| 關 鍵 詞： |
醫療糾紛；醫療訴訟；防衛性醫療；醫療事故除罪化；無過失補償 |
| 中文摘要： |
2017 年 12 月 29 日立法院三讀通過醫療法 82 條修正案，提高醫療糾紛中醫事人員應負責任之門檻，期望塑造出合理化醫療環境。探其原因乃係近年來醫療糾紛進入司法訴訟者日增，不但曠日廢時，也常造成醫病關係兩敗俱傷。影響所及，除醫師在臨床工作上開始採取防衛性醫療外，也間接導致主要醫療專科人力流失，未來恐將蔓延形成醫療環境崩壞現象。主管單位也因此重視並結合各界建言，著手進行法律制度面之調整，促成此一醫療法修正案，以期減少醫療糾紛訴訟，其成效尚待觀察；但根據衛福部近期之實證數據調查結果，其實更應針對導致訴訟增加之各主因研擬具體配套對策，以設法同步降低案件量，可思考包括：建立有效之醫療錯誤通報制度以避免疏失再犯、重新設計非訟化處理機制來提高解決糾紛功能、推動落實病歷中文化與充分揭露醫療資訊以減少醫病溝通落差、鼓勵導向單純民事責任處理紛爭以消弭「以刑逼民」歪風，從多面向設法降低醫療訴訟之惡化現狀。
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| 英文關鍵詞： |
Medical Dispute；Medical Litigation；Defense Medical；Medical Crime Decriminalization；No-Fault Compensation |
| 英文摘要： |
On December 29th, 2017, the amended Article 82 of the Medical Care Law went through the entire three-reading procedure in the Legislative Yuan, which raises the threshold of legal liability that Medical Personnel have been burdened with. Therefore, it could build a reasonable medical environment.
Caused by the gradually increasing medical disputes, the relaionship between doctors and patients get strained day by day. As a result, doctors starting to choose Defense Medical, also bring about brain drain of specialists. In the future, we would confront the collapsed of medical environment.
The competent authority also take the suggests from all walks of life as a reference to adjusts the legal system, passing the amended legislation, expecting to decrease litigations of medical disputes. The effectiveness are under evaluation.
According to the empirical data by Guardian Department, we should against the problem of increasing medical litigations with specific countermeasure.
Including build an incident-reporting system to for fear of the error once again, designing Non-contentious mechanism to solve disputes. Also translating medical records into Chinese, which could rectify the communication between doctors and patients. Publicizing resolve disputes by Civil Litigation but not Criminal Law, reducing the deterioration of situations.
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| 目 次： |
壹、前言
貳、臺灣醫療糾紛現況
參、醫療糾紛訴訟案件現況影響之衝擊
肆、檢討與建議
伍、結語
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