肖柳珍

【摘 要】 随着《侵权责任法》的实施，医疗纠纷司法鉴定将在医疗损害鉴定中起着越来越重要的作用。我国的医疗损害鉴定制度经历了一系列的制度变迁过程。但是，基于医疗的专业性、复杂性和技术性，医疗损害的鉴定不是一般法医能胜任的鉴定工作。医疗事故技术鉴定制度仍是一项可利用的制度资源。当前医疗损害鉴定制度的构建，应警惕形式意义上的鉴定公正带来实质意义上的鉴定不公正；警惕法律对患者的保护带来医疗对患者的伤害。建议对医疗事故技术鉴定制度进行改造，使之成为类似于美国的审前审查机制，或者采取医疗损害司法鉴定特别许可制度，以完善我国的医疗损害鉴定制度。

【关键词】 《侵权责任法》；医疗损害；司法鉴定；问题；对策

【中图分类号】 D918.9

【文献标识码】 A

【文章编号】 1674-1226（2010）04-0425-09

The Problems And Solutions Of Current Medical Injury Identification System. Xiao Liuzhen. School of Humanity and management, Southern medical university, Guangzhou, Guangdong 510515.

【Abstract】 With the implementation of "Tort Liability Law" , the forensic system of medical disputes will play a more and more important role in medical malpractice identification system. There has been a chain of institutional changes in Chinese medical injury identification system.However,due to the medical profession, complexity and technology, the common forensic expert might not be competent for the identification of medical injury.The system of t technical identification of medical injury remains as a system resource available. In the construction of medical injury identification system at moment, we should keep alert that procedural justice might do harm on substantive justice and thant the leagal protection for patient might result in a medical injury to patient. This article suggests a reform of Chinese medical malpractice identification system, making it similar to the U.S. pretrial review mechanism or adopting a special permit forensic system to improve medical injury identification system in China.

【Key Words】 "Tort Liability Act"， medical injury， Forensic，issues，Solution