篇名

網際醫病關係之崩解(一)   免費試閱

並列篇名

Internet Disruptions In TheDoctor–Patient Relationship(I)

中文摘要

病人藉由無所不在地從網路獲取有關健康問題的資訊,正從根本上破壞傳統醫病關係。已然發生轉移的知識不對等,正在醫療父權的棺材上敲入最後一顆釘子。谷歌醫生的隨時可近性有許多正向的影響,但依然存在病人不加辨別地接受不科學、過時或有偏見的訊息進行決策之風險。到頭來,這可能會影響到醫生在法律上的注意義務,並使他們需要敏感地詢問讓病人做出令人驚訝、或明顯不合邏輯的治療選擇時資訊之來源。此外,病人、與病人有關的人和其他人有可能在網路上發布關於醫生的不正確和有害訊息。目前,法院作出一些有影響力的裁判已經確立了醫療從業人員採取法律程序進行誹謗和禁止令救濟的合法性,以制止誹謗性和惡意的網路發表對其個人、名譽和商業造成傷害。並且,對於醫生發表的無禮與有失尊重的網路貼文,也要求其對於專業紀律的當責。所有這些因素都促使醫生與其病人之間的動態發生了崩解性的重新調整。

英文摘要

The ubiquitous access by patients to online information about health issues is disrupting the traditional doctor-patient relationship in fundamental ways. The knowledge imbalance has shifted and the last nails are being hammered into the coffin of medical paternalism. Ready access to Dr Google has many positive aspects but the risk of undiscerning acceptance by patients of unscientific, out-of-date or biased information for their decision-making remains. In turn this may feed into the content of the legal duty of care for doctors and contribute to a need for them to inquire sensitively into the sources of information that may be generating surprising or apparently illogical patient treatment choices. In addition, patients, those related to patients, and others have the potential to publish on the Internet incorrect and harmful information about doctors. A number of influential decisions by courts have now established the legitimacy of medical practitioners taking legal proceedings for defamation and injunctive relief to stop vituperative and vindictive online publications that are harming them personally, reputationally and commercially. Furthermore, disciplinary accountability has been imposed on doctors for intemperate, disrespectful online postings. All of these factors are contributing to a disruptive recalibration of the dynamics between doctors and their patients.

起訖頁

060-076

出版單位
DOI

10.3966/241553062021040054006  複製DOI  DOI查詢

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