病歷之損害賠償事件案：下莊不安全！論醫療機構歇業後病歷管理責任【學習式判解評析】 試閱
The Damages Case Involving Medical Records: Unsafe After Closure! On the Responsibility for Medical Record Management After Medical Institutions Cease Operations
A牙醫案雖因醫療法現行規定而判定被上訴人無違法，但說明我國目前醫療機構歇業後病歷保存制度臨床與程序的雙重脆弱。綜合日本的「第三方保存」經驗與德國的「長期保存與醫師公會監督」做法，我國應採「立法＋行政執行」雙軌並行：修正醫療法第70條確立移轉、通知、查詢、銷毀程序與見證，並由主管機關建置「病歷保存與查詢平台」與見證制度，方能兼顧病人權益與醫療實務之可行性。
Although the Hongxiang Dental Clinic case ruled that the appellee did not violate the law under current Medical Care Act provisions, it highlights the dual vulnerabilities in clinical and procedural aspects of Taiwan’s current medical record preservation system after institutions cease operations. Drawing from Japan’s “third-party preservation” experience and Germany’s “long-term preservation and medical association supervision” practices, Taiwan should adopt a dual-track approach of “legislation & administrative enforcement”: amend Article 70 of the Medical Care Act to establish procedures for transfer, notification, inquiry, destruction, and witnessing, while simultaneously mandating the competent authority builds a “medical record preservation and inquiry platform” along with a witnessing system. This would balance patient rights with the feasibility of medical practices.
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