医疗损害鉴定应当坚持同行评议的原则  

Medical expert opinions should be peer reviewed

作　　者：刘鑫 Liu Xin(Collaborative Innovation Center of Judicial Civilizatio Beijing,100088;Key Laboratory for Evidence Science(China University of Political Science and Law),Ministry of Education,Beijing,100088;Center for Health and Pharmaceutical Law and Ethics of China University of Political Science and Law(CUPL),Beijing,100088)

机构地区：[1]“2011计划”司法文明协同创新中心,北京100088 [2]证据科学教育部重点实验室(中国政法大学),北京100088 [3]中国政法大学医药法律与伦理研究中心,北京100088

出　　处：《中国法医学杂志》2024年第2期135-139,共5页Chinese Journal of Forensic Medicine

摘　　要：医疗鉴定成了医疗损害诉讼的关键证据,但是目前担任医疗鉴定角色的鉴定人往往鉴定能力不足,不是适格的鉴定人,因而难以保证鉴定意见的质量,从而导致医疗损害诉讼案件裁判的偏差。医疗过错判断不以医务人员是否尽到诊疗义务为标准,因果关系判断缺乏循证证据,残疾程度评价机械套用标准,是医疗鉴定意见的三大主要问题。医疗损害鉴定应当保证其科学性,坚持同行评议是医疗鉴定应当遵守的最基本的原则,同时,增加鉴定过程及相关信息的透明度,在法院的裁判文书中详细载明鉴定人的专业信息及鉴定分析意见,可促进医疗鉴定意见的科学性。Medical expert opinions have become key evidences in medical malpractice litigation,but the appraisers providing the medical expert opinions often lack professional ability and are not qualified appraisers,making it dificult to ensure the quality of medical expert opinions,which leads to a deviation in the judgment of medical malpractice litigation cases.There are three main problems in medical expert opinions:the judgment of medical fault is not based on whether the medical personnel have fulflled the duty of diagnosis and treatment,the judgment of causality is lack of evidence-based evidence,and the evaluation of disability degree is mechanically performed according to the Evaluation Criteria for Degree of Disability.The scientificity of medical expert opinions should be ensured,and peer review is the most basic principle that medical expert opinions should abide by.At the same time,increasing the transparency of the appraisal process and related details of medical expert opinion,and detailing the professional information and appraisal analysis opinions of the appraiser in judgment documents,can strengthen the scientificity of medical expert opinions.

关 键 词：医疗损害鉴定 医疗过错 因果关系 循证证据 同行评议 

分 类 号：D919.4[医药卫生—法医学]