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醫療糾紛鑑定意見對法官心證之影響

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表 1  研究個案相關描述性統計  個案數  (N=1,560)  百分比 (%)  時期  91-93 年 385  24.7  94-96 年 508  32.6  97-99 年 667  42.7  案件屬性    民事 1,072  68.7    刑事 488  31.3  刑訴類型    公訴 335  68.6    自訴 153  31.4  審級    一審 1,001  64.2    二審 559  35.8  鑑定意見    未引用 265  17.0    引用 1,295  8
表 2  案件特性與鑑定引用  未引用  (N=265)  引用  (N=1295)  勝算比(OR) 信賴區間 (95% CI) p 值  (p value)  時期  91-93 年 69(17.9%) 316(82.1%) 1 94-96 年 96(18.9%) 412(81.1%) 0.94 0.67–1.32 0.710  97-99 年 100(15.0%) 567(85.0%) 1.24 0.88–1.73 0.213  案件屬性    民事 219(20.4%) 853(79.6%) 1
表 7  審級與裁判結果(分層多變數分析)  勝算比  (OR)  信賴區間  (95% CI)  p 值  (p value)  一審  引用鑑定    對醫方不利 1    對醫方有利 41.36 24.22–70.62  <0.001*  訴訟類型    民事 1    刑事 2.66  1.55–4.56 <0.001*  病患傷害程度    無/輕傷 1        重傷/死亡 1.17  0.69–1.98 0.564  二審  引用鑑定    對醫方不利 1    對醫方有利 32.57 1

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