臺灣人文及社會科學引文索引資料庫系統

:::

詳目顯示

回上一頁
第 1 筆 / 總合 1 筆   第一頁 上一頁 下一頁 最後一頁
/1頁
題名：實證醫學數據於醫療事故損害賠償上之意義
書刊名：國立臺灣大學法學論叢
作者：吳志正
作者(外文)：Wu, Chih-cheng
出版日期：2011
卷期：40:1
頁次：頁139-207
主題關鍵詞：實證醫學；數據；臨床指引；存活率；治癒率；機會喪失理論；醫療失當；損害；因果關係；損害賠償責任；Evidence-based medicine；Statistics；Clinical practice guideline；Survival rate；Cure rate；Loss-of-chance doctrine；Medical malpractice；Injury；Causation；Liability
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(11) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:256
  • 點閱點閱:321
實證醫學係以流行病學或統計學方法所得之數據為基礎，不僅提供醫療照護決策之參考，更成為司法實務相當重要的證據資料，惟此等實證醫學數據畢竟係以流行病學與統計學方法所得，如何賦予該數值於醫療事故損害賠償上適當之意義，遂有探討之必要性。 按損害賠償之債，以有損害之發生及有責任原因之事實，並二者之間，有相當因果關係為成立要件，此損害賠償法基本理論的每個環節，均可能與實證醫學數據相牽連。本文認為，就醫療事故中醫方責任原因之判定而言，不宜將實證醫學數據本身從基於該數據所發展出之臨床指引或醫療常規中抽離出來，單獨作為過失判斷之基礎，毋寧綜合考量臨床指引或醫療常規制定之合理性與目的性、以及病患受損權益之重要性等因素而為判斷。再者，以實證醫學數據作為「抽象因果關係」並藉以判定「個案因果關係」時，應力求二者間情節變數之一致，方能獲致正確之論證結果。就論斷責任成立上損害而言，與其將存活率或治癒率等數據之減損本身視為新興人格權之損害，毋寧正視該數值之減損其實只是反映出病患身體權與健康權受損害程度之參考，於責任範圍上損害之數額算定時再予以參酌；而於算定責任範圍上損害時，無論是客觀賠償範圍與單位期間賠償數額、總期間、或是履行利益賠償數額之估算上，均應參酌實證醫學數據為之。
Evidence-Based Medicine (EBM) has been interpreted as the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients; moreover, the clinical practice guidelines, which were developed through EBM, are becoming one of the popular judicial evidences in medical malpractice litigation. Besides, the medical statistics which constitute the main portion of EBM evidence have also promisingly gained their judicial significance. The complication rate of the treatment and the ratio of side effects of medication are such kind of EBM Statistics, which were themselves collected by scientific methods and were objective figures in nature. Accordingly, these figures in some degree, correlated to the ”foreseeability” concept judicially; however, in inquiring the liability of physicians, these figures should not be apply totally independent from the statistics-related clinical practice guidelines. Meanwhile, the survival rate or cure rate of the patients with certain disease with or without treatment implies some evidence of causal relation. These kinds of EBM Statistics indicate the so-called ”abstract causation”, which by way of deduction could infer the conclusion of ”personal causation”. However, the parameters between these two sets of causation should be as similar as possible to draw an accurate conclusion. There was a famous ”Loss-of-Chance Doctrine”, which allows plaintiffs to recover money without having to show that it was more likely than not that the charged medical negligence made the difference in their recovery or survival, by way of regarding the reduction in patient's survival rates itself (i.e. the EBM Statistics) as the suffered injury caused by medical malpractice. Nevertheless, this doctrine actually could never at all alleviate patient's duty of proof in causation between the malpractice and the injury suffered especially herein in patients whose survival or cure rate happens to be lower than 50%. We would rather recognize the cellular level injuries of ”health rights” in these patients and recovered as such by applying these EBM Statistics to determine the compensation extent. Hopefully this article will help in utilizing EBM Statistics as the judicial evidence and the fairness and justice of jurisdiction can finally be realized in medical malpractice litigations.
