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題名:中醫醫療糾紛及其風險管理
書刊名:風險管理學報
作者:陳俞沛林建智 引用關係
作者(外文):Chen, Yu-peiLin, Jan-juy
出版日期:2011
卷期:13:1
頁次:頁73-102
主題關鍵詞:中醫醫療糾紛醫師業務責任保險風險管理Chinese medicineMedical disputesPhysician professional liability insuranceRisk management
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:64
  • 點閱點閱:134
中醫醫療糾紛發生頻率逐漸提高,中醫師之風險管理意識與日俱增,醫師業務責任保險遂成中醫師所關切之重點。本研究旨在探討中醫師醫療糾紛處理經驗、風險管理措施及對醫責險之看法,並提出建議。本研究針對全國五千餘位中醫師實施問卷調查,並在北中南三區舉辦座談會,發現如下:(1)中醫醫療糾紛盛行率約為10.2%;(2)解決方式以私下和解居多,而病家非理性抗爭與不熟悉糾紛處理管道乃糾紛處理時之主要困難;(3)醫療糾紛經驗之有無,於風險自我評估、糾紛來源之看法上有顯著差異;(4)中醫師心目中理想之糾紛解決方式,仍以請保險公司及公會協助為主;(5)目前保單內容、服務、專業度與保障限額無法滿足中醫師之實際需求,影響其購買醫責險之意願。
The occurrence frequency of medical disputes in Chinese medicine increases in recent years. The medical risk management gains its importance and the use of physician professional liability insurance becomes a major issue among Chinese physicians. The purpose of this study is to analyze the experiences of medical disputes, risk management and professional liability insurance related to the operation of Chinese physicians. It conducted a questionnaire survey on around five thousand Chinese physicians and held three separate seminars in different regions in Taiwan. Its finding can be observed as follows: (1) The prevalence rate of Chinese medicine dispute is around 10.2%. (2) The dispute solution in most occasions is reconciliation in private. The difficulties for Chinese physicians are the patients' irrational reaction and the non-familiarity with the available resolutions while handling medical disputes. (3) In respect of the self risk assessment and the cause of disputes, it creates a significant difference in whether they have experience of medical malpractice. (4) The ideal resolution expected is that medical disputes can be handled by an insurer or their associations. (5) The coverage, services, professionality and policy limits provided the insurance market can not meet the actual demand of most Chinese physicians. It influences on their willingness to purchase professional liability insurance coverage.
期刊論文
1.姚嘉昌(20011200)。醫療糾紛之探討。臺灣醫界,44(12),64-66。  延伸查詢new window
2.楊哲彥、楊秀儀(2004)。台灣地區西醫與中醫醫療糾紛的差異。中醫藥雜誌,15(1),1-15。new window  延伸查詢new window
3.趙清遠(20050300)。從醫療人員認同度調查探討強制醫療專業責任保險實施之可行性。保險實務與制度,4(1),39-63。new window  延伸查詢new window
4.盧榮和、洪德俊(20040900)。責任險保單採「事故發生基礎」與「索賠基礎」之比較研究。保險實務與制度,3(2),125-139。new window  延伸查詢new window
5.Anderson, Eugene R.、Tydings, Joseph D.、Lewis, Joan L.(1993)。Liability Insurance: A Premier for Corporate Counsel。Business Law,49(1),259-269。  new window
6.Anonymous(2008)。Fixing Medical Malpractice through Health Insurer Enterprise Liability。Harvard Law Review,121(4),1193-1192。  new window
7.Hogg, James F.(1998)。The Tale of a Tail。William Mitchell Law Review,24(2),515-580。  new window
8.Keep, T.(2008)。Risky Business。Occupational Health,60(3),25。  new window
9.Lantz, Chandra(1994)。Triggering Coverage of Progressive Property Loss: Preserving the Distinctions between First-and Third-Party Insurance Policies。William & Mary Law Review,35(4),1801-1853。  new window
10.吳俊穎、賴惠蓁、陳榮基(20090100)。臺灣的醫療糾紛狀況。臺灣醫學,13(1),1-8。  延伸查詢new window
11.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
12.吳志正(20061200)。醫療契約之定性。月旦法學,139,200-214。new window  延伸查詢new window
13.李志峰(20090600)。長尾責任--論美國責任保險保單形式的演變、爭議及我國責任保險保單之特色。保險專刊,25(1),97-132。new window  延伸查詢new window
14.楊哲彥(20021200)。中醫傷科常見的醫療糾紛與預防措施。中醫骨傷科醫學雜誌,1,1-10。  延伸查詢new window
15.陳聰富(20081000)。醫療契約之法律關係。月旦法學教室,72,87-98。  延伸查詢new window
研究報告
1.吳俊穎、陳榮基(2005)。實證醫學對於醫療糾紛鑑定制度可能影響之實證研究。  延伸查詢new window
2.陳榮基、謝啟瑞(1991)。醫療糾紛對醫療成本之影響:臺灣西醫師的實證研究。  延伸查詢new window
學位論文
1.陳自治(2007)。專屬保險機制運用在醫師責任險上相關問題之探討(碩士論文)。國立成功大學。  延伸查詢new window
2.高添富(2009)。解決醫療糾紛民事責任之保險與法律制度(博士論文)。國立政治大學。new window  延伸查詢new window
3.許杏僑(2004)。醫療事故責任與補償制度--兼從法律經濟學觀點探究(碩士論文)。輔仁大學。  延伸查詢new window
4.李志峰(2000)。懲罰性賠償金與保險法律關係之研究(碩士論文)。國立中正大學。  延伸查詢new window
圖書
1.鄭基男、蘇金珠、高棟樑(2005)。意外保險。臺北:財團法人保險事業發展中心。  延伸查詢new window
2.高添富(2006)。醫療糾紛與醫師風險管理。台北:元氣齋。new window  延伸查詢new window
3.陳長文(2002)。財經法律與企業經營。台北:元照。  延伸查詢new window
4.Baker, T.(2003)。Insurance Law and Policy: Cases, Materials and Problems。New York:Aspen Publishers。  new window
5.Kenneth, S.、Abraham(2005)。Insurance Law and Regulation - Cases and Materials 3,。New York:Foundation Press。  new window
6.York, Kenneth H.、Whelan, John(1988)。Insurance Law-General Practice: Case, Materials and Problems。St. Paul, MN.:West Publishing。  new window
7.蘇文斌、林宏誠、陳明國(2007)。保險學學理與實務。華立圖書股份有限公司。  延伸查詢new window
8.凌氤寶、康裕民、陳森松(2005)。保險學概論。台北:華泰。  延伸查詢new window
9.陳榮基(1993)。台灣醫療糾紛的現況與處理。臺北:健康世界雜誌社。new window  延伸查詢new window
10.汪信君、廖世昌(2006)。保險法理論與實務。元照出版有限公司。  延伸查詢new window
11.黃丁全(2000)。醫事法。元照出版有限公司。  延伸查詢new window
 
 
 
 
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