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医疗侵权诉讼举证责任倒置实施的难点在于:医学技术的高度复杂性和医学发展的局限性、患者不配合检查诊治、医患关系脱离很久的病例、患方院外的情况等均可以造成医疗机构的举证不能。对策建议:建立完整的举证责任分配制度,规范使用自由裁量权,协调与《医疗事故处理条例》存在的冲突,制定一部专门处理医疗损害赔偿纠纷的法律,建立强制性与自治性相结合的复合性医事仲裁机制和医疗侵权赔偿的风险分散机制。
Medical tort litigation burden of proof Inverted implementation of the difficulties are: the high degree of complexity of medical technology and the limitations of medical development, patients do not cooperate with the examination and treatment, patient-patient relationship from a long history of cases, patients outside the hospital situation can cause medical institutions Can not prove. Countermeasures: Establishing a complete system of distribution of burden of proof, regulating the use of discretion, coordinating with the existence of the “Medical Malpractice Ordinance,” the existence of conflicts, the development of a special treatment of medical damages dispute law, the establishment of a combination of mandatory and autonomy Risk diversification mechanism of composite medical arbitration mechanism and medical tort compensation.