期刊論文
1.姜世明(200708)。證明度之研究。政大法學評論，98，307-402。new window  延伸查詢new window
2.陳聰富(20020600)。「存活機會喪失」之損害賠償。中原財經法學，8，65-115。new window  延伸查詢new window
3.Sackett, D. L.、Rosenberg, W. M.、Gray, J. A.、Haynes, R. B.、Richardson, W. S.(19960113)。Evidence based medicine: What it is and what it isn’t。British Medical Journal，312(7023)，71-72。  new window
4.吳志正(2007)。論「治癒機會喪失」之損害賠償。法官協會雜誌，9(1)，94-108。  延伸查詢new window
5.王澤鑑(2005)。損害概念及損害分類。月旦法學雜誌，124，201-212。new window  延伸查詢new window
6.Evidence-Based Medicine Working Group(1992)。Evidence-based medicine: A new approach to teaching the practice of medicine。The Journal of the American Medical Association，268(17)，2420-2425。  new window
7.呂太郎(200204)。因果關係之比例與損害額。臺灣本土法學雜誌，33，142-147。  延伸查詢new window
8.盧映潔、施宏明、劉士煒(200606)。癌症與因果關係之探討。臺灣本土法學雜誌，83，106-109。  延伸查詢new window
9.吳俊穎(20040700)。由醫療糾紛的觀點看臺灣實證醫學未來之發展。臺灣醫學，8(4)，573-581。  延伸查詢new window
10.吳志正(20071100)。存活機會喪失--醫療損害之迷思。月旦法學，150，90-114。new window  延伸查詢new window
11.楊培銘、梁繼權、迢文逸、許志成、張家勳、石富元(20030700)。實證醫學特輯。臺灣醫學，7(4)，531-578。  延伸查詢new window
12.吳志正(20080700)。以疫學手法作為民事因果關係認定之檢討。東吳法律學報，20(1)，205-236。new window  延伸查詢new window
13.王千維(20020600)。民事損害賠償責任成立要件上之因果關係、違法性與過失之內涵及其相互間之關係。中原財經法學，8，7-64。new window  延伸查詢new window
14.吳志正(20090100)。次細胞層級之人身損害初探--兼評臺灣高等法院87年度重上國字第1號民事判決。東吳法律學報，20(3)，191-225。new window  延伸查詢new window
15.吳志正(20071000)。論人工流產自主決定權之侵害與損害。東吳法律學報，19(2)，1-26。new window  延伸查詢new window
16.張麗卿(20091000)。實證醫學在醫療過失審判實務上的意義--從胃腺癌存活率談起。東吳法律學報，21(2)，1-30。new window  延伸查詢new window
17.陳忠五(20051100)。產前遺傳診斷失誤的損害賠償責任--從「新光醫院唐氏症事件」論我國民事責任法的新課題。國立臺灣大學法學論叢，34(6)，107-260。new window  延伸查詢new window
18.陳聰富(20060100)。人身侵害之損害概念。國立臺灣大學法學論叢，35(1)，47-110。new window  延伸查詢new window
19.楊佳元(20050600)。侵權行為過失責任之體系與一般要件。臺北大學法學論叢，56，205-254。new window  延伸查詢new window
20.陳聰富(20000100)。侵權行為法上之因果關係。國立臺灣大學法學論叢，29(2)，175-307。new window  延伸查詢new window
21.邵文逸(2003)。如何嚴謹地研判醫療文獻。臺灣醫學，7(4)，535-542。  延伸查詢new window
22.Wang, Tze-Chien(2005)。The concept and classification of injurv。Taiwan Law Review，124，201-212。  new window
23.Wang, Chien-Wei(2002)。The nature and interrelation of causation, illegality and negligence in liability。Chung Yuan Financial & Economic Law Review，8，7-64。  new window
24.Lu, Tai-Lang(2002)。The ratio of causation and damages。Taiwan Law Journal，33，142-147。  new window
25.Wu, Chih-Cheng(2007)。The damages of loss of curable chance。Magazine of JAROC，9(1)，94-108。  new window
26.吳志正(2007)。民事因果關係邏輯性序説。臺大法學論叢，36(3)，385-464。new window  延伸查詢new window
27.Wu, Chih-Cheng(2007)。An overview on logics in causation reasoning。National Taiwan University Law Journal，36(3)，385-464。  new window
28.Wu, Chih-Cheng(2007)。The loss of survival chance：The illusion of medical hann。Taiwan Law Review，150，90-114。  new window
