正本清源:論醫藥分工的嬗變與調劑權歸屬【本期企劃】 試閱
Original Source: The Evolution of Separation of Medicine and Pharmacy and the Ownership of Rights for Dispensing
醫藥專業分工制度之目的係為使病人獲得最佳的醫療及用藥服務,惟因醫藥間欠缺信賴,後演變為調劑權之爭議。調劑向來皆規範於藥事法規,大法官早在釋字第191號及第404號解釋即謂調劑乃係藥師業務,因此醫師所爭執的其實是包括交付藥劑在內的完整醫療權,惟釋字第778號解釋認為調劑是醫師之固有權利,藥事法第102條第2項予以限縮係立法選擇。本文乃由歷史脈絡及立法始末探討調劑權歸屬,分析臺灣現行醫藥分工之制度問題,探討由雙軌制走向單軌制的可能性。
Separation of medicine and pharmacy is a system to obtain the best medical and pharmaceutical care services for patients. However, due to the lack of trust between physicians and pharmacists, it has evolved into a dispute over the right of dispensing for a long time. The dispensing has always been regulated in pharmaceutical regulations. The J.Y. Interpretation No. 191 and No. 404 announced by the Constitutional Court concluded that the dispensing is the pharmacist’s obligation. But the physicians disputed that the complete medical rights should include the delivery of drugs due to the interpretation of the J.Y. Interpretation No. 778 explained that the dispensing is the inherent right of physicians however Article 102, paragraph 2 of Pharmaceutical Law is a legislative choice. In this issue the ownership of rights for dispensing and the current separation of medicine and pharmacy system are discussed with the historical context and the legislation construction. And the possibility of moving to the mono-track system from the two-track system is explored.
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