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以司法實證論醫療糾紛解決之正解 = A Judicial Empiric...

國立高雄大學高階法律暨管理碩士在職專班(EMLBA)

以司法實證論醫療糾紛解決之正解 = A Judicial Empirical Study to Find the Best Solution for Medical Disputes

紀錄類型:	書目-語言資料,印刷品 : 單行本
並列題名:	A Judicial Empirical Study to Find the Best Solution for Medical Disputes
作者:	馮明珠,
其他團體作者:	國立高雄大學
出版地:	[高雄市]
出版者:	撰者;
出版年:	2016[民105]
面頁冊數:	104面圖，表 : 30公分;
標題:	實證研究
標題:	empirical legal study
電子資源:	http://handle.ncl.edu.tw/11296/ndltd/11094695365878423761
附註:	106年4月25日公開
附註:	參考書目：面92-95
摘要註:	台灣的醫療的便利性及醫師的技術一直是各國所稱羨、學習的，然而近幾年隨著醫療訴訟的氾濫，尤其是醫療刑事訟送的比例偏高，造成醫療生態扭曲，有所謂『醫療崩壞』現象，醫療人員逐漸的流失，也嚴重影響到台灣民眾的健康照護。了解醫療訴訟的實務現況將有助於找出根本的解決方法。本研究的目的即為了解台灣地區近三年司法機構醫療糾紛判決案件之概況及探討醫療糾紛被判刑的相關因素。藉由法學實證研究的方式，利用「法源法律網」的司法院法學資料檢索系統，收集民國100-102年間做成的所有民刑事訴訟醫療糾紛案件判決書進行彙整，利用統計軟體SPSS進行統計分析，期盼可以藉此研究真實反映我國民刑事訴訟醫療糾紛判決現況。本研究案件共252件，民事訴訟案件佔76.2%，其次為民刑事訴訟案件 12.3%，及刑事訴訟案件11.5%。有52.02%的案件採用以刑逼民策略，每個案件平均歷時5.07年，醫療人員敗訴的機率是17.9%。被告的醫院層級以醫學中心最高(35.7%),醫師被告的比率是96.4%，護理人員是19.4%，被告最多的五大科別依序為急診、產科、整形外科、神經外科及牙科。本研究探討與判決結果相關的因素，發現案件類型(民事或刑事)、病患受傷害程度、不同醫院層級、被告人數、不同地區法院、有無訴訟代理人都與判決結果無顯著相關，僅有舉證責任的歸屬、鑑定次數的多寡有顯著差異，證實以刑逼民策略不但不會增加原告的勝訴率，反而會延長訴訟時間長達1年，也證實舉證之所在敗訴之所在的論述。為減少醫療訴訟的氾濫，建議從建立雙贏的醫糾處理機制、訂定完善的醫糾處理法條文、提升司法人員醫療專業能力、強化醫糾病歷保全、建立舉證責任轉換之明確操作準則、改善醫事鑑定制度、建立多元鑑定管道等方式做起，期待台灣醫療環境可以因一些相關的配套措施快速定紛止爭，共建醫病雙贏。 The convenience of medicine and doctors' technics in Taiwan has long been envied and learned by other countries around the world. However, there have been inundated medical lawsuits in recnet years, especially the high proportion of medicial criminal procedure law, caused distorted medicial system so called the phenomenon of medical breakdown. The gradual loss of professional medical personnel seriously affects the health care of the people in Taiwan. Understanding the current situation of medical litigations will help find the solustion radically. The purpose of the study is aimed to realize the situation that has been caused by judicial mdeicial disputes over the past three years in Taiwan area and discuss the related factors that had been sentenced with medical disputeds. The research way, by empirical legal study, takes advantage of "LawBank", which is the verdict system of Laws and Regulations Database of Judicial Yuan, Collecting and summarizing the verdicts all about Civil Procedure Law and Criminal medical disputes from 2011 to 2013. We can use the software SPSS to file and progress about preliminary descriptive statistics and look forward to truly reflecting the current situation of verdicts about Civil Procedure Law and Criminal medical disputes in our nation. There are 252 cases in the study, in which there are 11.5 percentage of Civil Procedure. A strategy called using the law foreced people to obey was adopted in 52.02 percentage, and every case takes the average duration of 5.07 years. The probability which the medical personnel will lose a lawsuit is 17.9%. Hospital Medical Center level is accused to the highest level at 35.7 percent. The doctors who are accused account for 96.4 percent and medicial personnel accused accounts for 19.4 percent. Five divisions indicted the most common in turn are emergency, obstetrics, plastic surgery, neurosurgery and dentistry. The study investigated the factors associated with verdicts, in which we found that the types of cases such as Civil Law and Criminal Law, the degree of patients’s injury, different hospital levels, the number of defendants, different area courts, and having litigation agents have no significant correlation with the verdict. There are significant differences only between burden of proof of attribution and the amount of times of identifying. Confirm that criminal tactics to force people not only will not increase the rate of winning the lawsuit in plaintiffs but it will also prolong the proceedings for up to one year, which proves the discussion that the burden of proof will fail. To avoid the spread far and wide of medical litigation, we suggest that we can build a crisis mamagement of medical ma;practices to create win-win situation. Not only can we stipulate perfectly amendments about medical disputes, but we can also enhance the competence of judicial personnel. We are responsible for strengthening the anamnesis preservation of medical malpractices and establishing clearly operational guidelines of the burden of proof. We also can do our best to improve mdeical judgment systen and estabilsh pluralistic ways of appraisals looking forward to creating win-win situation between the medical and patients by some of the relevant supporting measures to rapidly stop the fight and dispute in Taiwan's medical environment.

以司法實證論醫療糾紛解決之正解 = A Judicial Empirical Study to Find the Best Solution for Medical Disputes
馮, 明珠

以司法實證論醫療糾紛解決之正解 = A Judicial Empirical Study to Find the Best Solution for Medical Disputes / 馮明珠撰 - [高雄市] : 撰者, 2016[民105]. - 104面 ; 圖，表 ; 30公分.
106年4月25日公開參考書目：面92-95.
實證研究empirical legal study

以司法實證論醫療糾紛解決之正解 = A Judicial Empirical Study to Find the Best Solution for Medical Disputes
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