淺論醫療爭議之訴訟外紛爭解決機制

Alternative Dispute Resolution on the Settlement of Medical Disputes

蕭佳敏(Hsiao, Chia-Min)

《靜宜法學》 11期 (2022/12) Pp. 133-170

摘要

我國醫療事故預防及爭議處理法甫於2022年5月30日立法三讀通過，雖然該法排除補償機制避免引起再次反彈，但未來施行後，病人方對於醫療事故除透過司法鑑定，可於訴訟前申請專家諮詢及評析意見，與德國、日本及韓國等國訴前鑑定制度作法無異。預期將助於提高我國醫療爭議調解成功率，增加醫病雙方訴前達成共識機會。非但可節省時間與經濟成本，雙方將從訴訟零和遊戲朝調解雙贏局勢邁進。本文從醫病雙方權利義務出發，並參考國內外爭議處理機制，佐以實務協處經驗，對醫療事故預防及爭議處理法程序效益及省思提出淺見。

關鍵字

醫療爭議 ； 醫療糾紛 ； 紛爭解決 ； 調解 ； 醫療事

並列摘要

The Medical Malpractice Prevention and Dispute Resolution Law was passed on May 30, 2022, although the law excludes the compensation mechanism to prevent the medical association from rebounding again. However, after the implementation in the future, in addition to forensic medical appraisal, patients can apply for comment opinions before litigation when dealing with medical accidents, which is no different from the preliminary appraisal systems in other countries such as Germany, Japan, and South Korea, and should help improve the success rate of mediation. Increase the chances of both doctors and patients to reach a consensus before litigation. In addition to saving time and money costs, both parties will reach a win-win situation in mediation from a zero-sum game in litigation. Starting from the rights and obligations of both doctors and patients, referring to domestic and foreign dispute resolution mechanisms, and based on the work experience of medical disputes, this article puts forward some opinions on the procedural benefits and reflections of the Medical Malpractice Prevention and Dispute Resolution Law.

並列關鍵字

medical disputes ； medical malpractice ； dispute resolution ； mediation ； medical accidents