinh Sau nam thu ly d6n 6/2018, Toi in nhan dan quan da dua vj, i„ ,, , j , ^^ https«moitre.vn'kien-benh-vien-vi-phau-thuat-chan-lanh-thanh-chan-que-20180601081141684,htm iniy cjpngay 1/6/2018 CUU j 38 HOHllN i J ^ PHAP^'S6lO(410)-T5/2020 BAN VE DU AN LUAT Mpt vi dy thyc te khdc cho thay, Tda so tham khdng sir dyng ket lugn ciia Hpi ddng chuyen mdn md sii dyng ket lugn giam dinh ciia Trung tam Phap y {Sd Y t6 TP.HCM) va cua Vipn Phap y qudc gia de ldm can cii xet xii vd tuyen Bpnh vipn FV thua kipn Trong dd, ket lugn ciia Hpi dong chuyen mdn ciia Cyc Qudn Iy KCB - Bp Y te igp phia bi don yeu cau khdng xdc dinh nguyen nhdn hi vong cua bfnh nhan la loi ciia ben KCB^ Mpt van de nua-tir thyc tien qua vy an ciia bdc sT Hodng Cdng Luong vdi ngudi chet chay than nhdn tao tai Bpnh vipn da khoa Hda Binh Mgc di» thipt hgi xdy KCB va diem mau chdt de ket dn bdc sT Luong la cd hay khdng sai sdt chuyen mdn ky thugt, nhung vai trd Hpi dong chuyen mdn ky thugt theo Lugt KBCB Igi hodn todn khdng dupc nhac den toan bO tien trinh to tyng Cdc y kien tir cdc nha chuyen mdn y te ciing khdng dupc xem xet^ Thgm chi cd Bp Y te da cd cdng van giri Toa dn va Vipn kiem saf, bdc sT Luang van bi ket dn nam tu tai phien toa phiic tham Mgc du Bdn dn da dupc tuyen nhung npi dung cua Bdn an van chua thgt sy thuyet phuc du luan, ke ca ngudi lan ngoai ngdnh y Tu thyc tiln neu tren, cd the ndi rang, Luat KBCB da cd hipu lyc tir nam 2012, nhung cho den nay, vi?c hieu va dp dyng van cdn nhiing khodng chenh ldn ca tir phia cac co quan nha nude O New Zealand, ngudi b?nh cd the khieu nai trye tiep ve sai sdt y tS vdi mpt Uy vien phy trach v§ siic khoe (The Health and Disability Commissioner), uy vien ndy se xem xet de hda gidi hogc chuyen den Hpi ddng y khoa qudc gia (Medical Council) niu thay cd dau hipu ciia sy vi phgm nghia vy hanh nghe* Tgi Hoa Ky, nhiing khieu ngi v6 bpnh vipn hogc bac sT sii dyng Medicare se dupc giri den Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO)* Anh, Canada, Hoa Ky deu cd quy dinh ve vi?c Y sT dodn (College of Physicians and Surgeons)' hogc Hdi ddng y khoa qudc gia (Medical Council, Medical Board) la noi tiep nhgn va gidi quyet cac khieu ngi ciia ngudi bpnh Hpi ddng y khoa hogc Y sT dodn vdi tu cdch hpi nghe nghi?p hogt dpng dpc lap, cd chiic nang cdp chiing chi hanh nghe, hudng dan va n/11/2019, TAND qu^n (TP HCM) raa phien tda so thara x6t xir vy tranh chap gi&a nguyen dan la nguiri than cy Nguyen Thj Can (mat 2011) vdi bj don la Benh vien FV Toa bupc hi don boi thuong 1,000 dong va xin loi, cai chinh cong kliai tren bdo chi; https://nld.com.vn/phap-luat/tbua-kien-benh-vien-fv-phai-boithuong-1000-dong-20191111212548301.htm) Tuoitre