医疗纠纷中病历存在瑕疵问题之研究

On the Blemishes of the Case Histories in Medical Tangle

医患双方因医疗行为发生纠纷诉至人民法院后,对病历中存在改动、添加的痕迹,医方和患方会持截然相反的观点。医院认为这是正常的修改,对医疗行为的正确性没有影响。而患方会认为,这是医疗行为错误或违反卫生法律法规给患者带来损害后,医方为逃避承担责任,而采取的补救措施,是篡改病历,掩饰自己的过错。这样的证据摆在法官面前,无论法官作出怎样的内心确认,法院作出怎样的裁判,都可能使一方甚至双方内心永远留着痛。

In civil trial, the doctor and the patient dition in the case histories. The doctor insists that the often hold dissenting opinion on the tracks of change and adnormal correction will not influence the validity of medical treatment, while the patient believes that the doctor changes the case history to conceal the malpractice. No matter what judicial decision will the judge make, both parties might suffer an everlasting psychological damage