:::

詳目顯示

回上一頁
題名:遠距醫療之民事過失責任標準
書刊名:東吳法律學報
作者:陳鋕雄 引用關係劉庭妤
作者(外文):Chen, Chih-hsiungLiu, Ting-yu
出版日期:2010
卷期:22:1
頁次:頁61-99
主題關鍵詞:遠距醫療遠距照護醫療過失注意義務告知後同意電子病歷病患隱私權TelemedicineTelecareMedical malpracticeDuty of careInformed consentElectronic medical recordPrivacy of patients
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(0) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:108
  • 點閱點閱:75
近年隨著資訊通訊技術的蓬勃發展,資訊通訊科技開始應用在各種不同的醫療領域,遠距醫療、遠距健康照護、或遠距諮詢會診等新型態的醫療照護服務也應運而生,不僅有助於避免特定醫療疏失再度發生、提升醫療服務的品質與效率,而可大幅減少醫療成本與不必要的人員移動、提高醫療照護服務之即時性與可近性,而成為先進國家亟欲發展的項目之一;然而,遠距醫療之施行雖然在臨床上並無太大困難,但因遠距通信技術在醫療領域的應用本身具有相當的不確定性,若套用傳統法律上有關醫師親自診察義務與過失責任之相關規定的解釋標準,相較於執行一般醫療業務,參與遠距醫療的醫師很可能會面臨更高的法律風險,導致國內醫師目前對於遠距醫療多抱持觀望態度,因此,要推行遠距醫療,就必須先移除醫界對醫療過失責任的疑慮。針對醫師在遠距醫療活動下的過失責任議題,本文首先探討資訊通訊科技的本質,及其在醫療領域應用之技術類型與態樣,了解相關科技發展為我國醫療體系帶來的轉變與具體影響,此外,則以傳統過失責任標準為重心,一方面在政策上對醫師的行為自由、病患的生命身體之完整性與醫療專業人員養成之成本等不同利益作權衡,並藉由我國侵權行為法之要件分析,配合美國法在遠距醫療實務基礎之上發展出的學理論述,探討傳統過失責任標準適用於新興的遠距醫療活動時,於從事醫療行為、醫療資訊之提供與病患資料的儲存處理等不同階段,可能遭遇到的注意義務內容與程度之確立、告知後同意之內涵與取得方式、病患隱私權保護等問題,而討論的重點在於將遠距醫療科技的特性納入個案作考量,如因應遠距醫療照護服務的多樣化、專業化,應更詳細界定醫療行為之範疇,並對風險層級不同的醫療行為課以醫師不同程度的注意義務標準,至於醫師在從事遠距醫療活動實應遵循的注意義務標準應如何調整,則必須參考遠距醫療執行之實際情況,輔以醫界自行形成的臨床準則,將法律上抽象的善良管理人所負注意義務標準予以類型化、具體化,並且確立特定阻卻違法事由以在醫師與病患之間作風險的合理分擔,以期能夠兼顧醫病雙方的利益、實踐遠距醫療推行的目的。
With the flourishing development of Information and Communication Technologies industry in these years, the use of advanced telecommunication technologies in different fields of medicine was in a great expansion. Its application, such as telemedicine, telecare and teleconsultation, not only helps to reduce unnecessary medical cost resulting from the transportation of doctors or patients, but also enables doctors to avoid the reoccurrence of specific medical errors, and to provide medical services with higher quality, efficiency, timeliness and accessibility. Telemedicine totally changes the way doctors delivering medical services. Concerning the uncertainties of technologies in clinical medical practice, however, it brings malpractice liability issues. Lack of sufficient knowledge and experience about the practical nature of telemedicine makes it hard for judges to decide negligence issues. Applying traditional tort law elements in cases relating to telemedicine, though the rules were well-established, exposes doctors to great malpractice liability risk which definitely will restrain medical profession's willingness to practice telemedicine.This paper focuses on the challenges created by technology development and the ensuing liability issues in the practice of telemedicine. Part II first evaluates the utilization of Information and Communication Technologies in medicine and its impact on Taiwan's medical system. Based mainly upon domain traditional negligence theory and compared with American Law, Part III will the former examines the policy and traditional elements of negligence and its possible deficiencies when applied to telemedical malpractice case; as for Part IV, it divides liability issues into three sections to reflect different aspects of telemedicine: (1) the clinical activities of telemedicine, (2) the provision, storage and process of medical information, and (3) informed consent. After reviewing the existing rules and standards of interpretation in current legal system, it seems that telecommunication technologies had transformed medical services into higher level of diversity and professionalization. Aiming to distinguish different level of medical risk and ask each participant to follow proper standard of care, it is necessary for judges to keep in mind the nature of telemedicine and to clarify the scope of medical and non-medical activities when making case-by-case decision concerning doctors' liability. The purpose of such accommodations is to fit in with medical practice and make the abstract reasonable person standard more specific and more practicable in telemedicine case.
