医疗事故技术鉴定的性质及其在医疗人身损害赔偿纠纷和医疗服务合同纠纷案件中的作用

医疗事故技术鉴定结论是当前医患双方当事人与法院鉴别和判断医疗事故有无的唯一依据,具有特殊的法律属性.医疗事故技术鉴定启动方式可由当事人共同委托、卫生行政部门移送或人民法院指定.医疗事故技术鉴定结论直接影响医疗纠纷案件的审理结果,必须经医学会的行业审查、卫生行政部门的行政审核和人民法院的司法审查.医疗事故技术鉴定结论在医疗人身损害赔偿纠纷案件和医疗服务合同纠纷案件中的作用是不完全相同的.对医疗事故技术鉴定书的审查存在实体与形式上的隐忧.科学理解与正确运用医疗事故技术鉴定及其结论,必须认清医疗事故技术鉴定性质,妥善处理与医疗事故技术鉴定相关事项等的平衡与协调.

The Nature and Function of Technical Appraisal of Medical Malpractice in Case of Compensation Dispute for Medical Personal Injury and of Medical Service Contract Dispute

At present,the conclusion of technical appraisal of medical malpractice is the key to decide and deal with medical malpractice.The initiation mode of technical appraisal may be entrusted by both parties involved,handed over by the healthy administration department,or designated by the People's Court.Because it exerts a direct impact on the result of medical dispute,the conclusion of technical appraisal must undergo examination by the medical association,the health administration department,and the court.The conclusion plays different roles in cases of compensation for medical personal injury and of medical service contract disputes.To interpret and apply the technical appraisal and its conclusion correctly,we have to understand clearly the nature of technical appraisal of medical malpractice,recognize and handle skillfully the relation among identification-related issues such as the judge's personal discretion,signature of the appraiser,the appraiser's being present at the hearing and questioned,and the expert witness.