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題名:醫療風險理論概論
書刊名:醫事法學
作者:高添富高銘佑
作者(外文):Kao, Tien-fuKao, Bob Ming-yu
出版日期:2016
卷期:23:1
頁次:頁1-32
主題關鍵詞:醫療事故醫療過失醫療不幸醫療意外醫療風險風險救濟Medical incidentMedical negligenceMedical accidentMedical mishapMedical riskRisk rlief
原始連結:連回原系統網址new window
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  • 共同引用共同引用:121
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醫療風險理論的重點在於只有可避免性(Avoidability)的醫療結果才是醫療事故,如壽終正寢(Natural Death)或疾病使然(Natural Course)就不在討論範圍之內;其次,自結果預知可能性(Predicability)及結果迴避可能性(Preventability) , 我們可以把醫療事故( Medical Incident ) 區分為醫療過失( MedicalNegligence)、醫療不幸(Medical Mishaps)或醫療意外(Medical Accident)三種,其中沒有結果迴避可能性的醫療意外及醫療不幸合稱為「醫療風險」。實務上自許多醫療爭議調解的案例可以發現,臨床上爭議最多的都是醫療風險的案件,醫師自認已盡全力診療,但礙於疾病本身的風險,病人發生傷亡後果或不良反應,根本不是醫師能力範圍所及,而病患人傷體亡,家屬亦無法接受這種後果,各說各話自然爭端迭起,紛爭不絕。結論一是醫療糾紛,醫師不一定有過失:一、廣義的醫療糾紛,醫師沒有過失。二、非醫療事故的醫療糾紛,醫師更沒有過失。三、誤診及手術失敗是醫療風險,即醫療不幸,醫師並沒有過失。四、醫療風險為可容許危險,醫師當然沒有過失。結論二是自醫療風險理論建立醫法民三方共同語言。目前的醫療爭議調解,其實爭議最多的是在於醫療風險的案件,醫師自認已盡全力,但礙於疾病本身的風險,病人發生傷亡後果或不良反應,根本不是醫師能力範圍所及,而病家人傷體亡,亦無法接受這種突如其來的悲痛後果,自然各說各話爭端迭起,糾紛當然就多了。醫療風險理論就是要讓醫界、法界以及民眾之間,一有醫療糾紛時,三方先心平氣和坐下談,而且有「醫療風險理論」的共識,三方使用共同語言討論,首先就是要先確定發生的醫療事故是屬於醫療過失、醫療不幸或醫療意外的哪一種?釐清法律責任,再決定要救濟?還是要賠償?醫師有過失,當然要賠償,傾家蕩產不足為惜,但醫療風險就要靠國家提出一套風險救濟的方式解決,而不是任由醫病雙方廝殺抗爭,造成社會動盪不安。總之,若能遵循「醫療風險理論」,碰到醫療糾紛,醫法民三方理性對話,相互諒解,用風險救濟消弭訴訟勞費,醫病關係才能維持和諧,醫療生態方能導入正途。
The main principle of medical risk theory is that only medical results with avoidability are medical incidents, so natural death and results due to natural course of diseases are excluded. Further, using the concepts of predictability and preventability, medical incidents can be divided into medical negligence, medical mishaps, and medical accidents, with the latter two, which are not preventable, categorized as medical risks. Examining cases of medical dispute mediation in practice reveals that medical risk cases generate the most number of disputes. While the harm or adverse effects due to risks of diseases suffered by patients are outside the physician’s control despite the physician’s best efforts, family members are still unable to accept the patient’s injury or death. This article shows that first, physicians are not necessarily negligent in medical disputes. In general, physicians are not negligent. In cases of non-medical incidents, physicians are not negligent. Misdiagnoses and surgery failures are medical risks and medical mishaps, so physicians are not negligent. Medical risks are acceptable dangers, so physicians are not negligent. Second, this article shows the need to create a common language based on medical risk theory to resolve medical disputes. Medical risk theory creates a common language that allows legal professionals, medical professionals, and the people to have productive discussions once medical disputes arise. This common language allows all interested parties to first determine whether the medical incident is medical negligence, medical mishap, or medical accident. This then allows for the determination of legal responsibility and either indemnity or relief for the patients or family members. If physicians are negligent, they are liable for indemnity, but cases categorized as medical risk are the responsibility of the state, which needs to implement a relief scheme to avoid hostility between physicians and patients leading to social instability. Following medical risk theory allows parties in medical disputes to have productive conversations that maintain harmonious doctor-patient relationships and a positive medical environment.
