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題名:結核病隔離治療法制之檢討:實證研究與合憲性分析
書刊名:國立臺灣大學法學論叢
作者:林欣柔 引用關係
作者(外文):Lin, Shin-rou
出版日期:2016
卷期:45:1
頁次:頁83-150
主題關鍵詞:結核病多重抗藥性結核病隔離治療傳染病防治法公共衛生人身自由強制住院TuberculosisMulti-drug resistant tuberculosisIsolationInfectious Disease Control ActPublic healthPersonal libertyCompulsory hospitalization
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本文以結核病隔離治療之法規內容及執行實況為素材,探討以傳染病防治法第44、45條為法源依據之結核病隔離治療法制合憲性。本文發現:第一,隔離治療之要件過於概括,未以病人對公眾健康的具體風險為依據,且實際運用上逾越法律授權範圍,混淆不同目的之拘禁手段;第二,衛生人員可能因法律上欠缺對其他侵害較小手段之授權及醫療、社會支持措施,逕以隔離治療作為解決病人經濟、社會問題之方法,未全然符合較小侵害原則;第三,病人的社經地位潛在地成為影響衛生人員隔離治療決定之重要因素;第四,欠缺重要程序保障機制,包括適當的法官保留與及時法院救濟。為使結核病隔離治療法制符合憲法第8條第1項剝奪人身自由應經正當法律程序之要求,傳染病防治法應依不同目的,區別不同拘禁手段之要件,揚棄「必要時」此種空洞的實體要件,改以具體行為風險為標準,提供病人健康、安全的環境以達成拘禁目的,並依最近司法院就非刑事被告拘禁之程序保障所作成之解釋意旨,強化程序保障內涵,提供病人及時法院救濟及法院定期審查。
This article analyzes how Taiwan's tuberculosis isolation regulatory scheme authorized under Article 44 and 45 of the Communicable Disease Control Act (Act) was implmented to check the constitutionality of the isolation power. It finds that: first, the requirements for TB isolation are too general, not based on specific risk to public health posed by patients; its implmentation might have gone beyond the scope of legal authorization since the authorities confused different powers of detention; second, the use of isolation power was not completely in line with the least restrictive means principle; due to unavailability of legally authorized less restricitve means and lack of medical and social support system, public health officials had little choice but to use isolation as a temporary relief to the patients' economic and social problems; third, socio-economic status of patients potentially became an important factor for isolation decisions; fourth, the isolation regulatory scheme are short of significant procedural safeguard mechanism, including appropriate and timely judicial review. To comply with the requirements of article 8, paragraph 1 of the Constitution, the Act should authorize different detention powers based on different purposes of confinement; the "when necessary" limit on isolation is too vague and should be abadoned; the isolation power agasinst TB patients should be justified by assessment of patients' risk behavior; patients have a right to healthy and safe environments for detention and are entitled to procedural protections provided to non-criminal detainees, i.e. timely court remedies and periodic review held in recent Judicial Yuan Explanations.