online, https://tuoitre.vn/giao-su-nguyen-gia-binh-hoang-cong-Iuong-ra-y-lenh-dung201901181906O0764.htm, truy cgip 18/1/2019; htlps://tuoitre.vn/gioi-y-khoa-gui-15-400-chu-ky-dongthuan-toi-phien-toa-xu-bac-si-luong-201S0506234535567.htm, truy cap 7/5/2018 Cong van so 2569 cua Bp Y tl gui TAND tinh Hoa Binh, VKSND tinh Hoa Binh cho rang tuyen phat bac sT Luong ve tpi v6 -^ Ikn chet ngucri la chua phii hgp, khong Cu yeu to cau tlianh tpi pham Bp Y te cho rSng trudng hpp t6a phiic tham vSn xac dinh tpi danh voi bac sT Lucmg se la "tien !? vo ciing nguy hiem, rat xdu" vk t^o tam iy bSt an cho cac nhan vien y tg ca nuoc Tuoitreonline, https://njoitre.vn/bo-y-tegui-cong-van-mat-clio-toa-phuc-tham-vu-bac-si-hoang-cong-luong-20190612105208281 htm, truy cap ngiy 12/6/2019 ht^://www.howtolaw.co/complain-about-a-doctor-392165 https://www.medicare.gov/claims-and-appeals/file-a-complaint/doctor-hospilal-or-provider/complaintsabout provideR.html#coIlapse-2379 https://www.cpsbc.ca/files/pdf/Complaints-Process-Vietnamese.pdf NOHltH Cl/U I QA S610(410)-T5/2020^LAP PHAP BAN VE DU AN LUAT quan ly hogt dpng chuyen mon giai quy^t c& khieu nai cua nguai b?nh doi voi nguoi hanh nghe de bao v? quyen lgi hgp phap ciia vien va quyen dugc huong s^ cham soc y te CO chit lugng cho nguoi b^nh Voi phan gom nhiing chuyen gia nhieu kinh nghi$m va co uy tin Onh v\rc y te, cac hpi nghe y dpc lap co dieu ki?n thuan lgi va nhanh chong tien hanh di^u tm va xem x6t hanh vi cua nguoi hanh nghe mgt each toan di?n hon mpt hgi dong lam thoi co quan nha nuac lgp Neu thiy co sai s6t, hpi dong nghe y co the xem xet ky luat, h^n che hanh nghe vi dua cac khuyen nghj de h ^ che nhirng sai sot tuong t\r cho cgng dong nhiing nguiri hanh nghe Ngoai ra, khong phai la ca quan quan ly nha nude, ho^t dgng cua hpi dong nghe y mang tinh khach quan va chuyen nghi&p hon c) Yeu to loi • ^^ Ben canh trach nhi?m bdi 'h'^'8 16i ciia ben Lu5t vi ph»m nghia nhu J trich d6ng khac, KBCB convv cho pWp nhi?m b6i thuong thif t h?i i^ c6 tha phdt sinh Mng can yeu to to- Wng mptsamrcmg hgp Theo quy dtnh cuakho^m , Dik 76 BLDS nam2015,.rich nhipm bo, thuong thiat h,i pha sinh ca tru6ng hpp cip cuu nhung thteu phuang ,ifn,thi^tbikythu4t,thiSu ngum hanh ngh^ theo quy djnh cua phap luat ma khong the khic phuc dupc hoac bpnh chua c6 quy dinh chuyen mon d6 thuc hipn dan den xay tai biin doi vdi ngucri bpnh; c4c trudng hgp bit kha khang khdc dan den tai bien dot vol ngudi bpnh NSu ngudi hanh nghe da thuc hipn cong vi?c vdi tit ca s\r tfci tam va mta thil day du cic quy tic chuySn mon va dao diic ngha nghipp thi mac du k& qua thit b) Thi^t hgi thuc te bji, hp phai dupc xem la da ho4n thdnh Theo quy tac ^p d^ng phap luat thong nghia