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篇名
醫藥分業下醫師藥品調劑權限制之合憲性審查──以司法院釋字第778號解釋為中心
並列篇名
On Constitutional Review of Restrictions on Physicians' Right of Dispensing Under the Separation of Dispensing Practice from Medical Practice Policy: Focusing on Judicial Yuan Interpretation No. 778
作者 林家祺
中文摘要
國家對於工作權與職業自由的加以保障,在追求國民健康等公共利益下,對專門技術人員的職業進行限制。醫師肩負診治患者等重責大任,攸關國民健康,故國家對其工作權的管制較高,經由藥事法第102條第2項對於醫師的藥品調劑權限制,該職業自由的限制是否合憲,形成爭議,後經司法院釋字第778號解釋在案,其認為藥事法母法限制醫師藥品調劑權,尚未牴觸憲法第23條比例原則為合憲,但關於藥事法施行細則第50條與醫療急迫情形之函示等部分,均為增加法律所無之限制,逾越母法之規定,與憲法第23條法律保留原則之意旨不符,而遭宣告失其效力。藥事法規範與限制藥品調劑權,除與醫師工作權限制有關外,亦涵蓋民眾用藥安全之公共利益,涉及國民健康之保障,是衡量醫師工作權因此所受之損害,相對於該規定所欲維護之公益,亦難認立法者採取手段所造成之損害與其所欲達成目的之利益顯失均衡,故國家對醫師工作權加以合理限制,並無違憲之虞。本文以司法院釋字第778號解釋為中心,探討前揭現行藥事法對當今醫藥分業制度下,國家以國民健康保障為目的,進而限制醫師藥品調劑工作權限制之合憲性,首先分析該號解釋之內容,權衡公共利益與工作權間之扞格,更進一步以美日醫藥分業為借鏡,認為我國實然面之雙軌制,所造成社區藥局的經營危機,實為未能完全落實醫藥分業之困境,現階段應致力推動醫藥分業制度,應從實然面之雙軌制朝向應然面之單軌制修正,並且導引推動社區藥局的設立,保障國民用藥安全又便利,如此醫藥專業分工更臻完備,國民健康方能水到渠成,實踐憲法上國家保護義務。
英文摘要

Physicians carry heavy responsibilities to diagnose and treat patients, which is crucial to national health. For that reason, the government has certain restrictions over their work. It is disputed whether the restrictions on professional freedom of doctors are regulated by Article 102, Paragraph 2 of the Pharmaceutical Affairs Law. According to interpretation No. 778 of the Supreme People’s Court, it is considered that the parent law of the Pharmaceutical Affairs Act restricts the right of doctors to dispense drugs, and it does not violate Article 23 of the Constitution. The principle of proportionality is constitutional. However, provisions in the implementation of Article 50 of the Pharmaceutical Affairs Law and the notification of medical emergencies all add restrictions not included in the law, they exceed the provisions of the parent law, and are inconsistent with the purpose of the principle of legal reservation in Article 23 of the Constitution. The Pharmaceutical Affairs Law regulates and restricts the right to dispense medicine. This restriction covers the public interest in the safety of drug use to protect national health. Compared with the public welfare that this regulation is intended to protect, the damage caused by the legislators is unbalanced with the interests they intend to achieve. Therefore, the state’s restriction of the doctor’s right to work is not unconstitutional. This article focuses on the interpretation of Judicial Yuan Interpretation No. 778 of the Judicial Court, and discusses current Pharmaceutical Affairs Law. The state’s intent to protect national health has resulted in restricting physicians’ right to dispense medicine. The constitutionality of the restrictions is assessed by analysing the content of the interpretation, weighing the trade-off between public interest and the right to work, comparing against the US and Japan pharmaceutical industries, and consider that the current dual-track system has caused a crisis in the operation of the community pharmacy. Therefore, we should not implement the division of prescribing and dispensing. Efforts should be made to revise from the current dual track system to a one track system. In this way, the division of labour in the medical profession is more complete, so that national health can be fulfilled and the state’s obligations under the Constitution can be fulfilled.

起訖頁 33-91
關鍵詞 醫藥分業調劑權工作權健康權三階段理論Separation of Prescribing and DispensingRight of DispensingRight to WorkRight to HealthDrei-StufenTheorie
刊名 科技法學論叢  
期數 201912 (15期)
出版單位 國立雲林科技大學科技法律研究所
該期刊-上一篇 從警察任務探討食品安全之危害防止
該期刊-下一篇 外國人可否享有社會給付受給之權利──評釋日本永住外國人準用或適用生活保護法訴訟事件
 

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