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論著名稱: 【醫療民事法】代理同意案:難以落實醫療自主的代理同意(The Case of Agent Consent: The Difficulty of Implementing Medical Autonomy in Substitute Medical-Decision-Making)
編著譯者: 謝宛婷
出版日期: 2021.01
刊登出處: 台灣/月旦醫事法報告第 51 期 /64-83 頁
頁  數: 12 點閱次數: 238
下載點數: 48 點 銷售明細: 權利金查詢 變更售價
授 權 者: 謝宛婷
關 鍵 詞: 代理同意身上事務病人自主最佳利益醫療委任代理人
中文摘要: 本件為腸胃道出血病人使用降血壓藥物的自主意願之爭執案,雖病人的病情惡化致死亡與降壓藥使用無因果關係,但對於不可得知的病人意願,家屬是否得代理其同意?如該代理同意可能侵害病人的最佳利益,醫療團隊又可否依照最佳利益的考量而擅自決定處置?果若如此則是否有侵害病人自主權之疑慮?本文擇舉病人之推測同意,代理同意及最佳利益在病人自主權利保障上的必要性、可能的侵害及位階,進行評析。
英文關鍵詞: substitute consentpersonal affairpatient autonomybest interesthealthcare agent
英文摘要: The case in hand is about a conflict whether a patient gastrointestinal bleeding took anti-hypertensives voluntarily. Even though the condition getting worse and leading to death had no causality with taking anti-hypertensives. It could be problematic whether the family membership as an agent could consent for the patient, since the will of the patient might not be accessible. If the agential consent might infringe the best interest of the patient, could the medical team make decision by itself concerning the best intertest of the patient? Does it infringe the autonomy of the patient? Whether the presumable as well as the agential consent of the patient and the best interest of the patient are necessary for the guarantee of the autonomy of the patient, whether they would make a possible infringement and their hierarchy would be the topics of comment and analysis in this essay.
目  次: 壹、案件事實
貳、各審判決概要
一、地方法院
二、高等法院
三、最高法院
四、高等法院更審
五、最高法院終審
參、本件之評析
一、醫療代理同意的必要性與醫療臨床實務現況
二、代理同意與醫療委任代理人制度
三、理性病人之推測同意、代理同意與最佳利益
四、本件歷審判決關於自主權保障的評析
肆、結語
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