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.bd").stop().slideUp(); $(".topic .hd i").removeClass("on"); }); }; </script> <div id="Main"> <form name="form1" method="post" action="./ShowArticle_Temp.aspx?ID=581" id="form1"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKMjA5ODg5Mzk2N2QYAQUGZ3ZUYWdzDzwrAAwBCAIBZPlHY1Kbs2xnAGPs/wJI35xZcizY7CWgMbE7zfQ3kyPE" /> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="EA2E7AE8" /> <div id="Nav">您的当前位置: <a href="/">捷律¾|?/a> > <span id="lbNav"><a href="/flzs/yljf/">åŒÈ–—¾U çº·</a> > <a href="/flzs/yljf/ylsgzr/">åŒÈ–—事故责ä“Q</a></span> > 正文</div> <div id="Left"> <div id="Title"> <h1><span id="lalTitle">åŒÈ–—事故中的法律责ä“Q与赔å?/span></h1></div> <div id="Author"> 发布旉™—´:<span id="lbInDate">2017/11/15 21:54:31</span>  <span id="lbSource"></span><span id="lbAuthor"></span>   阅读æ•?<span id="Hits"></span></div> <div id="Content"> <span id="lalContent"><p style="text-indent: 2em; text-align: left;">按照国务院《医疗事故处理条例》第二条之规定:"åŒÈ–—事故åQŒæ˜¯æŒ‡åŒ»ç–—机构及其医务äh员在åŒÈ–—‹zÕdŠ¨ä¸­ï¼Œ˜qååŒÈ–—卫生½Ž¡ç†æ³•å¾‹ã€è¡Œæ”¿æ³•è§„、部门规章和诊疗护理规范、常规,˜q‡å¤±é€ æˆæ‚£è€…ähíw«æŸå®³çš„事故ã€?quot;人民法院审理åŒÈ–—事故赔偿案äšgåQŒä¸€èˆ¬éƒ½æ˜¯æŠŠå®ƒä½œä¸ÞZçR权案件处理的。审理中通常要涉及四个方面的证据要äšgåQŒå³ä¾‰|ƒè¡Œäؓ、被告方˜q‡é”™ã€åŒ»ç–—è¡Œä¸ÞZ¸ŽæŸå®³åŽæžœä¹‹é—´æœ‰å› æžœå…³¾pÕdŠæŸå®³åŽæžœã€‚但在发生医疗纠¾Uäh—¶åQŒç”±äºŽå¤§éƒ¨åˆ†çš„证据都掌握在医者手中,患者很隑֏–证ã€?/p><p style="text-indent: 2em; text-align: left;">【摘要】äؓ使患者群体有更大的空间来¾l´æŠ¤è‡ªå·±çš„权利,2002òq?æœ?日实施的《最高äh民法院关于民事诉è®ÆD¯æ®çš„若干规定》第四条(å…?™å¹è§„定:因医疗行为引èµïLš„侉|ƒè¯‰è®¼åQŒç”±åŒÈ–—机构ž®±åŒ»ç–—è¡Œä¸ÞZ¸ŽæŸå®³¾l“果之间不存在因果关¾pÕdŠä¸å­˜åœ¨åŒ»ç–—过错承担ä‹D证责仅R€‚è¿™ž®±æ„å‘³ç€å› åŒ»ç–—行为引èµïLš„侉|ƒè¯‰è®¼åQŒå®žè¡Œå› æžœå…³¾pÀLŽ¨å®šå’Œ˜q‡é”™æŽ¨å®šåQŒå®žè¡Œä‹D证责ä»Õd€’置。受害äh在因果关¾pÕd’Œ˜q‡é”™çš„要件上不必举证证明åQŒè€Œæ˜¯ç”±æ³•å®˜æŽ¨å®šï¼Œå—害人只需证明自己在就åŒÀLœŸé—´å—到损実뀂如果医疗机构认ä¸ø™‡ªå·Þqš„åŒÈ–—è¡Œäؓ与受害äh的损害事实之间没有因果关¾p»ï¼Œæˆ–自己没有过错,可以举证证明自己的主张,推翻因果关系或过错,不承担责任,否则åQŒå› æžœå…³¾pÀLŽ¨å®šæˆ–˜q‡é”™æŽ¨å®šæˆç«‹ã€?/p><p style="text-indent: 2em; text-align: left;">具体情况åQŒå¯ä»¥ä»Žä»¥ä¸‹å‡ æ–¹é¢æ¥åˆ†æžåQ?