醫事爭議處理法的再出發【本期企劃】 試閱
Reproaching Medical Disputes Management Act
衛生福利部提出醫事爭議處理法草案,建立關懷小組、初步評析及調處前置原則,皆以「病人權益保障」為核心。醫院內專業醫療調解員制度有助於了解醫療爭議之真實,降低醫療訴訟,和平解決醫療紛爭。初步評析時,仍以通說之醫療常規而為鑑定。若病歷因種種原因而不完整,應評析病人死傷是否具「客觀不可避免性」。也要綜合評析醫院層級、設備、能力、醫護人員有無定期按規定施以必要之在職訓練及當日配置人力、病患多寡、醫護人員有無充裕時間問診照護與其他情形等。調處應包含刑事自訴及非告訴乃論之罪,增進醫病關係之和諧,有助於減少訟源,並減少社會成本浪費,尤其是司法資源。
Medical Disputes Management Act is going to start its legislation process. Its central principles is alternative dispute resolution to protect patient right with the use of medical mediation, simple evaluation, and mediation. In hospital medical mediation can settle down the disputes between physicians and patient’s family and also calmed down the emotional changes of both sides. Simple evaluation before mediation by going through the medical records can make patient’s family understand whether medical processes fulfill standard of care, instead of the reasonable physicians principle. If the medical records are incomplete, evaluators should decide the injuries of the patient avoidable or not. They also need to evaluate the legal responsibility of the hospital. Mediation can shorten the processes of lawsuit and even decrease the number of trial filed. Beside civil lawsuits, mediation should include criminal trials, either started by the prosecutors or patient’s family, whether patient survived or not.
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