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論著名稱: 瑕疵同意下之兩側卵巢切除案:告知說明與醫療行為責任之切割(Bilateral Oophorectomy without Patient’s True Consent: The Division between the Liability of Violating Informed Consent Doctrine and Medical Malpractice)
編著譯者: 吳志正
出版日期: 2020.08
刊登出處: 台灣/月旦醫事法報告第 46 期 /33-56 頁
頁  數: 24 點閱次數: 389
關 鍵 詞: 自主決定權身體權知情同意健康權損害賠償
中文摘要: 本件為經典之醫師違反告知義務事件,醫師疏未善盡告知義務,致病患同意接受雙側卵巢切除術,手術過程與術後照顧雖無專業上之疏失,但仍發生輸尿管陰道瘺管,且病患因此提前進入更年期,受有停經症候群之身心障礙。第一、二審法院判決病患請求其自主決定權受侵害以及身體健康完整性遭侵害之財產上與非財產上損害賠償,為有理由。本文試從病患受侵害法益類型切入,探究「得病患同意」與「固有的業務上正當行為」二阻卻違法事由之射程光譜,藉以建構出對應至各類型法益侵害之歸責原則,並對法院判決進行評析。
英文關鍵詞: right of self-determinationbody rightinformed consenthealth rightliability
英文摘要: This is a typical medical malpractice litigation regarding the violation of informed consent doctrine. The gynecologist failed to fulfill his duty of fully disclosure about the sequel of operation and options of surgery procedures, and the patient consented to receive bilateral salpingo-oophectomy which caused surgical menopause and was complicated with uretero-vaginal fistula. The district and supreme courts found for the patient and hold that the gynecologist violated the informed consent doctrine and was liable. This article is aimed to discussed the injury pattern and liability of violating informed consent doctrine with special reference to the decisions herein.
目  次: 壹、案件事實
一、病患 A 主張
二、B 醫師、甲醫院抗辯
貳、各審判決概要
一、地方法院
二、高等法院
參、本文評析
一、違反告知義務之賠償範圍
(一)醫療行為傷害說之觀點
(二)臺灣實務的態度
(三)德、日實務之見解
(四)本文意見
(五)對本件判決之評析
二、簽署同意書之性質
肆、結語
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