篇名

【醫療民事法】法定代理人拒絕醫療案:未成年人醫療自主決定權   免費試閱

並列篇名

The Case of Legal Agent Who Refused Taking Medical Treatments: The Medical Autonomy of Juvenile

作者
中文摘要

由於醫療行為具有高度之專業性、不可預期性,以及訴訟上舉證責任分配等種種因素,病人於訴訟中如欲舉證醫師之疏失,非屬容易。從而,其於醫療訴訟中之主張,有朝與醫療專業判斷不具高度關聯性之未善盡告知說明義務發展的傾向。觀察現行法之規定與法院實務見解,可知醫師履行告知後同意說明義務之對象,並不限於病人本人,其法定代理人、配偶、親屬或關係人,亦在受告知之範圍內,此見解固然有其醫療實務上的考量,然對於病人行使其醫療自主決定權之保障,難謂適足,如此權利與義務不對稱所生之衝突,在病人係未成年人時,更顯張力。為落實病人自主決定權,臺灣已於2014年公布病人自主權利法,該法以病人為中心,除確保病人自主,明定關係人不得妨礙病人就醫療選項之決定,告知義務踐行之對象,亦以病人優先為原則。該法以病人醫療自主決定權為正面、明文之規定,實屬進步立法。

英文摘要

It would be difficult to prove the negligence of physicians by the patient because of the professionality, unexpectability of medical treatments and the assignment of responsibility at lawsuits. Therefore, it would be a tendency to prove the responsibility of physicians that the informed consent which has less relationship to medical professional judgments didn’t be fulfilled. According to the law in force and legal practice, the objects to the informed consent wouldn’t only be the patient, but the legal agent, the spouse, family members and any other relatives as well. Even though the legal opinion as it concerned a certain interest at legal practice, it still has a conflict with the patient autonomy, especially for juveniles. In order realize the patient autonomy, Patient Autonomy Act had been enforced in 2014 in Taiwan. According to it, focusing on the rights of patients and guaranteeing the patient autonomy, it is regulated that the relatives shall not intervene the patient to make any decision. Furthermore, the patient has the priority to be the object of informed consent. Insofar is Patient Autonomy Act, with positive and negative norms, an advanced regulation.

起訖頁

064-079

出版單位
DOI

10.3966/241553062018070021005  複製DOI  DOI查詢

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