篇名

【醫療民事法】檢查結果告知義務:以組織義務之建構為中心   免費試閱

並列篇名

Duty of Notification of Examination: On Establishment of Organizational Liability

作者
中文摘要

傳統醫療民事責任著重於探討個別醫師有無醫療過失,即須論究個別醫師是否已盡善良管理人注意義務,醫院內專業科別之門診醫師與急診科醫師,因任務性質不同,應盡善良管理人注意程度亦不能一體適用,且在醫院提供醫療服務高度分工之下,倘要求無專業知識之病人找出係何環節出錯、應由何個別醫師負責,再由醫院就其受僱人或使用人之過失負責,實有相當困難,而有建構醫院獨立組織責任之必要。以電腦斷層檢查結果應否及如何向病人告知而言,應由醫院建立迅速、完備之通知回診機制,此為醫院本身應盡之組織義務,倘醫院違反該組織義務,即應獨立對病人負責,不以所屬個別醫師有過失為醫院負責之前提。於契約責任層次,此組織義務係醫院應盡保護病人固有利益之附隨義務;於侵權責任層次,組織義務則屬醫院應盡之交易安全義務,醫院違反組織義務時,其行為即具有不法姓,病人除可主張債務不履行之損害賠償責任,亦可依民法第184條第1項請求醫院獨立負侵權責任,而非醫院就所屬醫師之過失代負責任。

英文摘要

The traditional issue of medical civil legal responsibility deals with the problem whether every single physician was done with adequate care. However, the criterion of adequate care shouldn’t be one size fits all, because there are many differences between outpatient physicians and emergency physicians. In addition, it could be difficult for patients who have no professional knowledge to find a mistake during the hole medical treatment, then to judge who would have responsibility for the mistake, even to complain to the hospital or the physician as the employee for it. Therefore, it would be necessary to set an organization duty for hospital. Taking whether a computer tomography report should be informed to the patient and how as an example, the hospital should establish a immediate and complete revisit system. It belongs to the organization duty for hospital. The hospital shall have responsibility for patients separately without any responsibility of a single physician, if it breaks it. For contract, this duty belongs to an accompanying obligation that a hospital shall protect inherent interest of patients; for trot, it is also a duty of transaction security. It should be illegal, if the duty was fulfilled. The patients could therefore complain to the hospital for responsibility of compensation because of non-performance of obligation, and for trot according to paragraph 184 section 1 Civil Law instead for vicarious liability.

起訖頁

082-109

出版單位
DOI

10.3966/241553062019040030007  複製DOI  DOI查詢

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