论医患纠纷损害赔偿范围的确定——对《医疗事故处理条例》第49条的质疑

Determine the extend of compensation association with medical dispute——call in question to the section 49 of the The rule of medical accidents settle

《医疗事故处理条例》与民事法律原则以及审判实践的冲突 ,造成当前患者获得司法救济的困难 ,同时法官在审判中遭遇诸多难题。本文通过解释医疗损害方面的概念 ,引用最新的案例 ,对国内相关法律的比较分析 ,以及论述鉴定对裁判的不当影响 ,从几个角度对“不属于医疗事故不赔偿”观点进行否定。并针对医学会鉴定的缺陷 ,提出法官审理案件中 3种可行的方法 :限制鉴定机构的权限 ;事故鉴定结论仅为证据 ;司法鉴定、医学会鉴定、法官共同判断侵权事实。

There are contradictions between “The rule of medical accidents settle” and the principle of civil law and the judicial practices, so that some difficulties was caused for the patience when they try to obtain the judicial remedies, while the judges face the very similar problems. This essay tries to disavowal the view “no medical accident no compensation” by explaining the concept of medical malpractice, citing the very lately judicial practices, comparing the relevant domestic laws as well as discusses the improper infection of the evaluation to the judgment. Besides, this essay brings forward three kind of viable measures: restrict the limits of authority of the medical academy evaluation; conclusion of accidental evaluation is only a kind of evidence; the judicial expertise; medical academy evaluation and judge himself can identify the tort facts.