專題論文
Thesis

兩岸醫療糾紛之處理法制比較 -以訴訟上舉證責任為中心
Study of Medical Disputes between Taiwan and China: Focusing on Burden of Proof in Litigation
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編著譯者
謝榮堂
出版日期
刊登出處
65
授權者
ISSN
1561-6312
地址
台北市士林區華岡路55號大賢館
電話
02-2861-0511
關鍵字
醫師法定診療義務;疏失;過失;舉證責任;舉證責任轉換; 舉證責任減輕;證明妨礙;表見證明;證明度降低;舉證責任反置;事 實說明自己法則;重大醫療瑕疵原則;可完全控制之危險原則
中文摘要
病人或其家屬對於醫療不良結果或期待落差等等因素,對醫師或醫 院提起訴訟請求賠償損害,依據不同訴訟種類與程序,就有關醫療之疏 失、醫師或醫院或其履行輔助人相關過失,以及醫療瑕疵與損害間之因 果關係等三項構成要件,而有不同舉證責任分攤。訴訟原則上,主要應 該由原告為之,由於病人與醫師或醫院間,專業與資訊不對等,訴訟實 務應儘量合理正當分配舉證責任,尤其應適度減輕及合理轉換原告舉證 負擔。蓋病人可能是因為醫師或醫院之重大醫療疏失而受有損害,於此 情形下,則適用舉證責任轉換,但僅限於民事訴訟,刑事訴訟無此問題。
英文關鍵字
Physician’s Statutory Duties, Missed, Fault, Burden of Proof, Burden of Proof Conversion
英文摘要
A patient or his family members mayhave filefiled a lawsuit against the doctor or hospital for damages due to, such as unexpected medical results or unsatisfied expectationsexpectation of drop. The three constitutive elements for such litigation that determine the appointed burden of proof include, theaccording to different litigation types of litigation and procedures, negligence in relation to the medical treatment, the fault of the doctor or the hospital or its performing contractual assistant, and the causal relationship between medical fault and damages. There are three constitutive elements, such as the causal relationship between medical expenses and damage, and there are different burdens of proof. As a general rule in litigationIn principle, the plaintiff should have the burden of proofbe responsible for this. Bbecause the professional and informationeducation and experience are not equal between the patient and the doctor or the hospital, and the litigation practice should allocate the burden of proof as reasonable and reasonable as possible. In particular, the burden of the plaintiff's burden of proof should be moderately reduced and reasonably convertedshifted. WhenCovering the patient’s damages is may be caused by a major substantial medical malpractice of the doctor or hospital. In this case, the conversion shift of the burden of proof is applicable. However, but it is limited only applicable to civil and not to criminal litigations. lawsuits. Criminal proceedings do not have this problem.
目次
壹、前言 貳、醫師診療義務 一、概說 二、違反說明義務之舉證責任 三、故意、「疏失」與「過失」之區別 參、醫療糾紛之法律屬性與適用 肆、舉證責任之主要功能與責任 一、舉證責任之意義 二、舉證責任規範 三、舉證責任分配 伍、舉證責任減輕與轉換 一、醫療糾紛舉證責任減輕 (一)證明妨礙 (二)表見證明 (三)證明度降低 (四)舉證責任反置 陸、法院見解與案例評析 一、舉證責任倒置之實務見解 (一)舉證責任倒置為現行法律規定 (二)舉證責任倒置不必然造成病人勝訴與醫師敗訴必然 (三)舉證責任的倒置僅適用於民事訴訟程序,並不適用於刑事訴 訟程序 (四)舉證責任倒置並未減輕法院裁判責任 二、醫療過失之因果關係舉證責任反置 三、大陸地區之法院實務見解 柒、結論