篇名

韓國醫療事故補償及醫療爭議調解法初探   免費試閱

並列篇名

A Preliminary Study on Korean Act on Remedies For Injuries from Medical Malpractice and Mediation of Medical Disputes

中文摘要

近年來臺灣因為醫療爭議,導致醫師採取防衛性醫療,甚至不願投入高風險科別,嚴重影響到國家整體醫療照護的提供及病人就醫之可近性,而形成重大的公共衛生議題。為能有效處理醫療糾紛、改善醫病關係,衛生福利部曾推出醫療糾紛處理及醫療事故補償法草案,試圖以「加強調解」及「無過失補償」機制的設計來減少醫療訴訟的產生。惟立法之時,因各界爭議聲浪不斷,最後在立法院三讀之前,遭到擱置。相較於臺灣,韓國歷經長達23年的法案研議及推動過程後,於2012年9月正式完成醫療爭議訴訟外調解機制立法。該部法案與臺灣衛生主管機關擬推動之上述法草案相較,創設了諸多新的機制,值得吾人借鏡。本文擬就韓國醫療事故爭議調解法作初步介紹,首先探討其醫療爭議處理機制之沿革,次針對法案中規定的專責機構、鑑定制度、調解及仲裁機制等分析之,並探討該立法對臺灣之啟示,期能作為臺灣未來建構醫療糾紛處理機制參考。

英文摘要

Recently, a rise in medical disputes in Taiwan has caused many doctors to practice defensive medicine and has even prevented them from being engaged in high-risk medical fields. The circumstances have materially influenced the provision of overall national medical care and accessibility to medical service, and have therefore raised important issues of public health. To resolve medical disputes and improve physician-patient relationships effectively, Ministry of Health and Welfare has made the draft of the Medical Dispute Resolution and Medical Incident Compensation Act, trying to use the designed mechanism of “compulsory mediation” and “liability without fault compensation” to reduce medial disputes. However, due to strong objections from various communities, the draft was in abeyance before the third reading of the draft to be passed by legislators. Compared with the draft developed by the health authority in Taiwan, Korea enacted the law on medical dispute medication mechanisms, which may work 40 Angle Health Law Review as the alternatives to litigations upon a medical dispute, in September 2012 after legislation amendments for 23 years. The aforesaid law of Korea provides many new mechanisms that can be taken for our references. Thus, the paper intends to introduce this Korean Act on remedies for injuries from medical malpractice and mediation of medical disputes. Firstly, this paper will review the development of Korean medical dispute resolutions. Then, we will further analyze the competent authorities, appraisal procedure, mediation and arbitration mechanisms provided in this act. We will also discuss the inspirations learned from this act in hopes of providing suggestions for our country to establish medical dispute resolution mechanisms in the future.

起訖頁

038-054

出版單位
DOI

10.3966/241553062017110013003  複製DOI  DOI查詢

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