《民法典》医疗过错认定标准的解释与完善
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张振声(1997—),男,广东东莞人,硕士研究生在读,研究方向为物权法学、侵权责任法学。

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D923

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Interpretation and improvement of the standard of medical fault identification in the Civil Code
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    摘要:

    《最高人民法院关于审理医疗损害责任纠纷案件适用法律若干问题的解释》第16条将 《中华人民共和国民法典》(简称《民法典》)第1222条第1项作为医疗过错认定的主要依据,改变了 《民法典》第1221条确立的“当时的医疗水平”标准,导致我国医疗过错认定标准混乱。就《民法典》第 1222条的性质而言,区分认定说更符合第1221条和第1222条的逻辑关系,也为医疗机构提出反证留下制度空间,应予采纳。借鉴美国、德国、日本的相关立法经验,我国应进一步平衡各项医疗过错认定因素的证明作用,明确医疗机构对法律推定情形中的违反医疗规范行为可提出反证,同时对法律、行政法规、 规章和诊疗规范的范围作限缩解释,力求厘清我国医疗过错认定标准,保障医患双方的合法权益。

    Abstract:

    Article 16 of the Judicial Interpretation on Liability for Medical Injury takes item 1 of Article 1222 of the Civil Code of the People’s Republic of China(Civil Code)as the main basis for the identification of medical faults,which changes the standard of“the medical level at that time”established by Article 1221 of the Civil Code. This leads to confusion in the identification standards of medical errors in our country. As far as the nature of Article 1222 of the Civil Code is concerned,Distinction Identification Theory is more in line with the logical relationship between Articles 1221 and 1222,and it also leaves room for medical institutions to put forward counter?evidence,which should be adopted. Drawing on the relevant legislative experience of the United States,Germany and Japan,China should further balance the proving role of various medical fault identification factors and make it clear that medical institutions can provide counte ? evidence for violations of medical norms in legal presumptions. At the same time,the scope of laws,administrative regulations,rules,and diagnosis and treatment norms should be narrowed and interpreted. Efforts should be made to clarify the standards for identifying medical faults in our country and protect the legitimate rights and interests of both doctors and patients.

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张振声.《民法典》医疗过错认定标准的解释与完善[J].南京医科大学学报(社会科学版),2022,22(4):357~362

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  • 在线发布日期: 2022-09-01
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