急診病患不遵醫囑自動出院之法律關係與醫學倫理爭議【醫法新論】 試閱
The Ethical and Legal relationship of patients discharged against medical advice from Emergency Department
急診醫學因急性處置的本質使然，醫療人員與家屬無法建立長期的互信關係，當病患拒絕接受後續的觀察與治療，讓病患自動出院，對醫師而言乃合理的處置，然而自動出院後仍可能產生後續的糾紛與法律風險。本文希望藉由釐清急診病患不遵醫囑自動出院的法律關係，與在不同原因之下自動出院院的法律及醫學倫理爭議，來嘗試提出簡要清晰的判斷作業流程，並進一步提出可減少醫療資源耗損與改善醫病關係的處理方式。
In the emergency room, there is often a lack of trust among patient, family and physician because of short emergency room stay length. Patients may want discharge when they refuse further treatment or observation. Although physicians have no right to keep patient at emergency room, there could still be potential medical disputes and legal risks after an against advice discharge. This article proposes an algorithm in the setting of against medical advice discharge. Clarifying legal and ethical relationship in these situations helps to improve the efficiency of medical resource use and improve patient-physician relationship.
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