摘要
当代医疗规范中,循证医学证据已经成为形成各类诊疗规范的基础,循证医学证据的质量等级越高,据此形成的诊疗规范对诊疗行为的约束力越强。医疗侵权案中,评价诊疗行为所依据的诊疗规范不同,评价结果就不同,由此产生医疗过失判断的规范依据之选择问题。解决问题之道是可以根据循证医学证据的质量等级、适用条件来选择判断医疗过失是否有过失的标准;认定诊疗行为与损害之间的因果关系时,应当借助循证医学证据来分析致病原因和排除因素。
Evidence-based medicine(EBM)has spread to describe an approach to decision-making that is used at virtually every level of clinical standard. The higher the EBM quality grade is,the more binding the correspondingstandard upon the clinician's opinion is. In cases of medical malpractice dispute,the application of different clin-ical standards causes different results. For this reason,the quality grade and EBM conditions should be taken in-to consideration to judge medical negligence and find the medical malpractice causation and the exclusion factors.
出处
《东南大学学报(哲学社会科学版)》
CSSCI
北大核心
2016年第2期75-82,147,共8页
Journal of Southeast University(Philosophy and Social Science)
基金
国家社科基金"医疗损害社会化分担机制法律问题研究"(10BFX080)后期研究成果