29.Wu, Chih-Cheng(2007)。The violation of self-determination-right on artificial abortion：A dispute on damages。Soochow Law Review，19(2)，1-26。  new window
30.Wu, Chih-Cheng(2008)。Comment on the epidemiologic causation theory for civil liability。Soochow Law Review，20(1)，205-236。  new window
31.Wu, Chih-Cheng(2009)。A preliminary study oi the subcellular uersonal injuries for tort liability。Soochow Law Review，20(3)，191-225。  new window
32.Wu, Chun-Ying(2004)。Development of evidence-based medicine in Taiwan：From the viewpoints of medical malpractice。Formosan Journal of Medicine，5(4)，573-580。  new window
33.林晉、江鴻生、江清泉(2000)。實證醫學(Evidence Based Medicine)之省思。生物醫學報導，2，9-10。  延伸查詢new window
34.Lin, Jinn、Jiang, Hong-Sen、Jiang, Ching-Chuan(2000)。Reflection on evidence based medicine。NTU BiomedBulletin，2，9-10。  new window
35.Yiau, Wei-Kuang(2004)。The civil procedure。Wei-Kuang。  new window
36.Shau, Wen-Yi(2003)。How to critically appraise medical literatures。Formosan Journal of Medicine，7(4)，535-542。  new window
37.Chiang, Shyh-Ming(2007)。The standard of proof。National Chengchi Law Review，98，307-402。  new window
38.Sun, Sen-Yen(2008)。General principles of the law oj obligations I。  new window
39.Chang, Li-Ching(2009)。The meaning of evidenced-based medicine to negligence suit：The observation on survival rate of gastric carcinoma。Soochow Law Review，21(2)，1-30。  new window
40.Chen, Chung-Wu(2005)。Civil liability for errors of prenatal genetic testing：New challenges of Taiwan’s civil liability law。National Taiwan University Law Journal，34(6)，107-260。  new window
41.Chen, Tsung-Fu(2000)。Causation on tort law。National Taiwan University Law Journal，29(2)，175-308。  new window
42.Chen, Tsung-Fu(2003)。The damages of “loss of survival chance”。Taiwan Bar Journal，7(11)，85-113。  new window
43.Chen, Tsung-Fu(2006)。The concept of damage in personal injury cases。National Taiwan University Law Journal，35(1)，47-110。  new window
44.陳聰富(2009)。醫療事故之因果關係：最高法院96年度台上字第2032號民事判決評析。法令月刊，60(10)，32-56。new window  延伸查詢new window
45.Chen, Tsung-Fu(2009)。The causation in medical litigation：Comment on Supreme Court 2007 Tai-Shang-Tzi-2032 civil decision。Law Monthly，60(10)，32-56。  new window
46.Yang, Pei-Ming、et al.(2003)。Evidence-based medicine。Formosan Journal of Medicine，7(4)，530-578。  new window
47.Yang, Chia-Yuan(2005)。The structure and general components of negligent liability in torts。Taipei University Law Review，56，205-254。  new window
48.Lu, Ying-Chieh、Shih, Hung-Ming、Liu, Shih-Wei(2006)。Investigation on cusation and cancer。Taiwan Law Journal，83，106-109。  new window
49.蘇慧卿(1993)。交通事故における共同不法行為責任(ニ)。九大法學，65，163-189。  延伸查詢new window
50.Hill, Timothy(1991)。A lost chance of compensation in the tort of negligence by the house of lords。Modern Law Review，54，511-523。  new window
