| 關 鍵 詞： |
末期醫療；末期病人；無效醫療；限期嘗試治療成效；心肺復甦術；維生醫療；安樂死；尊嚴死；意願書；自主決定 |
| 中文摘要： |
自 1980 年代後期，圍繞於安樂死、尊嚴死、醫師協助自殺等議題中，終末期醫療就持續受到醫療先進諸國於醫療臨床上的爭論與關注。在此背景下，我國也於2000年制定了安寧緩和醫療條例，為末期醫療的實踐，建立了準則性的法律規範。然而，無論是維生醫療設備的終止或不介入，皆已直接涉及病人的生命法益與自主決定權等之侵害與保障問題。對於現性立法框架的妥適性，就須透過刑法理論的檢驗予以支持。本文以下將在刑法的視野下，探討末期醫療處置的適法性。同時，針對我國現行實施的《安寧緩和醫療條例》，其中有關維生設備的不予與撤除，程序上是否有給末期病人充分合理的自主空間，以及有無達到尊重生命法益的基本要求。這些重要問題，本文也將借助參考日本的法制經驗，一併予以觀照。
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| 英文關鍵詞： |
Terminal Care；Terminal Illness Patients；Medical Futility；Time-Limited Trials；Cardiopulmonary Resuscitation；Life-Sustaining Treatment；Euthanasia；Death with Dignity；The Letter of Intent；Self-Determination |
| 英文摘要： |
Since the late 1980s, issues pertaining to Terminal Care have been discussed in the health care practices of several developed countries especially euthanasia, death with dignity and physician-assisted suicide. In this context, Taiwan has also developed Hospice Palliative Care Act in 2000, for Terminal Care practice guidelines for the establishment of legal norms. However, whether Life-sustaining treatment (LST) withholdingor withdrawing, directly related to the patient's life, such as legal interests and rights of independent decision security issues. For Botox framework of existing legislation, it must be supported by examination of criminal law theory. The following article will be under criminal law perspective, and to explore appropriate methods of Terminal Care. Meanwhile, for the Hospice Palliative Care Act, which Life-sustaining treatment (LST) withholding or withdrawing, whether terminally ill patients to self-sufficient and reasonable space program, as well as whether the reach of legal interest to respect the basic requirements of life. These important issues, this article will refer to Japan’s legal system by means of experience, together with contemplation.
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| 目 次： |
壹、前言
貳、末期醫療的意義
參、末期醫療義務的界限
一、末期範圍的界定
（一）末期病人的定義
（二）無效醫療的概念
（三）限時嘗試治療成效
二、治療義務界限理論
肆、臨終相關醫療措施及其刑責探討
一、安樂死與尊嚴死之爭議
二、不實施維生醫療設備之刑責探討
三、終止維生醫療設備之刑責探討
四、小結
伍、維生醫療抉擇與刑事責任的阻卻
一、末期病人的生命自主
（一）自主生命的可能
（二）生命絕對保護的鬆動
（三）治療效果不確定
二、（預立）意願書與刑事責任的阻卻
（一）同意不予維生醫療
（二）同意撤除維生醫療
三、第三人同意的定位與功能
（一）家族的同意
（二）醫師的專斷
（三）未成年代理
陸、結語
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