篇名

中醫師執行西醫檢查之爭議探討   免費試閱

並列篇名

The Controversial Issue About Duties of Chinese Physicians Implement Western Medicine Examinations

作者
中文摘要

中醫系及學士後中醫系畢業且無西醫證書之中醫師,得否執行抽血、心電圖、X光等西醫檢查,歷年來主管機關的看法立場多變。首先,1995年之主管機關函釋規定不得執行,其後2012年修正之醫療機構設置標準則放寬上述權限,2013年復再次限縮;至2017年12月25日最新函釋,則創設中醫師可「初步判讀」之權限,惟仍需相關專科醫師出具正式報告之規定。如此將產生下位階函釋與上位階醫療機構設置標準之衝突,以及開具與判讀權限雙軌分離之怪象,此舉對病患之權益保障實屬不足,重燃各界對中醫師臨床判讀權限與責任歸屬之爭議。本文建議應以教、考、訓、用之一貫原則,使中醫師在具備執行能力之前提下,賦予其開具與判讀相關檢查之權責,以達醫病雙贏的目標。

英文摘要

Chinese physicians who graduated from school of traditional Chinese medicine and school of post-baccalaureate Chinese medicine do not have the Physician license of Western medicine. Could these two kinds of physicians perform Western medical examination like X-ray or electrocardiogram or not is a problem, and the attitude of the authority is changeable over the years. First, the authority announced the direction to prohibit the usage on 1995. Second, on 2012 they put the related specifications in the “Medical Institution Setting Standards.” Till 2017 Dec. 25th, the newest direction let Chinese physicians apply for Western medical examination, but could only do “preliminary interpretation,” he official report should issue by relevant specialists. This will lead to dispute between lower and upper legal hierarchy, the direction and Medical Institution Setting Standards, and separated the authority of order sheet and interpretation. The action reignites debate about the report interpretation authority and the dispute of clinical responsibility of Chinese physicians. Further, it leads to the insufficient protection of patients’ rights and interests. This article suggests to follow the principle of “teaching, testing, training and appointment.” We have permit with the premise that all Chinese physicians have ability to implement the Western medicine examination. Not only give them rights but also take responsibilities and achieve the goal of win-win situation of patient-provider relationship.

起訖頁

160-172

出版單位
DOI

10.3966/241553062020030041014  複製DOI  DOI查詢

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