預立醫療照護諮商為「病人自主權利法」新增之機制,為「安寧緩和醫療條例」所無。本文主旨在於探討「病人自主權利法」施行後,預立醫療照護諮商之內容,並藉由借鏡美國聯邦立法(「病人選擇與品質照護法」(草案))、美國律師協會、美國猶他州(「預立健康照護指示法」)與紐約州(「緩和照護資訊法」)之州立法經驗,進行臺灣與美國預立醫療照護諮商特色之比較。本文冀望值此「病人自主權利法」相關配套機制建置之際,藉由不同地域之經驗借鏡與特色比較,可為臺灣自1995年3月1日起開始實施全民健康保險制度以來,期待開創另一波舉世矚目之臺灣奇蹟做好奠基準備。
Advance care planning is a newly developed mechanism, none regulated in the "Hospice Palliative Care Act", but regulated in the "Patient Right to Autonomy Act". The theme of this article is to discuss the content of advance care planning after the "Patient Right to Autonomy Act" is executed. Besides, lessons from the U.S., including federal legislation ("Patient Choice and Quality Care Act of 2017"(draft)), American Bar Association, Utah state ("Advance Health Care Directive Act") and New York state ("Palliative Care Information Act") legislation are studied. Also, advance care planning’s characteristics are compared both in Taiwan and the U.S. Now, related mechanisms of the "Patient Right to Autonomy Act" are establishing through comparing different lessons learning and characteristics, preparation of another remarkable Taiwan miracle is expected after the implementation of the National Health Insurance in March 1st, 1995.