51.King. J. H.(1981)。Causation, valuation, and chance in personal injury torts involving preexisting conditions and future consequences.。The Yale Law Journal，90，1353-1397。  new window
52.Makdisi, J.(1989)。Proportional liability：A comprehensive rule to apportion tort damages based on probabilit。North Carolina Law Review，67，1063-1106。  new window
53.McBride, W. G.(1961)。Thalidomide and congenital abnormalities。The Lancet，1358。  new window
54.Price, D. P. T.(1989)。Causation：the Lords' lost chance?。International and Comparative Law Quarterly，38(4)，735-760。  new window
55.Winton T.、Livingston R.、Johnson D.、Rigas, J.、Johnston, M.、Butts C.、Cormier, Y.(2005)。Vinorelbine plus cisplatin vs. observation in resected non-small-cell lung cancer。The New England Journal of Medicine，352，2589-2597。  new window
會議論文
1.吳志正(2010)。再訪存活機會。台北。  延伸查詢new window
2.Wu, Chih-Cheng(2010)。Second look at the survival chance。Taipei。  new window
3.吳俊穎(2008)。法庭上的實證醫學：台灣與美國的經験。台北。  延伸查詢new window
4.Wu, Chun-Ying(2008)。The evidence-based medicine in courts：The experiences of Taiwan and U。Taipei。  new window
5.吳俊穎(2009)。台灣醫療糾紛的實證研究。台北。  延伸查詢new window
6.Wu, Chun-Ying(2009)。Evidence-basea study on medical malpractice litigations in Taiwan。Taipei。  new window
7.陳聰富(2010)。醫療過失的判定標準。台北。  延伸查詢new window
8.Chen, Tsung-Fu(2010)。The standard or negligent medical malpractice。Taipei。  new window
學位論文
1.陳哲宏(1984)。假設因果關係與損害賠償(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.胡長清(1964)。中國民法債篇總論。商務印書館。  延伸查詢new window
2.吳志正(200609)。解讀醫病關係（II）--醫療責任體系篇。台北：元照出版社。  延伸查詢new window
3.吳志正(200609)。解讀醫病關係(1)：醫療契約篇。臺北市：元照。new window  延伸查詢new window
4.Lawson, Frederick H.、Markesins, Basil S.(1982)。Tortious liability for unintentional harm in the common law and the civil law。New York：Cambridge University Press。  new window
5.Goldberg, Richard(1999)。Causation and risk in the law of torts：Scientific evidence and medicinal product liability。Portland, OR：Hart Pub.。  new window
6.Röckrath, Luidger, Kausalität(2004)。Kausalität, Wahrscheinlichkeit und Haftung。Kausalität, Wahrscheinlichkeit und Haftung。München, Germany：C. H. Beck。  new window
7.Larenz, Karl(1987)。Lehrbuch des Schuldrechts。München：C. H. Beck。  new window
8.Miller, Raymond C.、蔡神鑫(1993)。社會科學科際整合之涵意與類型。台北：致良。  延伸查詢new window
9.浜上則雄(1997)。現代共同不法侵權行為の研究。東京都：信山社。  延伸查詢new window
10.Looschelders, Dirk(2006)。Schuldrecht, AT。München：Heymann。  new window
11.Kaufmann, Arthur(1997)。Rechtsphilosophie。München：C. H. Beck。  new window
12.姚瑞光(2004)。民事訴訟法論。姚瑞光。  延伸查詢new window
13.林鈺雄(200709)。刑事訴訟法。臺北：林鈺雄：元照。  延伸查詢new window
14.王澤鑑(1998)。侵權行為法(一)：基本理論、一般侵權行為。臺北：王澤鑑。  延伸查詢new window
15.Khoury, Lara(2006)。Uncertain Causation in Medical Liability。Hart。  new window
16.吉村良一(2005)。不法行為法。有斐閣。  延伸查詢new window
17.黃立(200611)。民法債編總論。臺北：元照出版有限公司。  延伸查詢new window
18.孫森焱(2008)。民法債編總論。孫森焱。  延伸查詢new window
