法学专家参与医疗损害鉴定的价值与实现
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1.江苏省医学会 江苏南京 210008;2.东南大学

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国家社科基金项目“积极预防主义视野下生物安全风险的刑法规制”(21BFX177)


The value and implementation of legal experts'' participation in medical damage appraisal
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Southeast University

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A Study on Criminal Law Regulation of Biosafety Risks from the Perspective of Active Preventionism (21BFX177)

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    摘要:

    《医疗纠纷预防和处理条例》第三十五条确立了法学专家参与医疗损害鉴定的制度框架,但对于法学专家的角色定位、职责边界与适用场景等核心要素均缺乏明确规定。在医疗损害鉴定中,法学专家可以在程序把关、规范指引、理论澄清与公信力提升等方面发挥积极作用。在适用场景方面,知情同意争议、管理规范履行不当、多元主体纠纷、法律解释难题四类案件尤需法学专家介入。为使法学专家参与鉴定从制度设计走向实践运行,建库环节宜探索差异化的准入标准,在调用环节以工作指引的方式明确四类案件的优先适用规则,在回避环节强化鉴定机构的审查义务与程序责任以保障专家中立性。法学专家参与鉴定的深层价值,在于推动医疗损害鉴定从单一的医学判断走向医学与法律的协同对话,使鉴定意见兼具事实基础与法律品格。

    Abstract:

    Article 35 of the Regulations on the Prevention and Handling of Medical Disputes establishes the institutional framework for legal experts'' participation in medical damage appraisal, yet it lacks clear provisions on core elements such as their role positioning, scope of duties, and applicable scenarios. In medical damage appraisal, legal experts can play a positive role in procedural scrutiny, normative guidance, theoretical clarification, and enhancement of public credibility. Regarding applicable scenarios, four categories of cases particularly require the intervention of legal experts: disputes over informed consent, improper fulfillment of administrative norms, disputes involving multiple parties, and difficulties in legal interpretation. To translate the participation of legal experts from institutional design into practical operation, differentiated access standards should be explored at the expert database construction stage, priority application rules for the four categories of cases should be clarified through working guidelines at the referral stage, and the review obligations and procedural responsibilities of appraisal institutions should be strengthened at the withdrawal stage to safeguard expert neutrality. The deeper value of legal experts'' participation lies in promoting medical damage appraisal from a purely medical judgment toward a collaborative dialogue between medicine and law, thereby endowing appraisal opinions with both factual foundation and legal character.

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  • 收稿日期:2026-07-27
  • 最后修改日期:2026-09-13
  • 录用日期:2026-09-20
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