我国最高人民法院2002年4月1日起施行的《关于民事诉讼证据的若干规定》第四条第八款:明确患者将不再承担对医疗行为与损害结果及医疗过程有无差错的举证责任,而由掌握相关的证据材料的医疗单位承担,即实行举证责任倒置。因此,医院面临着诸如医务人员认识上存在差距、医院管理滞后等问题。笔者经过观察与思考,提出了解决这些问题的切实可行建议和对策,希望能与广大同行进行探讨。 Article 4(8) of the “Several Provisions Concerning Evidence in Civil Proceedings” implemented by the Supreme People’s Court of China from April 1, 2002: It is clear that the patient will no longer have to bear the burden of proof of medical operations and damage results and whether there is any error in the medical process. The burden of proof is reversed by the medical unit that holds the relevant evidence material. Therefore, the hospital is faced with problems such as the gap in the understanding of medical personnel and the lag in hospital management. After observing and thinking, the author put forward practical suggestions and countermeasures to solve these problems, hoping to discuss with the majority of peers.