19.Lange, Hermann、Schiemann, Gottfried(2003)。Schadensersatz。Mohr Siebeck。  new window
20.曾世雄(1996)。損害賠償法原理。曾世雄。new window  延伸查詢new window
21.Muir Gray、唐金陵、郭耿南(2007)。實證醫學：醫療照護決策。台北。  延伸查詢new window
22.Muir Gray、Tang, Jin-Ling、Kuo, Ken-Nan et al. (Trans.)(2007)。Evidence-based decision making in healthcare。Taipei。  new window
23.Miller, Raymond C.、Tsai, Shen-Shin(1993)。Varieties of interdisciplinaiy approaches in the social science。Taipei。  new window
24.Wang, Tze-Chien(1998)。Torts I：General principles and typical torts。Taipei。  new window
25.Lin, Yu-Hsiimg(2007)。Criminal procedure law. part I。Taipei。  new window
26.Tseng, Shih-Hsiung(1996)。General principles of liability and damage。Taipei。  new window
27.謝豐舟(2006)。白色斜塔：給醫學生的六十封信。台北。  延伸查詢new window
28.Hsieh, Fon-Jon(2006)。Tne leaning white tower： Sixtv letters to medical students。Taipei。  new window
29.Hwang, Li(2006)。General principles of of the law oj obligations of civil code。Taipei。  new window
30.Wu, Chih-Cheng(2006)。Legal aspects of physician patient relationship I： Medical contract。Taipei。  new window
31.Wu, Chih-Cheng(2006)。Legal aspects of physician patient relationship II：Medical liability。Taipei。  new window
32.Hu, Chang-Ching(1964)。General provisions of obligations under Cninese Civil Code。Taipei。  new window
33.殷海光(1990)。邏輯新引。台北。  延伸查詢new window
34.Yin, Hai-Guang(1990)。New introduction to logic。Taipei。  new window
35.吳志正(2007)。論「餘命損害」之損害賠償：評最高法院54年台上字第 951號民事判例。判解研究彙編(十一)。台北。  延伸查詢new window
36.Wu, Chih-Cheng(2007)。The damages of profit from life expectancy：Comments on Supreme Court civil precedents 54/951。The collection of commentary on precedents XI。Taipei。  new window
37.Giesen, D.(1988)。International medical malpractice law：A comparative law study of civil liability arising from medical care。Boston。  new window
38.Guyatt, G.、Rennie, D.(2002)。User's guides to the medical literature：Essentials of evidence-based clinical practice。Chicago。  new window
39.Honore, A. M.(1983)。Causation and remoteness of damage。International Encyclopedia of Comparative Law：vol. XL. Torts (Chapter 7)。New York。  new window
40.Markesinis, B. S.、Unberath, H.(2002)。The German Law of torts：A comparative treatise。Portland。  new window
41.Glaser, J. A.(1858)。Abhandlungen aus dem österreichischen Strafrecht。Wien。  new window
42.吳志正(2009)。醫療民事案例研討。民事法律論文暨案例研討選輯。台北。  延伸查詢new window
43.Wu, Chih-Cheng(2009)。Discussion on medical civil litigations’。The collection of essays on civil laws and case discussions。Taipei。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關著作
 
QR Code
QRCODE

臺灣人文及社會科學引文索引資料庫

目前上線人數：275（臺灣：274，外國：1） ／ 本年度總使用人次：2017497 ／ 訪客人次（自102年09月）：67812435
國家圖書館著作權聲明 Copyright © 2013 All rights reserved.
本館地址: 100201臺北市中山南路20號． 本館地圖及交通資訊．
總機：(02)23619132．最佳瀏覽解析度為1024x768以上