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【裁判要旨】医疗损害责任纠纷案件中,作为被告的院方经常以患者使用的药物不属于医保范围为由拒绝赔偿相关费用。对于患者使用的药物及由此而产生的医疗费用,法院应当结合案情对用药的合理性、必要性进行分析,必要时应通过调查取证、专家咨询等方式对患者病情及用药综合加以评判,从而认定患者用药及医疗费用是否合理。
In the case of medical damages liability dispute cases, the defendant’s hospital often refuses compensation for the expenses incurred when the drugs used by the patients do not belong to the medical insurance coverage. For patients using drugs and the resulting medical costs, the court should combine the merits of the rationality of drugs, the need for analysis, if necessary, through the investigation and evidence collection, expert advice and other ways to judge the patient’s condition and medication to be comprehensive, and thus Determine whether the patient medication and medical expenses is reasonable.