物理治療師之業務過失

Negligence in Physical Therapist Practice

陳鏡華(Ching-Hua Chen) ； 李曉惠(Hsiao-Hui Lee)

《台灣醫學》 20卷5期 (2016/09) Pp. 508-516

https://doi.org/10.6320/FJM.2016.20(5).8

摘要

近年來國內發生不少醫療糾紛，造成醫病間因醫療糾紛而相互猜忌。是以，如何重建醫病信賴關係，乃是當前應努力之方向，藉由各方之努力，讓醫病關係重新建立良好溝通管道。然而醫療人員對於業務上之認定及療程中之傷害是否應負刑責並不十分清楚，醫療人員執行之「業務」範疇是否與刑法上之「業務」相同？該行為有無過失甚至故意？本文嘗試從現今法院關於物理治療相關判決內容予以分析，以物理治療人員常發生業務過失傷害之情況進行了解探討，並解析哪些行為屬於「業務」及刑法應罰之範疇。藉以讓物理治療人員了解何者為過失傷害、故意傷害及何者為其業務應特別注意，防止醫療糾紛發生，同時讓病患了解物理治療人員之治療行為，期望能藉由透明化之醫療流程減少醫療行為疏失，若此，更能明確區分究係醫療疏失或單純因病患病情所造成之傷亡結果。

關鍵字

物理治療 ； 業務過失 ； 業務上正當行為

並列摘要

In recent years, many domestic medical disputes occur. How to cut down medical disputes and how to rebuild trust between doctors and patients are important issues. If the doctor-patient relationship becomes better, the medical quality will be better. However, medical personnel are not very clear about the identification of the professional work. Are the ＂professional work＂ category of medical personnel and the ＂business＂ category of criminal law the same? This paper attempts to analyze the criminal sentences of physical therapists' practicing to realize what kind of physical therapists' professional negligence often occurs and to understand which professional work falls within the scope of ＂business＂. This will allow physical therapists to understand their professional work and what they should pay special attention to prevent the occurrence of negligence. On the other hand, if patients can understand the professional behaviors of physical therapists, it can improve professional transparency and reduce medical negligence. Patients' injuries can be clearly distinguished between results due to medical negligence and results simply caused by diseases.

並列關鍵字

professional negligence ； professional proper behavior

參考文獻

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刑法第276條：「因過失致人於死者，處二年以下有期徒刑、拘役或二千元以下罰金。從事業務之人，因業務上之過失犯前項之罪者，處五年以下有期徒刑或拘役，得併科三千元以下罰金。」[Penal Code section 276: ""due to negligence causing the deceased, people are sentenced to less than 2 years of limited-term imprisonment, criminal detention or a fine less than 2,000 yuan; people in the business, because of the business of delinquents on crime in the preceding paragraph, are sentenced to less than 5 years of limited-term imprisonment, criminal detention or a fine less than 3,000 yuan.""]"

刑法第284條：「因過失傷害人者，處六月以下有期徒刑、拘役或五百元以下罰金，致重傷者，處一年以下有期徒刑、拘役或五百元以下罰金。從事業務之人，因業務上之過失傷害人者，處一年以下有期徒刑、拘役或一千元以下罰金，致重傷者，處三年以下有期徒刑、拘役或二千元以下罰金。[Penal Code Section 284: ""due to negligence causing injuries, people are sentenced to less than 6 months of limited-term imprisonment, criminal detention or a fine less than NT500; due to negligence causing serious injuries, people are sentenced to less than one year of limited-term imprisonment, criminal detention or a fine less than NT500; people in the business, because of negligence causing injuries, are sentenced to less than one year of limited-term imprisonment, criminal detention or a fine less than NT1,000; people in the business, because of negligence causing serious injuries, are sentenced to less than 3 years of limited-term imprisonment, criminal detention or a fine less than NT2,000 ]"

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