首页|实证研究视角下对医疗损害责任"以鉴代审"论断的质疑

实证研究视角下对医疗损害责任"以鉴代审"论断的质疑

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法官过度依赖医疗损害鉴定进行审判的现象称为"以鉴代审".实证数据表明,鉴定意见被采信的案例中,鉴定意见的责任类型对应的判决责任比例区间跨度大,法官不按照鉴定意见确定责任及比例的现象并不罕见.在无鉴定意见时,法官也会判决医疗机构承担责任.故认定我国医疗损害纠纷司法实践中普遍存在"以鉴代审"是误判.医疗损害鉴定意见只是一种证据,导致上述误判主要是因为法官视鉴定意见为规避绩效考核风险和规避当事人诘难的工具,当事人、相关研究者也起到推波助澜的作用.以技术型法官、专家辅助人取代鉴定人的路径并不奏效,应完善医疗诉讼裁判法官的考核机制,充分调动当事人参与鉴定程序.
Challenges on the Viewpoint on Replacement of Litigation by Forensic Appraisal in Liability of Medical Damages
The phenomenon that medical appraisal is over dependent on by judges in medical damages litigation is labeled as the"replacement of trial by appraisal".Nevertheless,empirical study indicates that in the cases where the appraisal opinions are adopted,the ranges of the portion of liability corresponding with the types of liability in the appraisal opinion are wide,it is not rare for judges to decide liability and its portion not relying on the appraisal opinion,and the medical institution can be held liable without appraisal opinion.This data make the statement of replacement unpersuasive.The medical appraisal opinion is only a kind of evidence,helping judges to make the facts clear.There is gap between the replacement statement and the real function of appraisal.The misunderstanding is brought by the judges intention to avoid risks from the performance review and complaint from the parties,the complaint from the parties and some researchers also intensify the misunderstanding.The approach to replace appraisers by technical judges and expert assistants does not work.The evaluation system for medical case judges should be improved,and the parties should be encouraged to participate in the appraisal procedure.

replacement of trial by forensic appraisalappraisal opinionexpert assistantlegal judgment

董春华

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华东政法大学 知识产权学院,上海 200042

以鉴代审 鉴定意见 专家辅助人 法律判断

国民卫生健康治理法治化研究

20&ZD187

2024

中国司法鉴定
司法部司法鉴定科学技术研究所

中国司法鉴定

CSTPCD
影响因子:0.485
ISSN:1671-2072
年,卷(期):2024.(1)
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