期刊論文
1.周漾沂(20140300)。風險承擔作為阻卻不法事由--重構容許風險的實質理由。中研院法學期刊,14,169-243。new window  延伸查詢new window
2.楊秀儀(20030600)。醫院之醫療糾紛責任風險預估與因應策略探討。醫務管理期刊,4(2),37-56。new window  延伸查詢new window
3.廖正豪(19771000)。過失共同正犯論。刑事法雜誌,21(5),40-56。new window  延伸查詢new window
4.(20021000)。「我國醫療事故損害賠償問題的現況與展望」研討會議題討論。臺灣本土法學雜誌,39,96-113。  延伸查詢new window
5.國家食品藥品監督管理總局(2008)。楊森--齊拉格公司限制酮康唑的使用。藥物警戒快訊,5。  延伸查詢new window
6.陳樸生(19790500)。過失理論之發展及其趨向。軍法專刊,25(5),2-12。new window  延伸查詢new window
7.Tongsong, T.(2000)。Prenatal Sonographic Diagnosis of Holt-Oram Syndrome。J. Clin. Ultrasound,28(2),98。  new window
8.楊秀儀(20001200)。從無過失重回過失--紐西蘭有關醫療傷害補償制度之變遷及對臺灣之啟示。政大法學評論,64,97-119。new window  延伸查詢new window
9.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
學位論文
1.劉師秀(2009)。醫師主動告知醫療錯誤之阻礙因素及促進條件與其對告知及致歉意願之影響(碩士論文)。中國醫藥大學。  延伸查詢new window
2.鍾侑谷(2004)。醫療行為無過失責任之探討(碩士論文)。東吳大學。  延伸查詢new window
3.何曉琪(2001)。醫療錯誤之國際發展與研究取向之優劣分析:美國、澳洲、英國及臺灣之實證分析(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.曾淑瑜(2007)。醫療過失與因果關係。翰蘆。new window  延伸查詢new window
2.田中真由美、李尚霖(2005)。哈佛醫師之路。  延伸查詢new window
3.Weiler, Paul C.、Hiatt, Howard H.、Newhourse, Joseph P.、Johnson, William G.、Brennan, Troyen A.(1993)。A Measure of Malpractice: Medical Injury, Malpractice Litilation, and Patient Compensation。  new window
其他
1.亞微。無罪推定原則,http://www.voachinese.com/content/a-21-12005-02-07-voa36-57786322A056900.html。  new window
2.林鉷彬。乳癌的理學檢查與工具,http://www.mmh.org.tw/taitam/gen_su/index4_2_1g.html。  延伸查詢new window
3.財團法人吳舜文新聞獎助基金會。新聞採訪報導獎--醫院:毒品流通的中繼站?麻醉藥品流向追.追.追,http://www.vivianwu.org.tw/02c.php?ser=61&serl=20。  延伸查詢new window
4.黃鈺媖。醫療錯誤不等於刑事責任,http://www.nownews.com/2011/10/17/142-2749697.htm#ixzzlkkoR416k。  延伸查詢new window
5.彭立人(20091111)。新新過失理論,http://blog.yam.com/joinjoin/article/25170688。  延伸查詢new window
6.鍾麗華(20050326)。斯斯、克風邪含PPA感冒藥明年7月下架,http://old.ltn.com.tw/2005/new/mar/26/today-life4.htm。  延伸查詢new window
圖書論文
1.許玉秀(1997)。檢驗客觀歸責的理論基礎--客觀歸責理論是什麼?。主觀與客觀之間。  延伸查詢new window
 
 
 
 
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