篇名

醫療常規與臨床專業裁量的法院實務觀察   免費試閱

並列篇名

Observation on the Customary Medical Practice and Professional Clinical Discretion in Judicial Practice: Comments on Supreme Court Criminal Judgement

作者
中文摘要

司法實務通常以醫療常規作為醫療疏失的判斷標準,醫療法第82條修正後,各界對於「臨床專業裁量」則褒貶不一。法院及醫事審議委員會於醫療法第82條修訂前雖已有「臨床專業裁量」的概念,而認定醫療處置有無醫療疏失時,若涉及臨床裁量者,即以「醫療常規為主,臨床裁量為輔」二階段的判斷方式。醫療法第82條修正後,則採醫療常規及臨床裁量並列的判斷方式,目的在限縮醫事人員刑事責任的範圍。本文係以以最高法院98年度台上字第6890號刑事判決為評析核心,同時呼應最高法院107年度台上字第4587號刑事判決所採見解,旨在綜合兩則最高法院判決以觀察實務所認定之醫療常規及臨床專業裁量內涵。

英文摘要

“Customary medical practice” is often used as the standard of medical malpractice in Taiwan. There had been fairly extensive discussions about the concept of “professional clinical discretion” after the amendment of Article 82 of the Medical Care Act. Actually the concept of “professional clinical discretion” already exists in the practice of court and medical review committee even before the amendment of above-mentioned article. “Customary medical practice” was used as a preliminary standard, and supplemented by “professional clinical discretion”. And after the amendment of Article 82 of the Medical Care Act, customary medical practice and professional clinical discretion both became elements of medical malpractice to alleviate the liability of health care professionals. Through cases discussion of the Supreme Court Criminal Judgement Tai-Shang-Tzu No. 6890 and the Supreme Court Criminal Judgement Tai- Shang-Tzu No. 4587, the authors try to further clarify the concept of customary medical practice and professional clinical discretion.

起訖頁

153-173

出版單位
DOI

10.3966/241553062020110049011  複製DOI  DOI查詢

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