醫療費用管理注意義務判定標準芻議【月旦時論】 試閱
A Tentative Suggestion of the Criterion of Due Diligence in the Charging-Management
本文提出兩則涉及醫療費用管理之爭議案件，並嘗試分析在該類案件中之過錯判定標準，再行提出分類芻議。從總體上來看，醫療費用管理過錯之損害結果乃係造成病方之財產損害，具體過錯可進一步區分為三種類型：支出增加、報銷減少與告知不足。本文認為，醫務人員為盡醫療費用管理之注意義務，應依個案考量其必要之實際需求，並在合乎法政策規範下，力求經濟耗費最小且報銷比例最大；此外，亦應注意對病人之侵害最小，以及是否便捷可及。
Two issued cases about the medical charging-management would be introduced in this article with an analysis of the criterion of fault-defining in the cases as such. Then a tentative suggestion for classification would be held. Generally speaking, the result of damage arose from the error of charging-management is the property damage to the patient. The errors could be divided into three types: the increasing of expenditure, the reducing of reimbursement and the insufficient of notification. In the opinion of the author in this article, due diligence of the medical charging-management by the medical staff should be taken into consideration according to the actual necessary demand case by case. Furthermore, it should be appeared with the lowest expenditure economically and the largest reimbursement. Moreover, it takes into consideration that an infringement to the patient should be made with the smallest extent and whether the management is practical.
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