论医疗侵权纠纷中的因果关系及其认定

发布时间：2018-06-12 21:52

本文选题：医疗过失 + 损害结果　；参考：《苏州大学》2014年硕士论文

【摘要】：因果关系是侵权责任构成要件中的一个重要因素，随着医疗侵权纠纷的不断增多，医疗知识的专业性、侵权案件类型的复杂性都决定了医疗侵权案件中侵权行为与损害结果之间的因果关系认定问题存在着很大的困难。司法实践中，大多医疗纠纷中因果关系的认定都依赖于医疗事故鉴定结论，忽视了鉴定结论的证据属性，把医疗鉴定结论作为认定因果关系存在与否的决定性证据。再加上医疗事故鉴定本身存在的弊端与不足，使得医患双方处于明显的不对等地位，患者的利益得不到合理保护。从法律制度上来看，我国侵权责任法存在着对医疗侵权责任中“损害”的认定不统一、范围过窄等问题，，加剧了医疗侵权纠纷中因果关系的认定难度。所以，本文以我国医疗侵权案件中因果关系的认定现状为出发点，分析了过分依赖医疗鉴定结论定案判决做法的原因与危害。同时，通过对比较法国家认定因果关系理论与实践的分析与借鉴，对我国医疗侵权案件中因果关系的认定提出了思考与建议，以期对我国医疗纠纷中因果关系的认定有所裨益。
[Abstract]:Causality is an important factor in the constitutive elements of tort liability. With the increasing number of medical tort disputes, medical knowledge is professional. The complexity of tort cases determines that there are great difficulties in the causal relationship between tort and damages in medical tort cases. In judicial practice, the identification of causality in most medical disputes depends on the conclusion of medical malpractice, neglecting the evidence attribute of the conclusion, and taking the conclusion of medical expertise as the decisive evidence to determine the existence of causality. In addition, the malpractice and deficiency of medical malpractice appraisal itself make the doctors and patients in an obvious unequal position, the interests of patients can not be reasonably protected. From the point of view of the legal system, there are some problems in the tort liability law of our country, such as that the identification of "damage" in the medical tort liability is not unified and the scope is too narrow, which makes it more difficult to identify the causality in the medical tort dispute. Therefore, based on the status quo of causality in medical tort cases in China, this paper analyzes the reasons and harm of over-reliance on the conclusion of medical appraisal. At the same time, through the analysis and reference to the theory and practice of determining causality in countries of comparative law, this paper puts forward some thoughts and suggestions on the determination of causality in medical tort cases in our country, in the hope that it will be beneficial to the identification of causality in medical disputes in our country.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：D925.1

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