篇名

X光片判讀案:論醫師診斷行為之注意義務判斷基準【學習式判解評析】   免費試閱

並列篇名

A Case for X-Ray Reading: On the Basis for judging Physician’s Duty of Care in Diagnostic Behavior

作者
中文摘要

本文係對於臺灣高等法院108年度醫上字第6號民事確定判決關於醫師未正確診斷病人罹患肺癌不構成過失部分之判斷基準為評析,該判決就前揭部分認為U醫院之胸腔科醫師C為病人安排胸部X光攝影檢查,就該X光檢查結果雖未能判讀及診斷病人罹患肺癌,然依鑑定意見、鑑定人即其他醫院胸腔科醫師證述,該X光檢查結果之判讀有多種不同可能,且C醫師判讀該X光檢查結果受限於醫療環境及設備、可取得之病人病情資訊等因素,是難認C醫師就該X光檢查結果之判讀及診斷未盡醫療上必要注意義務而有違反醫療常規之過失,本文係就該結論所涉主要議題即醫師未正確診斷構成醫療過失之標準,亦即醫師診斷行為之注意義務判斷基準予以分析及評釋。

英文摘要

This essay is an analysis on the basis of the Appeal Medical Civil Judgement No. 6 of Taiwan High Court in 2019, in which a physician’s failure to correctly diagnose a patient with lung cancer doesn’t constitute negligence. After the physician C ordered a chest radiograph for the patient, he couldn’t interpretate and diagnose that the patient was suffered from the lung cancer. However, there were different interpretations of the X-ray results according to the expert opinion and the testimony of the expert who was a thoracic physician from another hospital. Moreover, the physician C’s interpretation of the results of X-ray could depend on the medical environments and equipment, the availability of information about the patient’s condition, and other factors. As to the former mentioned part, according to the judgment, it is therefore difficult to find that C, a thoracic physician at the hospital U, failed to exercise the necessary medical care in the interpretation and diagnosis of the X-ray results and violated medical routine.

起訖頁

083-094

出版單位
DOI

10.53106/241553062022010063006  複製DOI  DOI查詢

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