/p><p style="text-indent: 2em; text-align: left;"><strong>(一)åŒÈ–—事故赔偿责ä“Q构成中的因果关系推定</strong></p><p style="text-indent: 2em; text-align: left;">医职˜q‡å¤±è¡Œäؓ与患者ähíw«æŸå®›_Žæžœä¹‹é—´å¿…™åÕd…·æœ‰å› æžœå…³¾p»ï¼Œæ‰èƒ½æž„成åŒÈ–—事故赔偿责ä“Q。因此,患者的损害后果必须是医疗机构的åŒÈ–—˜qæ³•è¡Œäؓ所致。按照最高äh民法院上˜q°å¸æ³•è§£é‡Šï¼ŒåŒÈ–—事故赔偿责ä“Q的因果关¾pÕd®žè¡ŒæŽ¨å®šã€?/p><p style="text-indent: 2em; text-align: left;">实行因果关系推定åQŒå°±æ„å‘³ç€å—害人在因果关系的要件上åQŒå°±ä¸å¿…举证证明åQŒè€Œæ˜¯ç”±æ³•å®˜å®žè¡ŒæŽ¨å®šã€‚受害äh只要证明自己在医院就åŒÀLœŸé—´å—到损宻I¼Œž®±å¯ä»¥å‘法院赯‚¯‰åQŒä¸å¿…证明医院的åŒÈ–—è¡Œäؓ与损宛_Žæžœæœ‰å› æžœå…³ç³»;同时也不必证明医院一方的˜q‡é”™åQŒå› ä¸ø™¿‡é”™ä¹Ÿæ˜¯å®žè¡ŒæŽ¨å®šçš„。由于这¿Uå› æžœå…³¾pÀL˜¯æŽ¨å®šçš„,因而,˜q˜åº”当在损害事实与医疗行ä¸ÞZ¹‹é—´æŽ’除其他可能性。当¼‹®å®š˜q™ç§æŸå®³äº‹å®žæ²¡æœ‰ä»ÖM½•å…¶ä»–原因所致可能时åQŒå³å¯æ–­å®šè¯¥¿UåŒ»ç–—行为是损害事实的原因,åÏxŽ¨å®šå› æžœå…³¾pÀLˆç«‹ã€?/p><p style="text-indent: 2em; text-align: left;"><strong>(äº?åŒÈ–—事故赔偿责ä“Q构成中的˜q‡é”™æŽ¨å®š</strong></p><p style="text-indent: 2em; text-align: left;">åŒÈ–—事故赔偿责ä“Q适用˜q‡é”™è´£ä“Q原则åQŒå› è€Œï¼Œæž„成åŒÈ–—事故赔偿责ä“QåQŒå¿…™åÕd…·å¤‡ä¸»è§‚过错的要äšg。没有过错,ž®±æ²¡æœ‰èµ”偿责仅R€‚最高äh民法院司法解释规定,对医疗事故赔偿实行过错推定,保护受害人的权利ã€?/p><p style="text-indent: 2em; text-align: left;">åŒÈ–—事故的主观过错表çŽîCؓ行äؓ人在åŒÈ–—‹zÕdŠ¨ä¸­çš„˜q‡å¤±ã€‚首先,åŒÈ–—˜q‡å¤±è¡¨çŽ°åœ¨è´Ÿæœ‰è¯Šç–—护理职责的åŒÀLŠ¤äººå‘˜ä¸»è§‚状态中。医疗机构作ä¸ø™´£ä»ÖMhåQŒä¹Ÿåº”具有过失,但这¿Uè¿‡å¤±æ˜¯ç›‘督、管理不周的˜q‡å¤±åQŒé‡‡å–推定åŞ式。其‹Æ¡ï¼ŒåŒÈ–—˜q‡å¤±åªåŒ…括过失,不包括故意,如果在医疗过½E‹ä¸­åŒ…括˜q‡å¤±åQŒä¸åŒ…括故意åQŒå¦‚果在åŒÈ–—˜q‡ç¨‹ä¸­æ•…意致å®Ïx‚£è€…çš„åQŒåˆ™æž„成伤害¾|ªæˆ–者杀人罪åQŒä¸èƒ½å†ä»¥åŒ»ç–—事故对待。医疗过å¤Þqš„形式åQŒæ—¢å¯ä»¥æ˜¯ç–å¿½ï¼Œä¹Ÿå¯ä»¥æ˜¯æ‡ˆæ€ ï¼Œæ€ÖM¹‹éƒ½è¡¨çŽîCؓ对自己应ž®½çš„注意义务的违反ã€?/p><p style="text-indent: 2em; text-align: left;"><strong>(ä¸?åŒÈ–—事故赔偿案äšg中的举证责ä“Q倒置</strong></p><p style="text-indent: 2em; text-align: left;">举证责ä“Q倒置åQŒæ˜¯ç‰ÒŽ®Šä¾‰|ƒé¢†åŸŸå®žè¡Œçš„过错推定原则的衍生特征åQŒå³å½“原告受åˆîCçRå®Ïx—¶å¦‚果被告不能证明自己无过错,ž®±æŽ¨å®šè¢«å‘Šæœ‰˜q‡é”™ã€‚这实际是将民事责ä“Q的主观要件的举证倒置åQŒå³åªè¦æ±‚患者证明医疗事故的客观要äšgåQŒåŒæ—¶æŽ¨å®šåŒ»ç–—机构有˜q‡é”™ã€‚如果医疗机构不能证明自å·Þqš„åŒÈ–—è¡Œäؓ没有˜q‡é”™åQŒåˆ™ä»–应当承担赔偿责仅R€‚反之,如医方能够提å‡ø™ƒö以证明其没有˜q‡é”™çš„反证,则医方不承担赔偿责ä“Qã€?/p><p style="text-indent: 2em; text-align: 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