论医疗损害赔偿责任中因果关系理论

On the Causation Theory in Liability for Medical Damage Compensation

医疗损害赔偿责任中因果关系的特殊性决定了应当采用英美法上的二分法因果关系理论,即从事实上因果关系和法律上因果关系两个层面进行认定。事实上的因果关系应当运用医学科学原理进行科学判断,法律上的因果关系应当在相当因果关系理论和可预见性理论的指导下依据法律法规进行认定。正确理解和运用与其相关的因果关系理论,对公正合理地裁决医疗损害赔偿诉讼案件具有重要的理论意义。

The causation theory in the medical damage compensation adopts the Dichotomy Theory of the Anglo-American law, that is, the causation can be divided into the factual causation and the legal causation. The factual causation should be judged by the medical science, while the legal one should be judged by the legal regulations with the help of the related causation theory and the prospective damage theory. How to correctly understand the relative causation theory and adopt it has a great theoretical significance of resolving the lawsuit cases of the medical damage compensation rationally and justically.