医疗损害案件举证责任分配研究

发布时间：2018-03-16 13:40

本文选题：举证责任分配　切入点：举证责任倒置　出处：《内蒙古大学》2014年硕士论文　论文类型：学位论文

【摘要】：诉讼成败的关键在于对证据的把握,举证责任的分配又是诉讼中关键的关键。医患关系的紧张,导致医疗损害案件纠纷的增加。但是,由于医患双方客观上地位的不平等,导致在诉讼过程中举证责任的不对等,使得患方很难维护自己的合法权益。虽然《侵权责任法》的实施对患方来说有着积极的作用,但是从实践上来说并没有平衡医患关系证明责任不对等的实际状况。本文采取案例分析方法、比较研究法、文献研究法、分析归纳法,从过错和因果关系的证明责任分配的角度出发,从最高人民法院《关于民事诉讼证据的若干规定》到《侵权责任法》变化过程分析其存在的问题,借鉴国内外经验,提出建立符合我国医疗损害举证责任缓和规则和相关辅助制度。该举证责任缓和是法官在定条件下对过错要件和因果关系要件动态分配的过程。对于过错要件的证明,只有在患方举证责任的承担上确实存有障碍,法官才将过错的证明责任转移给医方,否则将是对过错归责原则的违反。而因果关系要件的证明,患方只要证明达到表见证明的标准,使法官建立初步确立的内心确信,就可以将证明因果关系不存在证明责任转由医方承担。
[Abstract]:The key to the success or failure of the lawsuit is to grasp the evidence, and the distribution of the burden of proof is the key to the litigation. The tension between doctors and patients leads to the increase of disputes in medical injury cases. This leads to the unequal burden of proof in the course of litigation, which makes it difficult for the parties to defend their legitimate rights and interests. Although the implementation of the Tort liability Law has a positive effect on the patient, However, in practice, there is no actual situation of unequal burden of proof between doctors and patients. This paper adopts case analysis, comparative research, literature research, analysis and induction. From the point of view of the distribution of the burden of proof of fault and causality, this paper analyzes the existing problems from the Supreme people's Court's provisions on evidence in Civil Litigation to the changing process of Tort liability Law, and draws lessons from domestic and foreign experience. This paper puts forward the establishment of the relevant auxiliary system in accordance with the mitigation rules of the burden of proof for medical damage in China. The relaxation of the burden of proof is the process of the judges dynamically distributing the fault elements and causality elements under certain conditions. Only if the burden of proof does exist in the patient, the judge will transfer the burden of proof of fault to the doctor, otherwise it will be a violation of the principle of imputation of fault. The patient can transfer the burden of proof of causality to the doctor as long as the proof meets the standard of apparent proof and makes the judge establish the initially established inner confidence.
【学位授予单位】：内蒙古大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：D923;D925.1

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