摘要:医疗纠纷大多是患者认为医疗机构及其工作人员的医疗行为不当，造成了自己身体上的伤害，要求赔偿因而与医疗机构发生纠纷。医疗举证倒置是为了保护患者的利益，但却产生了很大副作用，例如实践中出现过度医疗检查现象，致使病人错过最佳治疗时间；如何界定诉讼时效起算点等等。近来侵权责任法对举证责任的分配做出了调整，要求诉讼双方在就医疗“过错”举证时，要由患方证明医疗机构有过错；对于“因果关系”的举证责任，仍由医疗机构承担。本论文试图在承认我国立法对医疗纠纷举证责任规定为无过错责任具有合理性的前提下，分析“医院承担无过错责任原则引发的不良后果”着手，结合侵权法，借鉴外国相关规定，提出完善建议，以期对这类案件的审理有所裨益。

关键词：医疗纠纷 举证责任 现实问题 完善意见

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