翟宏丽

【摘 要】 由于医疗活动的高度专业性，因而在医疗纠纷诉讼中存在证据偏在、医患武器不平等严重问题。 证据协力义务是居于“准确”、“公正”、“和谐”、“效率”等的价值基础，其在医疗纠纷诉讼中的适用具有正当性。 建议通过医疗机构的阐明病历义务，对证人、鉴定人违反证据协力义务的制裁，证人拒绝提供证言权等规范来弥补医疗纠纷诉讼中证据协力义务的结构性缺失， 以增加医疗纠纷诉讼中证据协力义务规范的可预测性。

【关键词】 证据协力义务；医疗纠纷诉讼；武器平等原则

【中图分类号】 D915.13

【文献标识码】 A

【文章编号】 1674-1226（2011）03-0307-11

On the Cooperation Obligations to Provid Evidence in Medical Malpractice Litigation. Zhai Hongli. The Clinic, China University of Political Science and Law , Beijing 102249, PRC

【Abstract】 Because of the specialty of medical profession, there exist serious problems in the medical malpractice litigations, such as the emphasis on severity of the evidence and the inequality of arms between the medical institution and patient. There are some elementary values such as “exactness”, “righteousness”, “harmony” and “efficiency” in the cooperation obligations to provide evidence in the medical malpractice litigations , as well as justice in its practice. The paper suggests to make up for the structural defaults in the cooperation obligations to provide evidence in the medical malpractice litigations by such measures as explaining medical records and punishing the witnesses and expert witnesses who fail to fulfill such cooperation obligations ,thus increasing the predictability of legal norm of the cooperation obligations to provide evidence in the medical malpractice litigations.

【Key Words】 Cooperation obligations to provide evidence, Medical malpractice litigation, Principle of equality of arms