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法院判決對臨床矯正實務的影響-簡評臺灣臺中地方法院簡易庭94年中小字第1141號小額民事判決

Impact of a Court's Judgment on Clinical Orthodontic Practices-Brief Review of Civil Judgment Ref. No. 94-Zhong-Xiao-1141 for a Small-Amount Claim Handed down by the Summary Division of Taiwan Taichun

摘要


隨著病人權利意識的抬頭以及相關民間團體對醫療制度改革的呼聲,使得醫病關係日漸緊張,導致醫療糾紛層出不窮。雖然醫療糾紛態樣繁多,但約可分為兩種類型:一、醫師醫療技術所引起的醫療糾紛;二、非醫師醫療技術所引起的醫療糾紛;如醫師告知義務範圍、醫療契約本質的定性所衍生的其他問題、以及相關的醫療費用請求等等。近年來法律學界及實務界多著重於第一類之研究,相對於第二類之研究則較少,法院相關的判決亦少,且幾乎沒有對醫療契約加以細緻化的定性。因此判決結果,難免與當事人的期望有所落差。本判決非針對矯正醫師醫療技術有無過失加以論斷,而係針對牙科矯正之醫療契約做法律上的定性,並以此來界定當事人的權利義務,因此彌足珍貴。特加以比較分析,提供矯正醫師之參考。

並列摘要


Two factors have led to the increasingly tense relationships between doctors and patients; they are better awareness of patents' rights and calls from private health-care organizations for medical-system reform. Such tension has lead to endless medical disputes. There are a variety of such disputes, but they can roughly be divided into two categories: 1. Disputes over doctors' medical skills; and 2. disputes stemming from causes other than doctors' medical skills, including the scope of a doctor's obligation to inform, issues arising from the definition of the nature of medical contracts, and claims for medical expenses. In recent years, the academic field and legal professionals have mostly researched on the first category of legal entanglement. Research on the second category is comparatively rare, and so are court judgments on such cases. Moreover, there is barely any effort made to define the nature of medical contracts. Therefore, the outcome of those judgments may not meet the expectations of the parties to the cases. This judgment does not judge whether the orthodontist has committed any malpractice, but clarifies the contents of the medical contracts from the legal point of view in order to define the rights and obligations of the parties. Therefore, this judgment is especially valuable. A comparison and analysis is provided for the reference of orthodontists.

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