期刊論文
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11.林欣柔(20120200)。從美國紐約市結核病拘禁法令評析臺灣結核病隔離治療制度。政大法學評論,125,287-367。new window  延伸查詢new window
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13.陳清秀(20030800)。SARS傳染病之疫情防治法制相關問題。臺灣本土法學雜誌,49,43-53。  延伸查詢new window
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21.Lin, S. R.(2013)。A Costly Illusion?: An Empirical Study of Taiwan's Use of Isolation to Control Tuberculosis Transmission and its Implications for Public Health Law and Policy making。Asian-Pacific Law & Policy Journal,14(3),107-166。  new window
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27.王振源(2008)。影響結核病患者傳染力的因素以及服藥後傳染力的改變情形。防癆雜誌,冬季號,21-24。  延伸查詢new window
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學位論文
1.柯秉志(2014)。論傳染病防治法第48條「隔離」之正當法律程序(碩士論文)。國立交通大學。  延伸查詢new window
2.張淑卿(2004)。防癆體系與監控技術:台灣結核病史研究(1945-1970s)(博士論文)。國立清華大學。new window  延伸查詢new window
圖書
1.行政院衛生署疾病管制局(2009)。結核病防治工作手冊。臺北:行政院衛生署疾病管制局。  延伸查詢new window
2.行政院(2005)。中華民國95年度中央政府總預算案:歲出機關別預算表。臺北:行政院。  延伸查詢new window
3.行政院衛生署疾病管制局(2012)。臺灣結核病防治年報2012。臺北:行政院衛生署疾病管制局。  延伸查詢new window
4.Dubos, R.、Dubos, J.(1952)。The White Plague: Tuberculosis, Man and Society。New Brunswick, NY:Rutgers University Press。  new window
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6.行政院衛生署疾病管制局(2002)。結核病防治工作手冊。臺北:行政院衛生署疾病管制局。  延伸查詢new window
7.行政院衛生署疾病管制局(2002)。民國九十年結核病防治年報。臺北:行政院衛生署疾病管制局。  延伸查詢new window
8.Gostin, Lawrence O.(2008)。Public Health Law: Power, Duty, Restraint。Berkeley, CA:University of California Press。  new window
9.Maxwell, Joseph A.(2005)。Qualitative Research Design: An Interactive Approach。SAGE Publications。  new window
其他
1.衛生福利部疾病管制署(2010)。臺灣地區法定傳染病統計:98年(年報),臺灣地區第三類法定傳染病確定病例人數統計:縣市別,http://www.cdc.gov.tw/uploads/report/94596al0-9488-4ebf-80c0-642f6d6d2484.pdf。  延伸查詢new window
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4.衛生福利部(2013)。歷年結核病死亡率:民國八十八年至一O一年,http://wwwmohw.gov.tw/cht/DOS/DisplayStatisticFile.aspx9d=32247。  延伸查詢new window
5.衛生福利部疾病管制署(2013)。臺灣地區法定傳染病統計:101年(年報),第三類法定傳染病確定病例人數統計:縣市別,http://www.cdc.gov.tw/uploads/report/Sf956d70-5S4d-4b67-aa02-4a3ce4349890.pdf。  延伸查詢new window
6.衛生福利部疾病管制署(2013)。臺灣地區法定傳染病統計:101年(年報),第二類法定傳染病確定病例人數統計:年齡別,http://www.cdc.gov.tw/uploads/report/6d06c55a-9130-45f4-ae88-9d934cd00ae9.pdf。  延伸查詢new window
7.衛生福利部疾病管制署(2012)。臺灣地區法定傳染病統計:100年(年報),第三類法定傳染病確定病例人數統計;縣市別,http://www.cdc.gov.tw/uploads/report/3bc469c6-3190-42f0-a73e-475ec9144b2e.pdf。  延伸查詢new window
8.Gerberdmg, J. L.(2007)。Testimony on recent case of extensively drug resistant TB: CDC's public health response,http://www.cdc.gov/washingtorx/testimony/2007/t20070606htm。  new window
9.Rothstein, M. A.,Alcalde, M. G.,Elster, N. R.,Majumder, M. A.,Palmer, L. I.,Stone, T. H.(2003)。Quarantine and isolation: Lessons learned from SARS,http://stacks.cdc.gov/view/cdc/l 1429/cdc_11429_DSl.pdf。  new window
10.Office of Technology Assessment, United States Congress(1993)。The continuing challenge of tuberculosis,http://ota.fas.org/reportsZ9347.pdf。  new window
11.World Health Organization(2007)。WHO guidance on human rights and involuntary detention for XDR-TB control,http://www.who.int/tb/features_archive/involuntaiy_treatment/en/。  new window
12.World Health Organization(2006)。The global plan to stop tuberculosis: 2006-2015,http://www.stoptb.org/assets/documents/global/plan/GlobalPlanFinal.pdf。  new window
13.The Center for Law and Public's Health at Georgetown,Johns Hopkins Universities(2001)。Model State Emergency Health Powers Act,http://www.publichealthlaw.net/MSEHPA/MSEHPA.pdf。  new window
14.World Health Organization(2015)。Tuberculosis Fact Sheet,http://www.who.int/mediacentre/factsheets/fsl04/en/。  new window
 
 
 
 
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