論醫療損害賠償

On Compensation for Medical Malpractice

蘇號朋(Hao-Peng Su)

《財產法暨經濟法》 10期 (2007/06) Pp. 51-87

摘要

醫療損害賠償責任的構成要件包括醫療損害、醫療損害行爲的違法性、因果關係及醫療過錯。雖然中國大陸最高法院《關於民事訴訟證據的若平規定》要求醫療損害賠償案件實行舉證責任倒置，但患者仍應就醫療行爲、損害後果事實承擔舉證責任，醫療機構就無過錯、醫療行爲與損害後果之間不存在因果關係承擔舉證責任。在法律適用上，應當排除《醫療事故處理條例》在醫療損害賠償案件中的適用，中國大陸《民法通則》及最高法院《關於審理人身損害賠償案件適用法律若干問題的解釋》應當作爲處理醫療損害賠償案件的法源。無論直接財產損失、間接財產損失還是精神損害，均應在醫療損害賠償範圍之列。

關鍵字

醫療損害 ； 因果關係 ； 舉證責任 ； 精神損害 ； 損害賠償

並列摘要

The qualifications of the medical malpractice liability include the existence of medical damage, the illegality of the medical impairment, causation and the medical negligence. Though Some Provisions of the Supreme People's Court on Evidence in Civil Procedures provides that the rule of rebuttal burden of proof should be applied in the cases on compensation for medical damage, the patients still should take the burden to proof the facts of the medical treatment and the resulting damage, while the medical institutions take the burden to proof that there is no negligence and there is no causation between the medical treatment and the resulting damage. As far as the application of law is concerned, the Regulation on Handling Medical Malpractices should not be applied in the cases on compensation for medical damage, General Principles of the Civil Law of the People's Republic of China and Interpretation of the Supreme People's Court of Some Issues concerning the Application of Law for the Trial of Cases on Compensation for Personal Injury should be the sources of law for trial of the cases on compensation for medical damage. Either the direct or indirect property loss or the mental damage should be in the category of compensation for medial damage.

並列關鍵字

medical damage ； causation ； burden of proof ； mental damage ； damages