赵西巨

【摘 要】 我国法律在医疗过失和因果关系的认定问题上，应坚持医疗“专家”判断和“同行”鉴定，旨力于构建平衡患者利益和医方利益的规则，区分医疗专家意见和法官法律判断，区分违反通常诊疗义务的医疗侵权和违反告知义务的医疗侵权，区分“合理医生”标准、“医疗水平”标准和“医疗常规”标准。

【关键词】 医疗过失；因果关系；鉴定；认定

【中图分类号】 D918.9

【文献标识码】 A

【文章编号】 1674-1226（2011）04-0389-12

Some Reflections on How to Establish Medical Negligence and Causation in Chinese Law. Zhao Xiju, Faculty of Law, University of Otago, Dunedin, New Zealand

【Abstract】In establishing medical negligence and causation, Chinese law should(1)insist on expert and peer review,(2)protect both the patient’s interests and the practitioner’s interests, (3) acknowledge the difference between medical expert opinion and the judiciary legal judgment,(4)establish the distinct profile of medical negligence liability caused by breach of the duty to inform, and (5) draw distinctions among the “reasonable doctor” standard, the “medical level” standard and “medical custom” standard.

【Key Words】 Medical negligence, Causation, Authentication, Establishment