醫療法第82條修法對臨床醫療的意義

The Significance of Article 82 of Medical Care Act on Clinical Medical Practice

吳欣席(Hsin-Hsi Wu)

《台灣醫學》 23卷4期 (2019/07) Pp. 453-459

https://doi.org/10.6320/FJM.201907_23(4).0005

摘要

本次醫療法82條修正案於107年初正式公告施行，這對於醫界來說是一件歷經18年多才完成的艱辛工作，而且新法條不但將醫事人員的民刑事責任的判定增加許多必要條件，同時也將醫療機構的民事責任予以單獨列出。這許多的改變都需要我們密切觀察後續的影響，不管是在後續的相關法案的立法，還有司法的判決狀況，都是至關緊要的部分。希望能夠透過此次修法，開啟台灣醫病互信的新起點，除減少醫療糾紛外，讓防禦性醫療和司法資源的耗用都能夠減少，並且讓醫師能夠安心的照顧病人，消除急重症醫療缺少醫事人員的現象。更期盼能夠跟隨著進步的修法腳步，來提升台灣的醫療品質與民眾滿意度。

關鍵字

醫療法82條 ； 醫療糾紛 ； 防禦性醫療 ； 臨床裁量權 ； 醫療常規

並列摘要

The amendment of Medical Care Act was implemented at the beginning of 2018. It had been an hard work of the medical community for 18 years before its implementation, and the new law not only adds many necessary conditions for the determination of the criminal responsibility of medical personnel but also asserts clearly the civil liability of medical institutions. Many of these changes remind us to closely observe the impact of the follow-up, whether it is in the subsequent legislation of the relevant bills, as well as the outcome of criminal or civil cases thereafter, which is a crucial part. It is hoped that through this amendment, a new era of mutual trust between doctors and patients in Taiwan will be started. In addition to reducing medical dispute cases, the waste of time and money due to defensive medicine and lawsuit can also be reduced, doctors can focus on providing healthcare, and medical personnel shortage of emergent and critical care can be eliminated. Finally, it would be expected that medical quality of care and satisfaction of the populace in Taiwan will be further improved by the amendment of the Act.

並列關鍵字

Medical Care Act Article 82 ； medical disputes ； defensive medicine ； medical discretion ； medical custom