法學期刊
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論著名稱: 【醫療刑事法】陰囊福耳尼埃氏壞疽症案:因果關係經驗法則的實證態度(The Death Because of Fournier's Gangrene Case: The Causation and Evidence-Based Methodology)
編著譯者: 吳志正
出版日期: 2018.04
刊登出處: 台灣/月旦醫事法報告第 18 期 /77-98 頁
頁  數: 22 點閱次數: 245
關 鍵 詞: 自由心證因果關係存活率過失經驗法則
中文摘要: 病患因陰囊疾患就診,醫師診治後未開立抗生素,嗣病患因陰囊福耳尼埃氏壞疽症引發敗血症而亡,檢方依業務過失致人於死提起公訴。經一、二審法院以刑法過失個別化立場判定醫師無過失,且採法實證方法以存活率數值計算得出,縱醫師有過失未能及時診斷出福耳尼埃氏壞疽症並予以治療,仍與病患之死亡無因果關係之心證,而為無罪之判決。此結論與論證方式均值贊同,惟筆者仍就因果關係之論證層次、法實證方法、過失判定基準等提出評析意見。
英文關鍵詞: firm confidence of the courtcausationsurvival ratenegligencethe rule of experience
英文摘要: The victim suffered from scrotum lesion and was treated by the accused physician, who did not prescribe antibiotics and the victim died 8 days later due to the Fournier’s gangrene inducing septic shock. The physician was brought into court by public prosecutor. The district and appealed courts both hold that the physician was not negligent at his diagnosis and treatment, and should he be negligent, there lacked causation between negligence and death which was deduced from evidence-based medical data. The author agree the conclusion and the reasoning of the courts, yet comment on the decision with special emphasis on the causation reasoning structures, the evidence-base method, and the judgement criteria of medical negligence.
目  次: 壹、事實概要
貳、二審判決摘要
一、公訴意旨
二、被告抗辯
三、鑑定意見
四、原審判決理由摘錄
五、法院判決
參、判決評析
一、醫療過失之判定基準
二、必要條件關係與相當性
三、法實證態度與經驗法則
四、存活機會喪失之刑罰化
肆、結語
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