開立過敏藥物致死案：論傳聞證據與因果關係之認定爭議【學習式判解評析】 試閱
Case of Prescription of Allergy Medication Leads to Fatality: The Dispute Over the Determination of Hearsay Evidence and Causation
本文以臺灣高等法院113年度醫上易字第1號刑事判決為研究對象，探討傳聞證據與因果關係在刑事過失案件中之認定方式與舉證標準。本案被告與被害人具長期醫護關係，卻二度開立被害人過敏藥物予以服用，最終導致被害人因嚴重過敏反應入院治療，於時隔六個月後過世。本案涉及告訴期間起算、傳聞證據定性之程序爭議事項，同時涉及醫療注意義務、因果關係認定與衡量判斷量刑因子之實體爭議。本文將逐一分析上述爭議，並對判決理由、實務採用標準及其可能之適用彈性進行探討，期提供實務判斷參考。
This article discussed the determination of evidentiary standards for hearsay evidence and causation in criminal negligence cases. The defendant and the victim had a long-term medical relationship; nevertheless, the defendant prescribed the victim an allergenic medication on two occasions, which ultimately resulted in the victim’s hospitalization due to a severe allergic reaction and death six months later. The case involves procedural disputes over the commencement of the statute of limitations and the characterization of hearsay evidence, as well as substantive issues regarding the scope of medical duty of care, determination and assessment of causation, and sentencing factors. This article systematically analyzes these controversies, discusses the reasoning behind the judgment, the standards adopted in practice, and their potential flexibility, to provide practical reference for judicial decision-making.
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