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医疗损害赔偿,一直是民事审判中的疑难问题,特别是最高法院《关于民事诉讼证据的若干规定》确立此类案件适用举证责任倒置规则,以及国务院《医疗事故处理条例》的颁布,医疗损害赔偿成为社会公众关注的热点。在这一大背景下,我们通过对近三年来江苏省法院已经审结的一审、二审医疗损害赔偿案件的分析研究,发现各地法院在案由的确定、诉讼时效的适用、诉讼当事人的审查、对医疗事故鉴定委员会的鉴定结论和法医鉴定的证据效力的确定、医学文献的证据价值、医疗损害的民事责任性质及归责原则和责任构成要件、责任医生的连带责任问题、诉讼前达成的和解协议的效力、损害赔偿的原则和赔偿金的支付方式等方面存在着一定问题,并尝试着提出了相应的对策。
The compensation for medical damages has always been a difficult issue in civil trials. In particular, the Supreme Court’s “Several Provisions on Evidence in Civil Proceedings” established the inversion of the burden of proof in such cases and the promulgation of the State Council’s “Medical Malpractice Ordinance” and the medical damages Become the focus of public concern. In this context, we have analyzed and analyzed the cases of medical damages of first instance and second instance that have already been concluded by courts in Jiangsu Province in the past three years. We found that the determination of the courts around the country, the application of statute of limitations, the review of litigants, Identification of the Accident Identification Committee and forensic evidence of the effectiveness of the evidence, the value of the evidence in medical literature, the nature of the civil liability for medical damage and the principle of liability and liability components, the responsibility of the joint responsibility of the doctor, the settlement reached before the agreement Effectiveness, the principle of compensation for damages and payment of compensation, there are some problems, and try to put forward the corresponding countermeasures.