摘要
医疗行为与患者死亡结果之间的因果关系是决定医疗事故罪罪名是否成立的关键,鉴定意见则往往成为认定该因果关系的主要依据。分析2012-2021年相关裁判文书发现,医疗事故罪之因果关系认定中鉴定意见的适用,存在鉴定主体多元导致不同鉴定意见间易生冲突、当事人对鉴定意见有异议时申请重新鉴定的难度大、对鉴定意见缺乏实质审查而致“以鉴代审”等问题;对此应逐步推动鉴定体制一元化以化解鉴定的交错与意见冲突,完善鉴定救济机制以保障当事人提出合理异议的权利,对鉴定意见进行实质审查以避免“以鉴代审”。
The causal relationship between the medical behavior and the patient's death is the key to determine whether the crime of medical malpractice is established,and the appraisal opinion is often the main basis for deter-mining the causal relationship.The analysis of relevant judgment documents from 2012 to 2021 shows that there are some problems in the application of appraisal opinions in the determination of causality of medical malpractice crimes,such as the conflict between different appraisal opinions caused by the diversity of appraisal subjects,the dif-ficulty of applying for re-appraisal when the parties have objections to the appraisal opinions,and the lack of sub-stantive examination of the appraisal opinions resulting in"appraisal instead of examination".In this regard,we should gradually promote the unification of the appraisal system to resolve the interleaving of appraisal and the con-flict of opinions,improve the appraisal relief mechanism to protect the right of the parties to raise reasonable objec-tions,and carry out substantive examination of the appraisal opinions to avoid"appraisal instead of examination".
作者
曹兴华
苏琦
Cao Xinghua;Su Qi
出处
《医学与法学》
2023年第6期26-30,共5页
Medicine and Jurisprudence
基金
四川医事卫生法治研究中心-中国卫生法学会立项项目“医疗事故罪因果关系判断实证研究”(项目编号:YF21-Q04)
四川省社区矫正研究中心2021年度立项项目“社区矫正法实施后地方社区矫正实施细则研究”(项目编号:SQJZ2021-04)的阶段性成果。
关键词
医疗事故罪
因果关系
鉴定意见
司法裁判
medical malpractice crime
causality
appraisal opinion
judicial decision
作者简介
曹兴华,北京中医药大学法律系副教授、法学博士、兼职博士生导师,主要研究方向为刑法学;苏琦,北京中医药大学2021级在读法律硕士研究生,主要研究方向为刑法学。
