举证责任如何分配是处理医疗侵权诉讼最棘手的问题。《侵权责任法》的出台,对医疗损害举证责任的分配进行了重大改革。本文分析了医疗损害纠纷中举证责任分配制度的变迁,以及这种变革对司法实践的影响,进而对完善医疗损害证明责任制度提出了建议。 How to distribute the burden of proof is the most difficult issue to deal with medical tort litigation. The introduction of “tort liability law” has carried out major reforms on the distribution of the burden of proof for medical damage. This paper analyzes the vicissitudes of the system of distribution of burden of proof in the disputes of medical damages and the impact of such changes on judicial practice, and then gives some suggestions on how to improve the system of liability of medical damages.