医疗损害赔偿诉讼的举证责任分配与诉讼时效——孟某诉鲁西Y县人民医院医疗损害赔偿案案例分析

On the Allocation of Burden of Proof in Medical Damage Compensation Accusation and Its Statute of Limitations——Case Analysis on the Medical Damage Compensation Case of Meng A 's Accusation of Y County People's Hospital in the West of Shandong Province

医疗损害赔偿纠纷案件中的举证责任分配,首先应由患者就侵权行为及其损害后果承担举证责任,同时还应就医疗机构存在过错承担初步的举证责任,而医疗机构需要就医疗行为与损害结果之间不存在因果关系或不存在医疗过错承担证明责任。如果医院以"丢失"等为由而拒不提供病例等证据,则可以推定医院有过错,其应承担不利后果。请求护理费的诉讼时效应自护理费用发生后、具体损失数额确定时起算,即自当事人经治疗终结出院时计算;而残疾赔偿金和精神抚慰金的诉讼时效应在医疗损害鉴定确定了损害及其大小后才能起算。

The allocation of burden of proof in medical burden of proof for the infringement behaviors and the damage damage medical institutions＇ malpractice as well. While medical relationship between medical behaviors and damage compensation cases means patients bear the consequences, and the initial burden of proof for institutions shall bear the burden of proof for no causal consequences, or no medical fault malpractice.If hospitals refuse to provide evidence such as cases for the reason of losing, they can be presumed to have malpractice and shall bear the adverse consequences. The statute of limitations to the demand for care services compensation begins with the beginning of care services, and the paying of specific amount of money, i.e. it should be calculated after the patients are cured and leave the hospital. While the statute of limitations to disability compensation and emotional distress can be calculated after medical damage appraisal and the determination of the damage and its degree.