醫療法第82條修法之衛福部觀點

醫療法第82條之修正，有其歷史性之重要意義，衛生福利部樂觀其成，未來在醫療過失之鑑定部分需評估是否違反醫療上必要之注意義務且逾越合理臨床專業裁量，但要達到減少防禦性醫療、減少訟源及增進醫病關係和諧等效益，仍需更積極推動多元醫療糾紛非訴訟調處機制，並完成醫療事故預防及爭議處理法，讓調處的機制往前進一步，醫療機構並應建立內部風險事件管控與通報機制，並針對重大事件進行根因分析、提出改善方案，讓其他醫院能夠互相快速學習，以徹底改善醫病關係，共創和諧醫療環境，提升醫療品質。 The amendment of Article 82 of the Medical Care Act has its historic significance. The Ministry of Health and Welfare is optimistic in the project. In the future, the identification part of medical negligence needs to assess whether it breaches medical due care or exceeds reasonable exercise of professional clinical discretion. But for reducing defensive medical care, reducing the source of litigation and enhancing the harmonious physician-patient relationship, we still need to actively promote other non-litigation mediation mechanisms, and complete the medical accident prevention and dispute resolution law, so that the mechanism of mediation goes further. It is also necessary for medical care institutions to establish an internal risk event management and notification mechanism, and conduct root cause analysis for major events, and propose improvement plans so that other hospitals can learn from each other quickly to thoroughly improve the physician-patient relationship, thus create a harmonious medical environment, and improve quality of medical care.