遠距手術之相關法律問題初探【本期企劃】 試閱
A Preliminary Study on the Legal Issues of Telesurgery
利用電腦科技實現遠距操作機器人作業，並應用在遠距非現場的醫療手術，而將通訊機器人用於遠距外科手術之方式，將帶來許多新興法律問題。遠距手術與傳統醫療的差異僅是醫病間接觸的方式改變，建議遠距手術可先透過行政管制或專業自律的方式予以規制，不宜逕將遠距手術解為一律禁止通訊醫療行為，至於醫師法第11條所規定之「醫師親自診察」義務則應作新的詮釋，本文認為「親自診察」應著重在實質意義診察，不以當面接觸病人為要件，包括非「當面」診療型式的「遠距手術」亦不違反「醫師親自診察」義務。建議未來因應加速發展的遠距手術業務，臺灣宜制定及推動遠距手術標準、建立認證制度及修訂相關法規，並予「健保開放給付治療項目」差額給付，避免健保醫療費用瞬時高漲，才能讓遠距手術達到最大效用。
Using of computer technology to achieve remote operation by robots generates many new legal issues. The difference between telesurgery and traditional medical operation is only the change of contact way between physicians and patients. This study recommends that telesurgery can be regulated by administrative regulation in professional self-discipline. It is not appropriate to turn a blind eye to telesurgery or prohibit telmedicine without exception. Stipulation of “physicians’ personal attention” in Article 11 of the Physician Law should be changed to a brand new interpretation not only in “face-to-face” contacts but also non-“face-to-face” ones. This study recommends that establishment of the relevant regulations in Taiwan, the certification systems and the appropriate consensus of telesurgery, inclusive of the differential payment in the benefits scope of Health Insurance avoiding the health care costs instantaneous rise is suitable, and which will lead telesurgery to maximum effectiveness.
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