期刊論文
1.王千維(2005)。侵權行為:第五講 有責性-過失。月旦法學教室,33,62-66。  延伸查詢new window
2.王澤鑑(20040700)。特殊侵權行為(2)--共同侵權行為。臺灣本土法學雜誌,60,65-73。  延伸查詢new window
3.陳聰富(20090100)。醫療侵權之歸責原則。月旦法學教室,75,81-92。  延伸查詢new window
4.吳俊穎、賴惠蓁、陳榮基(20091200)。醫療過失判斷的困境。法學新論,17,57-73。new window  延伸查詢new window
5.Reed, Julie(2004)。Cybermedicine: Defying and redefining patient standards of care。Ind. L. Rev.,37,845-877。  new window
6.陳鋕雄(2007)。遠距醫療的法律衝擊。全國律師,11(1),41-51。  延伸查詢new window
7.陳鋕雄(20090600)。遠距醫療與醫師親自診察檢驗義務。中原財經法學,22,47-93。new window  延伸查詢new window
8.游進發(20090700)。民法上過失概念--以最高法院九十六年度臺上字第一六四九號判決為反思出發點。月旦法學,170,248-260。new window  延伸查詢new window
9.陳聰富(20090200)。醫療侵權之歸責原則。月旦法學教室,76,98-108。  延伸查詢new window
10.侯英泠(20021000)。我國醫療事故損害賠償問題的現況與展望。臺灣本土法學雜誌,39,114-120。  延伸查詢new window
11.侯英泠(20010500)。醫療行為的民事上賠償責任(上)--從德國醫師責任法(Arzthaftungsrecht)切入探討。月旦法學,72,116-132。new window  延伸查詢new window
12.陳自強(20001100)。民法侵權行為法體系之再構成--民法第一九一條之三之體系地位。臺灣本土法學雜誌,16,47-70。  延伸查詢new window
13.陳聰富(20040700)。論侵權行為法上之過失概念--最高法院九十年度臺上字第一六八二號民事判決評釋。國立臺灣大學法學論叢,33(4),145-204。new window  延伸查詢new window
14.黃立(1988)。論侵權行為。東海大學法學研究,第4期,83-84。new window  延伸查詢new window
15.Caryl, Christopher J.(1998)。Malpractice and Other Legal Issues perverting the Development of Telemedicine。J.L. & Health,12,173。  new window
16.Doarn, Charles R. et al.(1998)。Applications of Telemedicine in the United States Space Program。Telemedicine J.,4,19。  new window
17.Furrow, Barry R.(1999)。Broadcasting Clinical Guidelines on the Internet: Will Physicians Tune in?。Am. J.L. & Med.,25,403。  new window
18.Gelein, Kelly K.(2000)。Are Online Consultations A Prescription for Trouble? The Uncharted Waters of Cybermedicine。Brook L. Rev.,66,209。  new window
19.Greenberg, Michael D.(2009)。Medical Malpractice and New Devices: Defining An Elusive Standard of Care。Health Matrix,19,423。  new window
20.Gulick, P. Greg(2002)。E-Health And the Future Of Medicine: The Economic, Legal, Regulatory, Cultural And Organizational Obstacles Facing Telemedicine And Cybermedicine Programs。Alb. L.J. Sci. & Tech.,12,351。  new window
21.King, R.C.(1987)。Technology and the Doctor/Patient Relation-ship。Postgraduate Med. J.,63,591。  new window
22.Kuszler, Patricia C.(1999)。Telemedicine and Integrated Health Care Delivery: Compounding Mal-practice Liability。Am. J.L. & Med.,25,297。  new window
