论侵权法上的医疗损害举证责任

发布时间：2018-03-14 18:33

本文选题：医疗损害责任　切入点：举证责任　出处：《云南大学》2015年硕士论文　论文类型：学位论文

【摘要】：《侵权责任法》的实施是医疗损害法律适用上新的里程碑。该法专章规定了医疗损害责任,确立了医疗损害新的救济规则,并将过错责任原则作为医疗损害基本的归责原则,成为立法上的一个亮点,目的在于通过调整举证责任分配来重构和谐的医患关系,平衡医患权益。但立法上也还存在不足,对医疗损害举证责任规定比较单一、医疗过错和因果关系认定困难,医疗鉴定制度不完善等,使得患者举证负担过重,对采取司法手段维权望而却步。基于此,立足于司法审判中面临的问题,本文对医疗损害举证责任制度进行探讨,具有实践指导意义,也期能为今后的研究奠定一定的理论基础。本文正文分为四个部分。第一部分阐述医疗损害责任的基本概述。首先对医疗损害责任的概念进行分析,厘清与之相关的概念,并立足于侵权法规定分析医疗损害责任类型,确定本文的讨论范围。第二部分论述医疗损害举证责任分配。首先解读举证责任及其分配的含义,介绍举证责任分配理论学说以及归责原则这一举证责任分配的理论基础。在此之上,分析我国各个时期对医疗损害举证责任分配的立法规定,并对国外相关规定进行介绍。第三部分分析医疗损害举证责任的完成。通过分析医疗损害责任构成要件,逐一论述当事人对各个要件需要举证证明的内容、证明的程度,其中重点论述“过错”和“因果关系”两个较难认定的关键要件。第四部分是对我国医疗损害举证责任的思考。在指出我国医疗损害举证责任存在的问题的基础上,提出细化医疗过错的判断标准、完善患方举证责任缓和制度、重构医疗损害鉴定制度、优化案件审判机制等四个方面的建议。
[Abstract]:The implementation of the Tort liability Law is a new milestone in the application of medical injury law. The special chapter of the law stipulates medical damage liability, establishes new relief rules for medical injury, and regards the principle of fault liability as the basic liability principle of medical injury. It is a bright spot in legislation to reconstruct the harmonious doctor-patient relationship by adjusting the distribution of the burden of proof, and to balance the rights and interests of the doctors and patients. However, there are still some shortcomings in the legislation, and the burden of proof for medical damage is relatively single. The difficulty of identifying medical fault and causality, the imperfection of medical appraisal system and so on, make the patient's burden of proof too heavy, and he is deterred from using judicial means to protect his rights. Based on this, he bases himself on the problems that he faces in the course of judicial trial. This paper discusses the system of burden of proof for medical injury, which has practical significance. This paper is divided into four parts. The first part describes the basic overview of medical damage liability. First, the concept of medical damage liability is analyzed, and the related concepts are clarified. The second part discusses the distribution of the burden of proof for medical damage. First, it interprets the meaning of the burden of proof and its distribution. This paper introduces the theory of the distribution of the burden of proof and the principle of imputation, which is the theoretical basis of the distribution of the burden of proof. On this basis, it analyzes the legislative provisions of the distribution of the burden of proof for medical injury in every period of our country. The third part analyzes the completion of the burden of proof for medical damage. Through the analysis of the constitutive elements of the liability for medical damage, it discusses the content and the degree of proof that the parties need to prove each of the elements one by one. Among them, two key elements, "fault" and "causality", are discussed emphatically. Part 4th is a reflection on the burden of proof of medical injury in our country. On the basis of pointing out the problems existing in the burden of proof of medical injury in China, Four suggestions are put forward, such as refining the judgment standard of medical fault, perfecting the system of mitigating the burden of proof of patients, reconstructing the system of medical damage appraisal, and optimizing the trial mechanism of cases.
【学位授予单位】：云南大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D923

【相似文献】