医事犯罪中的因果关系判断——以疾病进程为考察要点

Judgment of Causal Relationship in the Medical Crime——From Disease Process

医事犯罪中的因果关系基本遵循条件说。但是,基于医疗技术的特殊性,在判断因果关系成立与否时,需要从循证医学的角度,明晰疾病进程这一因素的重要性。具体来说,需要考察疾病的进程是否进入不可逆期,了解疾病有无公认的积极治疗方式,明确客观上是否不能实施治疗行为,确证治疗与否或者不同时期的治疗对于疾病的伤亡几率降低有没有显著性差异。

.Causal relationship judgment of Medical Crime follows condition theory. However, based on the particularity of medical technology, the importance of disease process should be clarified when judging causation relationship from the point of view of evidence-based medicine. Whether the disease has evolved into irreversible stage should be reviewed and the widely accept- ed. Active treatment of the disease should be explored so as to ensure that no treatment could be done. Moreover, whether the difference between treatment and non-treatment, and the difference among treatments of different period significantly reduce causalities.