從國外經驗探討我國醫事規範因應遠距照護發展之調整

Learning from the Experience in Other Countries to Discuss the Adjustment of Medical Regulations for Developing Telehealth in Taiwan

張乃文

《科技法律透析》 21卷12期 (2009/12) Pp. 46-59

https://doi.org/10.7062/STLR.200912.0046

摘要

我國醫師法第11與醫師需親自診察之義務，主管機關認爲「親自」兩字係爲醫師需「當面」對患者施行治療之意；此等解釋使得我國遠距照護的運用皆不得涉及任何醫療行爲含線上開立處方箋，導致遠距照護實質運用功能的限縮。有鑑於此，本文以美國與日本爲例，介紹其因應遠距照護發展於法規層面所做的變革，包含訂立新的規則、修訂既有法律以及行政解釋等面向；繼而提出我國現階段相關醫事規範中懸而未決的問題，以及上述國家作法對於我國的啟示；最後，本文嘗試提出若干建議方案供參以促進遠距照護在我國的運用。

關鍵字

遠距照護 ； 遠距醫療 ； 醫療行爲 ； 親自執業 ； 當面

並列摘要

In Taiwan, the administrative interpretations on Article 11 of the Physician Act define physician's duty of diagnosing in person that a physician must diagnose patients at presence (face to face). This may bar the implementation of telehealth from involving practice of medicine, prescribing medicine online as well. And the substantial function of telehealth for providing medical services would be restricted. In view of this, this article primarily introduce the experience of the United States and Japan on promulgation of new regulations, revision of existing laws, and administrative interpretation to adapt legal environment to the development of telehealth. Then, it also compare the unsolved problems about related medical regulations in Taiwan to other countries mentioned above. Finally, several suggestions are tried to propose to promote further application of telehealth in Taiwan.

並列關鍵字

telehealth ； telemedicine ； practice of medicine ； physician's duty of diagnosing in person ； face to face