【醫療民事法】代理同意案:難以落實醫療自主的代理同意【學習式判解評析】 試閱
The Case of Agent Consent :The Difficulty of Implementing Medical Autonomy in Substitute Medical-Decision-Making
本件為腸胃道出血病人使用降血壓藥物的自主意願之爭執案,雖病人的病情惡化致死亡與降壓藥使用無因果關係,但對於不可得知的病人意願,家屬是否得代理其同意?如該代理同意可能侵害病人的最佳利益,醫療團隊又可否依照最佳利益的考量而擅自決定處置?果若如此則是否有侵害病人自主權之疑慮?本文擇舉病人之推測同意、代理同意及最佳利益在病人自主權利保障上的必要性、可能的侵害及位階,進行評析。
The case in hand is about a conflict whether a patientgastrointestinal bleeding took anti-hypertensivesvoluntarily. Even though the condition getting worseand leading to death had no causality with taking antihypertensives.It could be problematic whether the familymembership as an agent could consent for the patient,since the will of the patient might not be accessible. Ifthe agential consent might infringe the best interest of thepatient, could the medical team make decision by itselfconcerning the best intertest of the patient? Does it infringethe autonomy of the patient? Whether the presumable aswell as the agential consent of the patient and the bestinterest of the patient are necessary for the guarantee ofthe autonomy of the patient, whether they would make apossible infringement and their hierarchy would be thetopics of comment and analysis in this essay.
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