vv cua minh va khong co ldi doi vdi thuong, vi?c xac djnh thi$t hai vi pham thipt hai xay hgp dong KCB phai dp dyng quy dinh ve boi N6u so vdi quy dinh chung cua BLDS ve thudng thi^t hai vi pham hgp dong Dieu bdi thudng vi pham hgp d6ng thi ro rdng 13 va Dieu 360 BLDS nam 2015 quy dinh c4c loai thi$t hid sau: (i) Thi?t hai vi pham day la mpt ngoai le va gan giong nhu boi thudng thiet hai ngoai hpp dong Nhiing thipt nghTa vy bao g6m thi?t h^i ve vat chat va hai md ngudi benh phai gdnh chiu tai bien thift hji vj tinh thin; (ii) Thi$t hai vi vat Id cd that, tham chi co thS rit nang ni va cdn chat la ton that v^t chat thyc te xac dinh phai dugc chia se, bu dip kip thdi KCB la dupc, bao gom ton that ve tai san, chi phi hoat dpng luon tiSm in nguy co khdng th6 hgp ly de ngan chan, han che, khac phuc dat kh qua nhu mong mudn va khdng thd thi?t h?i, thu nhap thuc te bi mat hoac bi kiSm sodt tuyet doi, tuong tu nhu "ngudn giam sut; (iii) Thiet hai ve tinh than la ton nguy hiSm cao dg" Do do, quy dinh thj that ve tinh than bi xam pham den tinh mang, siic khoe, danh du, nhan pham, uy tin hipn tinh nhan dao va phii hgp nguyen tic bdi thudng kip thdi, ciing di tang cudng trdch va cac lgi ich nhan than khac cua mgt chu nhiem cho ngudi hdnh nghe vd ca sd KCB the; (iiii) Theo yeu cau cua nguoi co quyen, viec nang cao chat lupng KCB Toa an c6 the bugc nguoi co nghia vu boi thuong thi?t hai ve tinh than cho nguoi co Khi CO sd KCB da mua bdo hijm thi quyen Miic boi thucmg Toa an quyet doanh nghipp bdo hiem bdi thudng theo hgp dinh can cii vao ngi dung vu viec ddng bdo hiem, chua mua bao hi jm thi An iNGHltN Cini / ^ ^ LAP PHAP^SA10(410)-T5/2020 BAN VE DU AN LUAT CO scr KCB phai tv boi thudng thiet hai Chinh phu da ban hanh Nghi dinh so 102/20ll/ND-CP ve bao hi^m trach nhi?m bat buQC KBCB Tuy nhien, quy dinh cho den chua th\rc sv dugc ap dung hi?u qua tren thvc te, kha nhieu ca scr KCB, c6 c^ cac ca so cong lap vin chua mua bao hiem trach nhifm ngh6 nghiep D6i vcri cdc dan vj cong l^p khoan chi lai chua dugc xep v^o khoan bat bugc d\r toan hdng nam dugc co quan quan ly ngan s^h phg duyf t hr hoa gidi ve ngi dung cua tranh chdp; tnrdng hgp hoa giai khong thi cdc ben tranh chap CO quyen khdi kifn tai Toa an theo diing quy dinh cua p h ^ luaL Tuy nhien, chung toi cho rdng, ngoai co chl giai quyit bdng tg hoa gidi vd Toa an, ddi vdi tranh chdp KCB cdn CO them phuong thuc gidi quyit tranh chap thong qua vai trd ciia ben thu ba Id hgi dong nghe y nhu nhieu nude dang dp dyng Vifc gidi quyet tranh chap bdi hgi dong nghe y se khdch quan, nhe nhang vd nhanh chdng hon cdch gidi quyet dam tuih hdnh chinh vdi sv tham gia cua Bg Y tl, Sd Y te moi co Giai quyet tranh ch^p hop