CAJ | 학술논문

医疗纠纷具有较强的专业性，这决定了鉴定在医疗民事诉讼中的重要地位。本文以北京市法院2013年度一审审结的医疗损害责任纠纷案件为样本，分析了医疗诉讼中的鉴定实况，指出法官和当事人均存在较为严重的“鉴定依赖”倾向，鉴定活动大多未遵循就“专门性问题”进行“专业评议”与“同行鉴定”的原则，医疗鉴定的性质定位与功能认识存在偏差，鉴定权与审判权的分野模糊，庭审对鉴定意见的质证不充分，法官对鉴定意见的评价能力不足。在此基础上，提出了改革与重构我国医疗诉讼鉴定制度的路径与建议。
의료규분구유교강적전업성，저결정료감정재의료민사소송중적중요지위。본문이북경시법원2013년도일심심결적의료손해책임규분안건위양본，분석료의료소송중적감정실황，지출법관화당사인균존재교위엄중적“감정의뢰”경향，감정활동대다미준순취“전문성문제”진행“전업평의”여“동행감정”적원칙，의료감정적성질정위여공능인식존재편차，감정권여심판권적분야모호，정심대감정의견적질증불충분，법관대감정의견적평개능력불족。재차기출상，제출료개혁여중구아국의료소송감정제도적로경여건의。
Medical dispute often is highly specialized, which determines the important position of forensic examination (or appraisal) in civil actions in medical lawsuits. This article based on concluded cases of the court of ifrst instance on medical damage liability disputes in Beijing in 2013 as samples, analyzes the appraisal of medical litigation in reality, points out that both judges and the litigation parties have a strong tendency to rely upon identiifcation, appraisal activities have not followed the principles of “professional review” on “special problems” and “peer appraisal”, and there exist deviations in understandings of the nature and function of medical appraisal, the fuzzy between appraisal rights and the judicial power in adjudication, inadequate examination of expert opinion at trial, lacking the ability to evaluate the judgment of expert opinion by judges. Based on all these, we put forward the reform and reconstruction proposals, and suggestions of the identiifcation of medical litigation system in China.