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涉及知情同意的医疗损害鉴定研究

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医方是否违反患者的知情同意权,是医疗损害鉴定中必须关注的重点问题.司法实践中,鉴定意见对医疗损害纠纷案件的司法裁判结果起着重要的支持作用,但在因果关系和原因力大小方面,审判结果与鉴定意见存在差异的情形并不少见,且常与知情同意的判断有关.通过对两例已行医疗损害鉴定并已经司法裁判的实际案例的分析,发现当前鉴定意见中经常将诊疗过错与告知过错混同,在因果关系和原因力分析时也不做区分,事实上有违法律和司法解释的本意,也不符合两种过错存在明显差异的实际情况.有必要重新认识两者的差异和联系,在鉴定意见的表述中准确区分不同情况,采用不同的表述方法,使鉴定意见更好地为司法审判服务.
A study on medical damage identification involving informed consent disputes
The patient's right of informed consent is the key issue that must be paid attention to in the identification of medical damage cases.In judicial practice,expert opinion plays an important role in supporting the judicial judgment results of medical injury disputes.However,in terms of causality and cause force,it is not uncommon that there are discrepancies between trial results and expert opinions,and it is often related to the judgment of informed consent.By the analysis of two cases with medical damage identification and judicial judgment,it is found that the fault of diagnosis and treatment is often confused with the fault of notification in the expert opinion,and no distinction is made in causation and cause force analysis.In fact,it is against the original intention of law and judicial interpretation,and does not conform to the actual situation of difference between the two kinds of faults.It is necessary to re-understand the differences and connections between the two faults,accurately distinguish different situations and use different expression methods in the expression of expert opinion to better serve the judicial trial.

Judicial expertiseJudicial adjudicationInformed consentMedical damage liability dispute

俞晓英、夏文涛

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司法鉴定科学研究院,上海市法医学重点实验室,司法部司法鉴定重点实验室,上海市司法鉴定专业技术服务平台,上海 200063

司法鉴定 司法审判 知情同意 医疗损害责任纠纷

上海市社会科学基金资助项目

2022BFX006

2024

中国法医学杂志
中国法医学会

中国法医学杂志

CSTPCD
影响因子:0.352
ISSN:1001-5728
年,卷(期):2024.39(3)
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