篇名

【醫療民事法】未告知積極治療方法案:淺談告知後同意法則中之告知說明義務   免費試閱

並列篇名

Case Failing to Disclose the Aggressive Treatment: Duty of Disclosure in the Doctrine of Informed Consent

作者
中文摘要

基於人性尊嚴所衍生出之病人自主決定權,係病人可透過醫師或醫療機構其他醫事人員對各種治療計畫的充分說明,共享醫療資訊,理解醫療之相關風險、利益後,自行依照其生活型態、生命理念,選擇符合自己最佳利益之醫療方案或拒絕一部或全部之醫療行為。為使病人自主決定權得完整行使,醫療人員之說明、告知義務是否充分完整,甚關重要。然說明、告知義務之範圍並非漫無邊際,醫療人員說明及告知之範圍,自應依病人之醫療目的與病人是否有醫療上之選擇權而定。在病人有多數醫療方式選擇可能時,就各該方式之利益及風險均應予告知,讓病人基於自己本意為醫療決定;而縱有多數醫療方式可採,但其餘方式顯然弊大於利,或該醫療方式危及生命,與醫療之救助本旨有所違背時,該醫療方式即便未予告知,使病人無從選擇,亦難認有違反病人之自主決定權。

英文摘要

According to the right of patient autonomy, which is derived from human dignity, plans of various medical treatments can be fully explained by physicians or other medical personnel in medical institutions. Therefore, patients could share medical information, understand the risks and benefits related to medical care, and choose a plan that suits their best interests or reject a part or all of the medical behavior by following their own lifestyles or their idea of life. In order to fully exercise the right of patient autonomy, it is important whether the duty to inform and duty of disclosure by medical personnel are full and complete. However, both of them are not boundless. The scope of medical personnel’s explanation and notification should be determined according to the patient’s medical purpose and whether the patient has medical choice. When the patient has a possibility to choose between various medical treatments, the interests and risks of each one should be informed, so that the patient can make medical decisions based on his own intention. In contrast, while the most medical treatments can be adopted, but the others do more harm than good obviously, or if this treatment could threaten life and be contrary to the medical aid theme, it is still difficult to consider that there is a violation of the right of patient autonomy, even if it is not be informed, and is consequently impossible for choosing.

起訖頁

094-116

出版單位
DOI

10.3966/241553062019060032007  複製DOI  DOI查詢

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