淺介日本醫師懲戒與強制再教育處分—以醫療過失為主軸【全球瞭望】 試閱
A Brief Introduction to Japan’s Physician Disciplinary Actions and Mandatory Retraining Order—Focusing on Medical Malpractice
日本醫師懲戒制度以醫師法第7條為基礎,厚生勞動省「醫道審議會」扮演核心角色,負責判斷醫師適格性並提出處分建議。制度核心已從單純處罰轉向確保醫療品質,特色在於結合「行政處分」與「強制再教育處分」。受停業或撤照處分者,必須通過涵蓋職業倫理與醫療技術的研修評鑑,方可恢復執業或重新領照。本文試就臺日醫師懲戒制度之內涵,醫師公會角色定位,討論日本如何透過法定程序與醫師自治組織機制來處理懲戒問題。
Japan’s physician disciplinary actions system is based on Article 7 of the Medical Practitioners Act, with the Ministry of Health, Labour and Welfare’s Medical Ethics Council playing a central role in assessing physician qualifications and recommending disciplinary actions. The system’s core has shifted from simple punishment to ensuring medical quality, and its unique feature is the combination of “administrative penalties” and “retraining orders.” Those subject to suspension or revocation of their licenses must pass a training and assessment covering professional ethics and medical skills before they can resume practice or re-obtain a license. This article compares the physician disciplinary systems of Taiwan and Japan, specifically investigating the Japanese model of addressing misconduct through formal legal procedures and medical professional self-governance.
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