Abstract: There exist conflicts in laws and regulations concerning the settlement of medical disputes, and this creates conditions for the existence of the multi-system and multi-level uncoordinated appraisal structure. The scope of medical malpractice stipulated by Rules and Regulations for the Treatment of Medical Malpractice is too narrow to satisfy the requirement of civil proceedings. To avoid administrative punishment, some medical institutions give up technical appraisal of medical negligence, and enter instead medicolegal expertise of medical treatment mistakes. There are defects in the system of technical appraisal for medical negligence; at the same time, there also exist problems of one sidedness and limitation in the system of medicolegal expertise. It is proposed that a unified appraisal system of medical impairment compensation be established to provide suitable service in civil trials and avail the treatment of medical disputes.

Key words: compensation liability of medical malpractice, technical appraisal of medical negligence, medicolegal expertise

摘要： 目前医疗纠纷处理中的相关法律、法规存在相互冲突的问题,并为多系统、多层次、各自为政的鉴定体制等现象的存在创造了客观条件。《医疗事故处理条例》所规范的医疗事故范围过小,与民事诉讼的要求不相符合;医疗机构为了避免行政处罚,主动放弃医疗事故技术鉴定,直接进入医疗过错的法医学鉴定;医疗事故技术鉴定体制上存在缺陷;法医学鉴定存在局限性和片面性的问题。建议构建我国统一的医疗损害赔偿责任鉴定体制,为民事审判提供服务、有利于医疗纠纷的处理。

关键词: 医疗损害赔偿责任, 医疗事故技术鉴定, 法医学鉴定