医疗纠纷人民调解具有专业性、中立性、高效性、准司法性。调解协议属于合同，其司法确认可有效对接医疗纠纷的调解与诉讼。目前，我国医疗纠纷人民调解协议司法确认机制尚不完善，对于经司法确认的调解协议是否具有实质既判力以及执行依据等方面存在争议。从现在的非诉程序转为争讼程序，将有利于完善司法确认程序规则及搭建整个确认体系。本文分析了医疗纠纷人民调解协议的性质、意义以及调解协议在司法确认程序中存在的主要问题，提出应明晰司法确认主体、规范司法确认程序规则、严格调解协议审查方式及范围、明确当事人及案外人的救济手段等建议。%Medical dispute mediation is professional, neutrality, efficient, quasi-judicial. Conciliation agreement belongs to the contract. The judicial confirmation of medical dispute mediation agreement links the conciliation and lawsuit of medical dispute. The mechanism of the judi⁃cial confirmation of medical dispute mediation agreement is still not perfect. There exists dispute of medical dispute mediation agreement's form res judicata and enforcement basis. No lawsuit turn to lawsuit procedure, which will in favor of the perfection of judicial confirmation rules and sys⁃tem. This article analyzes issues of medical dispute mediation agreement's nature, significance and procedure, clears the subject, and manages procedure, the methods of review, and the remedy of party and outsiders.
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