摘要:醫(yī)療糾紛大多是患者認(rèn)為醫(yī)療機(jī)構(gòu)及其工作人員的醫(yī)療行為不當(dāng)，造成了自己身體上的傷害，要求賠償因而與醫(yī)療機(jī)構(gòu)發(fā)生糾紛。醫(yī)療舉證倒置是為了保護(hù)患者的利益，但卻產(chǎn)生了很大副作用，例如實(shí)踐中出現(xiàn)過度醫(yī)療檢查現(xiàn)象，致使病人錯(cuò)過最佳治療時(shí)間；如何界定訴訟時(shí)效起算點(diǎn)等等。近來侵權(quán)責(zé)任法對(duì)舉證責(zé)任的分配做出了調(diào)整，要求訴訟雙方在就醫(yī)療“過錯(cuò)”舉證時(shí)，要由患方證明醫(yī)療機(jī)構(gòu)有過錯(cuò)；對(duì)于“因果關(guān)系”的舉證責(zé)任，仍由醫(yī)療機(jī)構(gòu)承擔(dān)。本論文試圖在承認(rèn)我國立法對(duì)醫(yī)療糾紛舉證責(zé)任規(guī)定為無過錯(cuò)責(zé)任具有合理性的前提下，分析“醫(yī)院承擔(dān)無過錯(cuò)責(zé)任原則引發(fā)的不良后果”著手，結(jié)合侵權(quán)法，借鑒外國相關(guān)規(guī)定，提出完善建議，以期對(duì)這類案件的審理有所裨益。

關(guān)鍵詞：醫(yī)療糾紛 舉證責(zé)任 現(xiàn)實(shí)問題 完善意見

Abstract:Most patients believe that medical malpractice medical institutions and their staff of the medical misconduct, resulting in injuries on his body, and therefore required compensation medical dispute. Medical Juzhengdaozhi is to protect the interests of patients, but had a great side effects, such as practice, the phenomenon of excessive medical examination, thereby causing the patient to miss the best treatment time; how to define the starting point of the limitation and so on. Recent tort law on the allocation of the burden of proof to make the adjustments, required the parties in the medical "fault" of proof, we must prove that medical institutions by the suffering party at fault; for "causal relationship" between the burden of proof, still bear the medical institutions . This paper attempts to recognize China's legislature in the burden of proof on the medical dispute for the no-fault liability. The provisions are   reasonable under the premise of "the principle of liability without fault by hospitals caused adverse consequences", combining with tort law, drawing foreign-related requirements are complete recommendations to the trial of such cases be beneficial.

Key Words：Medical dispute   Consciousness of law   Lawful rights and interests