病案质量对医疗纠纷诉讼的影响

The Effect of Medical Record Quality in Medical Litigation

本文总结了医疗纠纷的现行解决方式,明确了诉讼作为解决纠纷最终途径的权威性,阐述了医疗纠纷鉴定从偏重医疗鉴定到《侵权责任法》后偏重司法鉴定的原因与现存鉴定制度不统一的危害,描述了医疗纠纷的攀升现状以及病案质量缺陷损害医疗纠纷中的其证据地位的原因与过程,甚至病案质量本身也成为了医疗纠纷的缘由之一。其对于诉讼结果的影响也从不明显,直到直接影响责任大小的过程。进而总结了现阶段医疗纠纷诉讼中病案质量的研究多集中于分析科室分布、纠纷成因、解决机制等方面,提出下一阶段应将诉讼中病案质量需达到何种程度,能发挥何种作用。

This article summarizes the existing solutions of medical dispute, confirms the ultimate authority of litigation, explains the reason and the transformation from technical appraisement to forensic expertise and the harm of disunity, and then describes the process of responsibility assignment influenced by medical record quality defect which changes from trivia to key point, even the cause of medical litigation, then summarizes the current researches of medical dispute focusing in the description of distributions, causes and solutions.However, which is the satisfactory quality of medical record in medical litigation should be the focus of research in the next phase.