本文關(guān)鍵詞： 醫(yī)療技術(shù)損害責(zé)任 因果關(guān)系 證明標(biāo)準(zhǔn) 事案闡明義務(wù) 摸索證明　出處：《南昌大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：2010年《侵權(quán)責(zé)任法》的頒布,將醫(yī)療侵權(quán)責(zé)任明細(xì)為三種:醫(yī)療技術(shù)損害責(zé)任、醫(yī)療倫理?yè)p害責(zé)任和醫(yī)療產(chǎn)品損害責(zé)任。三者于司法實(shí)踐中,以醫(yī)療技術(shù)損害責(zé)任的認(rèn)定最為棘手,其癥結(jié)恰在該責(zé)任構(gòu)成之因果關(guān)系要件的證明。通過(guò)立法分析與實(shí)證考察可以得出醫(yī)療技術(shù)損害責(zé)任因果關(guān)系證明的現(xiàn)實(shí)困境主要表現(xiàn)為:證明對(duì)象內(nèi)涵不一、證明責(zé)任負(fù)擔(dān)主體之立法與司法的莫衷一是、患方證明標(biāo)準(zhǔn)過(guò)高至舉證負(fù)擔(dān)過(guò)重、證明責(zé)任裁判泛濫。面對(duì)上述困局,筆者對(duì)域外醫(yī)療證明制度進(jìn)行了深入的研究,并結(jié)合我國(guó)具體情況,提出了相應(yīng)的對(duì)策:醫(yī)療技術(shù)損害糾紛中的因果關(guān)系在法律上應(yīng)屬相當(dāng)因果關(guān)系;在對(duì)證明對(duì)象有了明確統(tǒng)一的內(nèi)涵界定前提下,摒棄現(xiàn)有立法對(duì)證明責(zé)任寄予“一勞永逸”之不切實(shí)際的期待,正確辨析證明責(zé)任與舉證責(zé)任,在堅(jiān)持因果關(guān)系之證明責(zé)任由患方承擔(dān)的同時(shí),以圍繞患方之具體舉證減負(fù)為中心,建構(gòu)促進(jìn)因果關(guān)系信息最大化的精細(xì)配套證明制度——降低患方證明標(biāo)準(zhǔn)并進(jìn)行有條件的因果關(guān)系推定,課予醫(yī)方事案闡明義務(wù)并賦予患方摸索證明。雙向調(diào)節(jié),共同推進(jìn)案件信息的明晰。筆者相信,憑借配套制度的合力作用體系性解決醫(yī)療技術(shù)損害責(zé)任因果關(guān)系的證明困境,遠(yuǎn)比僅依賴(lài)證明責(zé)任制度對(duì)該難題的破解,更扎實(shí)有效、更現(xiàn)實(shí)可行。
[Abstract]:In 2010 the "tort liability law" promulgated, the details of the medical tort liability into three kinds: medical liability, medical ethics and medical malpractice liability product liability for damage. Three in judicial practice, the identification of medical malpractice liability technology difficult to prove, the crux of the problem in the liability of causation the analysis and empirical study. Through the legislative predicament that medical technology can damage liability of proof of causation is mainly as follows: the connotation of the object of proof a proof of the legislative and judicial responsibilities subject unable to agree on which is right of the patient to the high standard of proof burden overweight, the burden of proof the flooding. Face the dilemma, the author of the foreign medical that system is studied, and combined with the specific situation in China, put forward the corresponding countermeasures: the causal relationship between the medical technology damage disputes should be relatively in law When the causal relationship; with the connotation of the object of proof of the unified definition of the premise, to abandon the existing legislation on the burden of proof placed "once and for all" unrealistic expectations, correct discrimination of burden of proof and burden of proof, in the proof of the relationship between adhere to bear the responsibility by the patient at the same time, in order to focus on the specific patient burden of proof as the center, promote the construction of the causal relationship between the information maximization fine supporting proof system to reduce patient standard of proof and presumption of causality conditions, the class to the medical case to clarify the obligations and give patients felt proof. A two-way adjustment, to jointly promote the case information clear. I believe that with the joint force supporting system the system solve the predicament of medical technology causality, far more than only depends on the system of burden of proof of the crack problem, more effective, more realistic.

【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：D923

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本文編號(hào)：1504872