病历法律评估研究精选.pdfVIP

2014 22 3 年第 卷（第 期） 325 · · 病历法律评估研究 刘 鑫1,2,3 1. “2011 计划”司法文明协同创新中心（中国政法大学）， 100088 ；2. 证据科学教育部重点实验室 （中国政法大学）， 100088 ；3. 中国政法大学医药法律与伦理研究中心， 100088 【摘 要】由于病历在医疗纠纷处理中具有核心证据价值，因而在医疗纠纷愈演愈烈的大背景下，医 患双方对病历的证据效力的争执也变得日益复杂。由于法律专业人士不具有医学专业知识，因而对病历 的真伪及证据价值的判断显得无能为力，为了正确判断病历的证据价值，为了更好地使用病历作为认定 案件事实的依据，因而迫切需要启动病历法律评估。病历法律评价应当坚持全面性、整体性、规范性和 不苛求的原则，由有相关专业知识和背景的专业人士依照法定程序，采用专业评估方法，对病历的完整 性、规范性和客观性进行评价，并提出专业性的评估意见。 【关键词】病历；病案；证据；法律评估；医疗纠纷 【中图分类号】 D915.13 【文献标识码】 A 【文章编号】 1674-1226 （2014 ）03-0325-21 Study on legal assessment of medical record. Liu Xin 1,2,3. 1. Collaborative Innovation Center of Judicial Civilization, Beijing, 100088; 2. Key Laboratory for Evidence Science (China University of Political Science and Law), Ministry of Education, Beijing, 100088; 3. Center for Health and Pharmaceutical Law and Ethics, China University of Political Science and Law, Beijing, 100088 Abstract Since medical record has core evidentiary value in medical disputes, tensions between 【 】 doctor and patient on evidentiary effectiveness of medical record has become increasingly complex, within the overall context of intensified doctor-patient disputes. Due to legal professionals’ lack of medical expertise, they are incapable to assess the authenticity and evidential value of medical record. Thus, in order to correctly determine the evidential value of medical record and for better use of medical record as the basis in case fact-finding, it is urgent to initiate lega