牙周病學的醫療糾紛－臺美之經驗與比較

Legal Considerations in Periodontal Therapy-Comparisons between U.S. and Taiwan

吳金俊(King-Jean Wu) ； 呂炫堃(Hsein-Kun Lu) ； 郭彥彬(Mark Yen-Ping Kuo)

《臺灣牙周病醫學會雜誌》 19卷3期 (2014/09) Pp. 195-204

https://doi.org/10.6121/TAP.2014.19.3.02

摘要

牙周病的治療包含了基本治療、手術治療與維護治療，多元化的治療特性，使牙周病的醫療行為難免也會出現糾紛。成立牙周病侵權行為的條件包括醫病關係存在、醫療行為違反醫療照護標準之「專業照護責任」、該醫療行為導致患者受到損害、行為與結果的發生具有因果關係。牙周病學的醫療糾紛可歸責於牙醫者有下列的不當醫療行為：牙周病的診斷錯誤、醫療技術不良導致患者受到損害、不足的醫療訊息告知與未取得患者的告知後同意、轉診延誤、及不實的病歷記載。比較美國與臺灣醫療訴訟的差異則有醫療照護的標準、專家證人、舉證責任等。

關鍵字

牙周病學 ； 醫療過失 ； 醫療訴訟 ； 告知後同意

並列摘要

Clinical periodontal therapy includes initial therapy, surgical therapy and maintenance therapy. Liability on the part of the dentist can be summarized as treatment-related, information-related and documentation-related malpractice. The essential aspects of periodontal malpractice include duty of care, breach the duty of care, causation and damages. Periodontists must provide the patient with enough accurate information in order allow them to make an informed decision. The obligation to take due care before, during and after surgery is mandatory for all clinicians. Nevertheless, there are some differences in the standard of care required, the relevance of expert witness, and the burden of proof between the U.S. and Taiwan.

並列關鍵字

periodontology ； medical malpractice ； liability lawsuit ； informed consent