医疗诉讼证据“协力义务”取代“举证倒置”之探讨

Discussion on "coordination obligations" replacing "rebuttal burden of proof " in medical lawsuit

医疗举证责任倒置设置是基于医方的信息优势,而医学是一门不确定的科学,医疗合同、医疗内容、经验法则都具有一定的模糊性,单一的"举证责任倒置"制度在纠正医患双方举证能力不平衡的同时,却造成了责任分配与风险负担的不平衡。纠正医疗举证责任倒置的偏差,就是要加大医疗机构举证的"行为责任",但不加大医疗机构举证的"结果责任",因此应当引入"协力义务"替代举证责任倒置。

Rebuttal burden of proof in medical malpractice is set on the basis of the information superiority of the medical institutions,however,medicine is a science of uncertainty that the medical contracts,medical contents and rules of thumb are somewhat ambiguous,the single system of ＂rebuttal burden of proof ＂ in China has effectively corrected the imbalance of evidential burden capacity between the doctors and patients,however,it has resulted in the imbalance between the allocation of responsibilities and risk burden.To correct the deviation of rebuttal burden of proof in medical malpractice is to increase the medical institutions＇ responsibility for evidential burden but not ＂accountability＂ for evidential burden,therefore,＂coordinative obligations＂ should be introduced to replace the inversion of evidential burden.