23.Michael J. Saks(1986)。In Search of the“Lawsuit Crisis”。Law, Med. & Health Care,14,77。  new window
24.Nayar, Vivek(2008)。Teledadiology: Images of An Improved Standard of Medical Care?。Rutgers Computer & Tech. L. J.,35,104。  new window
25.Ostbye, Truls、Hurlen, Petter(1997)。The Electronic House Call--Consequences of Telemedicine Consultations for Physicians, Patients, and Society。Archives Fam. Med.,6,266。  new window
26.Park, Ben、Bashshur, Rashid L.(1975)。Some Implications of Telemedicine。J. Comm.,25,161。  new window
27.Poe, Kip(2001)。Telemedicine Liability: Texas and Other States Delve Into the Uncertainties of Health Care Delivery Via Advanced Communications Technology。Rev. Litig.,20,681。  new window
28.王澤鑑(2004)。特殊侵權行為─共同侵權行為(上)。台灣本土法學雜誌,63-71。  延伸查詢new window
29.陳洸岳(2003)。二○○二年有關「侵權行為」之最高法院判決的回顧與淺析。台灣本土法學雜誌,114-116。  延伸查詢new window
30.陳忠五(2005)。前遺傳診斷失誤的損害賠償責任。台大法學論叢,第34卷第6期,135-141。  延伸查詢new window
31.Rosoff, Arnold J.(1999)。Informed Consent in the Electronic Age。Am. J.L. & Med.,25,367。  new window
32.Rosoff, Arnold J.(1995)。The Role of Clinical Practice Guidelines in Health Care Reform。Health Matrix,5,369。  new window
33.Smalley, Ruth Ellen(2001)。Will A Lawsuit A Day Keep the Cyberdocs Away? Modern Theories of Medical Malpractice As Applied to Cybermedicine。Rich. J.L. & Tech.,7,29。  new window
34.Sokol, Amy Jurevic、Molzen, Christopher J.(2002)。The Changing Standard of Care in Medicine: E-health, Medical Errors, and Technology Add New Obstacles。J. Legal Med.,23,449-489。  new window
35.Venable, Shannon S.(2005)。A Call to Action: Georgia Must Adopt New Standard of Care, Licensure, Reimbursement, and Privacy Laws for Telemedicine。Emory L.J.,54(2),1183-1217。  new window
圖書
1.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
2.曾興隆、曾隆興(1996)。現代損害賠償法論。台北:自版。new window  延伸查詢new window
3.邱聰智(1993)。民法債編通則。臺北:邱聰智。  延伸查詢new window
4.孫森焱(1999)。民法債編總論。孫森焱。  延伸查詢new window
5.黃丁全(2000)。醫事法。元照出版有限公司。  延伸查詢new window
6.劉文瑢(2002)。醫療過失責任之認定—英美醫療過失案例之重要原則。刑事政策與犯罪研究論文集。  延伸查詢new window
7.Fleisher, Lynn D.、Dechene, James C.(2004)。Telemedicine and E-Health Law。Law Journal Seminars-Press。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關著作
 
QR Code
QRCODE