循证医学及其对医疗侵权法律适用的影响研究  

Study on evidence-based medicine and the application in the medical malpractice litigations

作　　者：喻小勇[1] 田侃[1] 

机构地区：[1]南京中医药大学经贸管理学院,江苏南京210023

出　　处：《证据科学》2015年第3期338-349,共12页Evidence Science

基　　金：教育部哲学社会科学研究重大课题攻关项目"基本医疗服务保障法制化研究"(编号:14JZD025)之子课题<基本医疗服务体系法制化研究>的阶段性成果

摘　　要：循证医学是一门讲究证据的方法学,除了可以改善医疗质量外,在医疗侵权法律适用中亦可能产生重要的影响。循证医学下的过错推定宜解释为"可推翻的推定",依据循证临床指南应作为医师无过失的证据,循证医学的发展有利于医疗损害因果关系的判断。此外,对于我国关于循证医学的评价体系、循证医学与医疗损害鉴定,法官运用循证医学的能力等亦作了探讨。Evidence-based medicine is a methodology upon evidence, which is useful to improve medical quality and has an important inlfuence in the applications of medical tort law. Under the inlfuence of evidence-based medicine, presumption of fault should be interpreted as “can be overturned”. Doctors following evidence-based clinical guidelines should be considered as evidence of doctors without fault. And the development of evidence-based medicine would facilitate judgment on causation of medical damages. In addition, the paper also discussed the evaluation system of evidence-based medicine, medical damage appraisal and the ability of judge to use evidence-based medicine.

关 键 词：循证医学 过错推定 因果关系 临床指南 医疗鉴定 

分 类 号：D915.13[政治法律—诉讼法学]