《民法典》医疗过错认定标准的解释与完善
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华南师范大学法学院

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

    《医疗损害责任司法解释》第16条将《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条所确立的“当时的医疗水平”标准,导致我国医疗过错认定出现标准混乱。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,应予以采纳。借鉴德国、美国的立法经验,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 Article 1222(1) of the Civil Code as the main basis for identifying medical faults, which changes the standard of "the medical level at that time" established in Article 1221 of the Civil Code, resulting in There is confusion in the standard of medical fault identification in my 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 legislative experience of Germany and the United States, my country should further balance the proving role of various medical fault identification factors, clarifying that medical institutions can provide counter-evidence for violations of medical norms in legal presumptions, and at the same time, laws, administrative regulations, rules and diagnosis and treatment norms. The scope of this article is limited and explained, in an effort to clarify the standards for identifying medical faults in my country and protect the legitimate rights and interests of both doctors and patients.

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  • 收稿日期:2022-05-08
  • 最后修改日期:2022-06-01
  • 录用日期:2022-06-10
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