dong tranh chap hi tai bien nhu hifn d nude ta djch vy khSm, chva bf nh Sv tham gia ciia cdc to chiic xa hgi ddn sv Di6u 80 Lu9t KBCB quy dinh; "Tranh nhieu trudng hgp se huu hifu hon sg chdp ve KCB Id tranh chdp liin quan din can thifp bdng cdc co quan qudn ¥/ nhd nude, quyen, nghia vg vd trdch nhipm KCB dac bift Id doi vdi cdc tranh chap dan sg, giiea cdc doi tupmg sau: ngu&i bpnh, nguai cd tranh chap vl KCB dgi dipn nguoi bpnh; ngu&i hdnh nghe; ca s&3 Kien nghi hodn thifn quy djnh cua KCB" Quan hf giGa ngu6i bfnh va ca so phdp ludt KCB dugc the hifn du6i hinh tbuc hgp dong a) Vi trdch nhiim bdi thuang thipt hgi djch vv, d6 nguai hdnh nghS tham gia Sua ddi Dilu 73 Ludt KBCB theo hudng vao quan hf nhan danh ca so KCB dk thuc thay cym tu "vi pham trdch nhifm hifn ho?it dgng KCB Da so cdc tranh chdp \e cham soc dieu tri ngudi bfnh" thdnh "vi KCB Id Uen quan d^n hgp ddng dich vu KCB phgm nghia vu cua ngu&i hdnh nghi doi v&i Trucmg hgp dien hinh ve tranh chdp Id nguoi bfnh ho^c d^i difn cua hg cho rSng, ngudi hdnh nghe ho^c co sd KCB da khong thvc hifn diing hogc day dii nghia vu ciia minh vd dan den tai biSn Tuy nhien, Lu^t KBCB lai khong quy dinh ve quyen khieu nai ciia nguoi sir dyng dich vu doi vcri ben cung cap Trong do, quyen khieu nai la mpt nhung quyen ca bdn ciia cong Han, dong thdi cung da Id quyen bien thuong mgi, dan sv vdi tu each la quyen ciia ngudi tieu dung Dieu 318 Luat Thucmg mai nam 2005 da ghi nhan quyen ngu&i binh " Bdi vi, ngudi hdnh nghe cung cap cdc thdng tin khdng ddy du ve cdc nguy CO thvc hifn phdu thugt dan din tai bien, hg da vi pham nghia vy tu vdn, cung cap thdng tin ciia ngudi hdnh nghe, neu xdy tai bien can dugc xem Id sai sdt chuyen mdn ky thuat b) Ve gidi quyit tranh chdp hpp dong dich vu khdm, chica benh Cdn siia ddi Ludt KBCB theo hudng: - Bd sung quy dinh quyen khieu nai ciia ngudi bfnh ddi vdi ca sd KCB; - Bd sung quy dinh ve hinh thiic gidi vi cdch thirc xir ly tranh chdp KCB, theo quyet tranh chdp thdng qua td chuc xa hgi Dieu 80 Luat KBCB cdc ben co trach nhifm nghi nghifp (Hdi ddng y khoa qudc gia) • NOHllN CVU I h-t ... d
toan hdng nam dugc co quan quan ly ngan s^h phg duyf t hr hoa gidi ve ngi dung cua tranh chdp; tnrdng hgp hoa giai khong thi cdc ben tranh chap CO quyen khdi kifn tai Toa an theo diing quy... mptsamrcmg hgp Theo quy dtnh cuakho^m , Dik 76 BLDS nam2 015,.rich nhipm bo, thuong thiat h,i pha sinh ca tru6ng hpp cip cuu nhung thteu phuang ,ifn,thi^tbikythu4t,thiSu ngum hanh ngh^ theo quy djnh... va Bp khong phii la co quan c6 tham quyen giii quySt tranh chip KCB (thim quyjn thupc T6a an) Tren thyc te, cic vu tranh chap thuang khong di theo trinh ty mi se qua Sof Y te, trudng hpp chua dupc