社會變遷下醫療法制發展之研究,-社會變遷下醫療法制發展之研究

Tunghai University Institutional Repository > 法律學院 > 法律學系所 > 國科會研究報告 > Item 310901/24516

Please use this identifier to cite or link to this item: http://140.128.103.80:8080/handle/310901/24516

Title:	社會變遷下醫療法制發展之研究,-社會變遷下醫療法制發展之研究
Other Titles:	A Study on the Medical Legal Developments in Social Change
Authors:	陳運財,林恩瑋,黃啟禎,許曉芬,林更盛,伍開遠,李成,卓俊雄,簡良育 CHEN, YUN-TSAI
Contributors:	東海大學法律學系行政院國家科學委員會
Keywords:	醫療倫理；無效醫療；安寧緩和醫療；老人監護與醫療；醫療專利；醫療救濟與保險；醫療風險管理；跨國醫療 Medical Ethics；Invalid Services；Palliative Medicine；Tutorship and Medical Care；Medical Patents；Drug Relief and Health Care；Medical Risk Management；Medical Tourism
Date:	2012
Issue Date:	2014-03-07T07:16:02Z (UTC)
Abstract:	醫療法制的發展深受社會變遷的影響，影響社會變遷之科技發展、人口結構、經濟環境及全球化等因素，同時也左右了現代醫療組織及醫事活動的進步與演變。受到醫療及生物科技的發展、人口高齡化、全民健保的實施與經貿協定等全球化的影響及衝擊，衍生的無效醫療、安寧緩和醫療、受成人監護或輔助宣告者之醫療照護、生物醫療科技專利保護與公共利益的緊張關係、醫療救濟與保險問題以及跨國醫療服務等課題，既有法制已呈現規範密度不足的窘境。另一方面，錯綜複雜的醫療糾紛引發的防衛醫療等問題，依舊嚴重，不僅有必要整合公法、刑事法及民事法等觀點，比較檢討不同法領域間在醫療訴訟案件之構成要件或違法要素、因果關係之認定上的異同。同時，為因應社會變遷下醫療糾紛的處理，更需從風險管理的角度，強化醫療機構事先控管相關法律風險，預防醫療糾紛的發生，以及適當劃分醫藥救濟制度與相關保險契約中的危險承擔，以緩和藥品製造人與用藥被害人間對立角色，達到醫病雙方互利的境界。本研究計畫將以三年為期，研究社會變遷下醫療法制的發展。就各論而言，針對從憲法學觀點探討無效醫療與安寧緩和醫療問題（子計畫一）、從刑法角度檢視科技發展下之醫療死亡協助制度（子計畫二）、受成人監護或輔助宣告者之醫療照護（子計畫三）、生物醫療科技與專利（子計畫四）、醫療救濟與保險（子計畫五）、醫療組織法律風險管理問題（子計畫六）以及國際醫療照護服務問題（子計畫七），作為研究課題，以釐清並掌握各領域實務現況的問題特徵，檢視現行相關法制規範密度是否不足或有無重構的必要，進而透過實證分析或比較法研究，尋求因應或改善的對策。就總計畫而言，第一年將從上位共通之醫療倫理及法正義的觀點，宏觀的探究在社會變遷下醫療法制發展上的結構問題，尋求調和社會變遷下醫療關係人之間多元價值或利益衝突的指導理念及途徑。第二年則從司法制度面，檢討現行醫療專庭、鑑定制度及舉證責任等訴訟制度及證據法則是否足以有效處理社會變遷下所生的醫療糾紛，並比較檢討不同法領域間在醫療訴訟案件之構成要件或違法要素、因果關係之認定上的異同。第三年，以利益迴避、誠實義務、告知義務以及守密義務等倫理內涵，整合研究在七項子計畫不同專業領域之間所要求的內容、標準及規範方式的異同，並彙整研究結果，以提供醫療實務改善或解決上述社會變遷下衍生的醫療問題，並作為相關醫療法制建構的參考。 Development of medical legal system led by and with social change, the influencing factors associated with new technology, demographic structure, economic environment and globalization that impact also affected the change of modern hospital system and medical research. Societal impact of Bio/Medical technology, rapid growth of the senior population, national health insurance, trade agreements and the consequences of globalization addressed the issues of invalid services, palliative medicine, tutorship and medical care, drug relief and health care, medical tourism and uneasy relationships between public interest and medical patent. The regulatory requirement of existing legal systems is challenged facing in general practice. On the other hand, malpractice suits filed against professionals greatly increased causing critical defensive medicine. For some important aspects, involving element of the crime, legality, deciding cause-effect relationship, we need to develop a shared understanding of how to work together effectively. There are a number of actions that based on the perspective of criminal law, civic law and administrative law pursuing to do comparative analysis should be taken. Meanwhile, it is essential for medical risk management to react the solution of dispute for legal malpractice litigation, to strengthen the ability of hospitals to control the risk preventing lawsuits, to establish the drug relief system and liability of insurance will safeguard its practice and benefit to both doctor and patient. This project will be completed in three years that focused on the development of medical legal systems where social change is speeded up. It is an interdisciplinary faculty research group fall into the following categories: invalid services (subject 1), palliative medicine (subject 2), Tutorship and Medical Care (subject 3), Bio/Medical Technology(subject 4), Salvation and Health Care(subject 5), Medico-legal risks problems(subject 6) and Medical Tourism(subject 7). The goal of the project is to bring the characteristic of problems for practices that explored the deficiencies and amendment of norms in relation to medical legal system. The following positive analysis and comparative legal research will be used on this work to provide strategy and improvement. To sum up, the first year, we will develop our own system on common value of medical ethics and justice investigating the structure problems with the development of medical legal systems under social change. It is an understanding and guidance of doctor-patient conflict relationship. In the second year, we plan a starting point from law to discuss the issues of medical court, examine the evidence, burden of proof: that will allow us to share practical problems and would be helpful to develop a shared understanding if the lawsuit and evidence rule can work together effectively, solving legal malpractice litigation solving disputes under social change. And then, to do comparative analysis on the difference of element of the crime, legality, deciding cause-effect relationship cross diverse laws. In the third year, the project work throughout the ethic principles of conflict of interest avoidance, faith of obligation, inform consent doctrines and duty of secrecy make conformity in research. The seven- topic of research brings together a broad variety of views on medical legal system for effective use in improving or solving practical problems. Also, it outlines the essential source of information for related medical legal systems with social change.
Relation:	計畫編號：NSC101-2632-H029-001-MY3 研究期間：2012-08~ 2013-07
Appears in Collections:	[法律學系所] 國科會研究報告

Files in This Item:

File	Size	Format
index.html	0Kb	HTML	429	View/Open

Loading...