CAJ | 학술논문

医疗损害鉴定二元化一直是医疗损害案件司法实践中的难题.法官在选择医学会还是司法鉴定机构进行鉴定时没有顺位偏好.在涉及医疗损害鉴定意见专业性与中立性评价中,法官优先考虑中立性.鉴于二者的痼疾,即医学会行业保护以及司法鉴定机构趋利性,重新整合相关资源成立唯一的医疗损害鉴定机构就成为了大多数法官对一元化制度建构的优先选择.一元化的关键是鉴定标准的一元化.立法部门或其他主管部门应制定医疗过错分类、因果关系判断及损伤参与度认定的统一标准,并对鉴定程序特别是听证程序和鉴定次数、鉴定专家库以及鉴定人员的准入进行一元化制度设计.
의료손해감정이원화일직시의료손해안건사법실천중적난제.법관재선택의학회환시사법감정궤구진행감정시몰유순위편호.재섭급의료손해감정의견전업성여중립성평개중,법관우선고필중립성.감우이자적고질,즉의학회행업보호이급사법감정궤구추리성,중신정합상관자원성립유일적의료손해감정궤구취성위료대다수법관대일원화제도건구적우선선택.일원화적관건시감정표준적일원화.입법부문혹기타주관부문응제정의료과착분류、인과관계판단급손상삼여도인정적통일표준,병대감정정서특별시은증정서화감정차수、감정전가고이급감정인원적준입진행일원화제도설계.
The dual system of medical damage appraisal is a conundrum in the judicial practice of medical damage cases. Judge has no preference in choosing the appraisal agency between the medical association and forensic appraisal agency. In evaluating the professionalism and neutrality concerning medical damage appraisal opinion, judges would like to give preference to the latter. Considering the professional protection of the medi- cal association and the profit-seeking of the appraisal agency, formulating a unified medical damage appraisal a- gency with a unified standard on the basis of resource integration shall be a preferential choice for the majority of judges, which is the core for the unified system. The unified standard on the classification of medical wrongs, cause and effect determination and damage relevance determination shall also be established. Mean- while, the appraisal procedure, especially the hearing procedure and appraisal times, experts pool and qualifi- cation shall be also unified.