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在传统的医疗过失侵权诉讼中,为了体现行外人士对医疗这一专家型行业的尊重,医疗专家证言在诉讼中发挥着重要的甚至决定性的作用。知情同意诉讼,虽被归入医疗过失侵权诉讼,却提供了一个不同于传统的医疗领域——诊断治疗——的情景。知情同意的独特性改变了专家证言在诉讼中的格局。在知情同意诉讼中,医疗专家证言的参与度和重要性遭到削弱。以患者为取向的信息披露标准的建立意味着法律的关注点已从“专家”整体转移到“患者”;对“医学判断”所管辖领域的精细分割也说明,医疗专家证言只应在证明医疗信息的感知和启用“医疗特权”上有应用价值,医疗信息的实质性判断已让位于一般人知识,而且对“医疗特权”的严格控制会缩减医疗专家证言的适用空间;因果关系的认定和选择影响到医疗专家证言和患者证言的地位变化,尽管存在“事后诸葛”效应,为了与知情同意法则之主旨相匹配,主观化的因果关系应是前进方向。
In traditional medical malpractice infringement litigation, testimony from medical experts plays an important and even decisive role in the lawsuit in order to show that outsiders respect the medical profession. Informed consent litigation, though classified as a medical malpractice infringement litigation, provides a different from the traditional medical field - diagnosis and treatment of the scene. The uniqueness of informed consent changes the pattern of expert testimony in litigation. In informed consent litigation, the participation and the importance of medical experts’ testimony have been weakened. The establishment of a patient-oriented information disclosure standard means that legal concerns have shifted from “experts ” to “patients ”. The fine segmentation of areas under the jurisdiction of “medical judgment ” also indicates that medical experts Testimonials should have value in demonstrating the perception and enablement of medical information “medical privilege ”, the substantive judgment of medical information has given way to general human knowledge, and tight control over “medical privilege ” will reduce the number of medical experts The identification and choice of causation affect the status change of medical expert testimony and patient testimony. Despite the “postmortem” effect, in order to match the main thrust of the law of informed consent, the subjective causal relationship should be Forward direction.