论医疗损害鉴定制度之重构

Reconstruction of Medical Damage Appraisal System

《侵权责任法》的目标是建立一元的医疗损害责任制度,但仍未纠正鉴定双轨制的弊病,多头鉴定、重复鉴定等乱象依然制约着医疗纠纷及时、妥善地解决。我国应当在专业性、中立性的原则下重构医疗损害鉴定制度,将医学会专家鉴定纳入司法鉴定模式,以实现鉴定结论的科学性、权威性,并严格执行鉴定结论必须经法庭质证环节才能用作定案依据的规则,还原其证据属性。同时,应制定《患者权益保护法》、建立医疗意外救济等制度以维护患者权利,缓解鉴定制度的外部压力,构建和谐互信的医患关系,促进医学进步。

The goal of “tort liability act” is to establish a unified liability system .However ,since the existing of medical damage appraisal of double‐track , the medical disputes cannot be solved timely and properly . With the principles of professionalism and justice , a judicial expertise mode should be reconstructed in order to keep the scientific and authoritative nature of the expertise conclusion .The expertise conclusion without cross‐examination in the tribunal should not serve as basis for adjudication .In addition ,we should develop “patients right act” ,and establish the medical risk compensation system which fully respects and protects the patients right .Thus ,we can reduce the external pressure of the medical damage appraisal ,construct the harmonious doctor‐patient relationship of mutual trust and promote progress of medicine .