论我国医疗事故技术鉴定行为的性质及可诉性

【作者】 龙湘元；

【导师】 黄先雄；

【作者基本信息】 中南大学 ， 诉讼法学， 2007， 硕士

【摘要】 近年来，随着我国医疗市场的不断形成，医疗纠纷日益增多。在处理医疗纠纷中最为核心的环节就是医疗事故技术鉴定，因为医疗事故技术鉴定结论在此过程中起着判断是非曲直的关键作用。因此，医疗事故技术鉴定已成为人们关心的热点问题。我们看到，2002年出台的《医疗事故处理条例》相对于1987年的《医疗事故处理办法》有很大的进步，但是也存在着相当多的问题有待解决。特别是《医疗事故处理条例》中规定当事人对鉴定结论不服可向上级医学会申请再次鉴定外再无其他救济途径。对于医疗事故技术鉴定行为的性质和可诉性在学界和实务界一直存在较多的争议。笔者的观点是：根据我国目前的法律规定和医疗事故技术鉴定的实际运作，医疗事故技术鉴定行为符合行政行为的构成要件，是具体行政行为中的行政确认行为。当事人对鉴定结论不服应允许提起行政诉讼，原因是：一、医学会是被行政法规授权的组织，具有行政主体资格；二、医学会的鉴定权是行使国家行政职权的行为；三、医疗事故技术鉴定结论对当事人权利义务关系有直接影响。由于医疗事故鉴定行为的专业性、技术性以及专属性，在对其提起行政诉讼之前应先提起行政复议，如果行政相对人仍然对行政复议结果不服，可就复议结果向人民法院提起行政诉讼。按照行政诉讼的一般举证规则，为维护行政相对人的合法权益，体现司法公正和正义，应由被告即医学会对其鉴定结论的合法性承担举证责任。同时，由于医疗事故技术鉴定行为具有较强的专业性、技术性，法院对医疗技术事故鉴定行为进行审理时应采取有限审查的原则。更多还原

【Abstract】 In recent years, with the progressive improvement of Chinesemedical market, medical disputes are on the rise, which has become thefocus that people pay attention to. The most core link is the incident ofmalpractice technical appraisal, and the written plays a key role injudging right or wrong. Therefore, the incident of malpractice technicalappraisal has become the hot topic which the people cared about.As we can see that The Articles to Handle Medical Accidents in2002 is relatively superior to The ways to Handle Medical Accident in1987, but it still has many problems to Solve. Specially The Articles toHandle Medical Accidents-stipulate that the litigant who refuses to acceptto the written can apply-the higher authority medical society to appraiseonce more, and there isn’t another relief way.There are a lot of disputes about the character and the feasibility ofan appeal of medical malpractice technical appraisal in the academic andpractical circle. Author’s viewpoint is: According to current legal rule ofour country and the actual operation of the incident of malpracticetechnical appraisal, the incident of malpractice technical appraisalbehavior conforms to the constitution administrative action, and isadministrative confirmation behavior of the concrete administrativeaction. The litigant is supposed to be allow to file the refuses to accept tothe written to be supposed to allow to file the administrative proceedingsif he refuses-to accept to the written. The reason is: first. the medicalsociety is the organization which is authorized by the administrative rulesand regulations, and it has qualifications of the administrative main body;Second, the power of the medical society belongs to the nationaladministrative authority; Finally, the conclusion of the incident ofmalpractice technical appraisal conclusion directly affects thelitigant’s rights and obligations. Because the incident of direct influenceto the litigant relations. Because the incident of malpractice appraisal hasspecialization, the technical nature and specificity, the reconsider shouldbe mentioned before the administrative proceedings. If the administrativerelative person still refuses to accept the result of the administrative reconsider, he could file the result to the administrative proceedings.According to the rule of the generally Presenting evidence inthe administrative proceedings, the defendant namely the medicalsociety should undertake main responsibility of presenting evidence totestify its written’s validity. It is propitious to maintain administrativerelative person’s legitimate rights and interests, and to manifests thejudicature. At the same time, as the incident of malpractice technicalappraisal behavior has the strong specialization, the technical nature, thecourt should adopt the principle of limited examination when the courtexamines it.更多还原