物理治療師之業務過失

Negligence in Physical Therapist Practice

近年來國內發生不少醫療糾紛，造成醫病間因醫療糾紛而相互猜忌。是以，如何重建醫病信賴關係，乃是當前應努力之方向，藉由各方之努力，讓醫病關係重新建立良好溝通管道。然而醫療人員對於業務上之認定及療程中之傷害是否應負刑責並不十分清楚，醫療人員執行之「業務」範疇是否與刑法上之「業務」相同？該行為有無過失甚至故意？本文嘗試從現今法院關於物理治療相關判決內容予以分析，以物理治療人員常發生業務過失傷害之情況進行了解探討，並解析哪些行為屬於「業務」及刑法應罰之範疇。藉以讓物理治療人員了解何者為過失傷害、故意傷害及何者為其業務應特別注意，防止醫療糾紛發生，同時讓病患了解物理治療人員之治療行為，期望能藉由透明化之醫療流程減少醫療行為疏失，若此，更能明確區分究係醫療疏失或單純因病患病情所造成之傷亡結果。

In recent years, many domestic medical disputes occur. How to cut down medical disputes and how to rebuild trust between doctors and patients are important issues. If the doctor-patient relationship becomes better, the medical quality will be better. However, medical personnel are not very clear about the identification of the professional work. Are the 'professional work' category of medical personnel and the 'business' category of criminal law the same? This paper attempts to analyze the criminal sentences of physical therapists’ practicing to realize what kind of physical therapists’ professional negligence often occurs and to understand which professional work falls within the scope of 'business'. This will allow physical therapists to understand their professional work and what they should pay special attention to prevent the occurrence of negligence. On the other hand, if patients can understand the professional behaviors of physical therapists, it can improve professional transparency and reduce medical negligence. Patients’ injuries can be clearly distinguished between results due to medical negligence and results simply caused by diseases.