真相、鑑定與醫療糾紛處理的未來: 走向事故責任的早期評估

Translated title of the contribution: Truth, Expert Review of Medical Disputes, and the Future of Medical Malpractice Dispute Resolution: Gearing towards an Early Liability Assessment Scheme

Research output: Contribution to journalArticle

Abstract

This article suggests that the two-week fast-track medical expert review project recently proposed by the Ministry of Health and Welfare is based on a classical definition of “truth.” That is, truth in medical malpractice disputes only involves the objective causal progression that led to the adverse result, and therefore has very little to do with the responsibility and liability of the medical staff. In practice, however, the “truth” held by the patient and the patient’s family often binds with the idea that the medical professionals who carry out the medical practice are responsible for any unfortunate results. Understanding this line of thought, governments around the world are beginning to promote early liability assessment schemes for alternative dispute resolutions. In response to this trend, this paper argues that if the present schemes of expert review of medical disputes in Taiwan can be readjusted to better assist both parties in finding a common view on liability, this may help to: 1. Satiate the patient and the patient’s family’s need to know the truth (and liability, too), thereby stopping them from believing that the medical staff in question are at fault, even before the case is filed. 2. Although the early assessment result is not legally effective, it can be used as reference or evidence during the follow-up litigation process and thereby reduce the time required for the court to make judgment.
Original languageTraditional Chinese
Pages (from-to)177-184
Journal月旦醫事法報告
Publication statusPublished - Oct 2016

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expert
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welfare
responsibility
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Keywords

  • Truth
  • medical expert review of medical disputes
  • alternative dispute resolution
  • Taichung District Court Medical Malpractice Claims Pilot Program

Cite this

真相、鑑定與醫療糾紛處理的未來 : 走向事故責任的早期評估. / 梁志鳴.

In: 月旦醫事法報告, 10.2016, p. 177-184.

Research output: Contribution to journalArticle

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title = "真相、鑑定與醫療糾紛處理的未來: 走向事故責任的早期評估",
abstract = "本文認為衛生福利部近日提出之兩週快速鑑定計畫,係建立在對真相的古典定義之上─亦即將其理解為醫學上的前因後果,而不涉人員責任之判斷。然而實務上,病家想像之真相往往已預設責任概念於其中,亦即假定醫療過程出現瑕疵,才導致不幸之結果,故自應有人予以負責,基於對上述心理機制的認知,許多國家逐漸重視建置事故責任之訴訟外早期評估機制。呼應此一發展,本文認為若能改革臺灣現有鑑定制度,協助醫病雙方早期評估事故責任,或能從兩方面對醫療糾紛處理帶來正面影響:一、儘早滿足病家對真相(責任)之渴望,阻斷病家形成醫事人員犯錯確信之心理進程;二、相關早期評估本身雖不具法律效力,但可作為後續訴訟程序之參考證據資料,縮減訴訟之時間成本。",
keywords = "真相, 鑑定, 訴訟外醫糾處理, 臺中地院醫療糾紛試辦計畫, Truth, medical expert review of medical disputes, alternative dispute resolution, Taichung District Court Medical Malpractice Claims Pilot Program",
author = "梁志鳴",
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journal = "月旦醫事法報告",

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