CAJ | 학술논문

医疗纠纷诉讼证据包括民事诉讼法规定的七种证据。由于医疗纠纷诉讼的特殊性，我国司法实践已经形成了病历-鉴定-审判的审理模式。法官在案件审理过程中，存在案件事实认定的鉴定结论依赖性及法律责任认定的鉴定结论依赖性。然而，其不利因素是病历资料的客观真实性在现存制度下难以保障，双轨制的鉴定制度还很不完善。建议引入特定场所视听资料对病历真实性进行佐证，加强电子病历真实性的管理与监控，完善鉴定人出庭制度，推行专家辅助人制度及采取专家陪审员制度。
의료규분소송증거포괄민사소송법규정적칠충증거。유우의료규분소송적특수성，아국사법실천이경형성료병력-감정-심판적심리모식。법관재안건심리과정중，존재안건사실인정적감정결론의뢰성급법률책임인정적감정결론의뢰성。연이，기불리인소시병력자료적객관진실성재현존제도하난이보장，쌍궤제적감정제도환흔불완선。건의인입특정장소시은자료대병력진실성진행좌증，가강전자병력진실성적관리여감공，완선감정인출정제도，추행전가보조인제도급채취전가배심원제도。
Medical htigation evidences include seven kinds of evidence in the Civil Procedure Law. On the basis of the particularity of medical litigation, China has formed a trial model with medical records, identification and adjudication in its judicial practice. Judges depend more on identification conclusion to identify the facts and liability. The disadvantage of this model is that the objectivity and authenticity of medical records is difficult to be guaranteed under the existing system. The two-track appraisal system is far from perfect. We advise to adopt sitespecific audio-visual materials to prove medical records＇ authenticity, to strengthen the management and supervision of objectivity and authenticity of electronic medical records and to improve the system construction of medical expert witness appearing in court to answer questions of the parties and improve the system of expert assistant as well as the expert jury system.