醫美產業於自由經濟示範區之法律與社會問題

The Legal and Social Issues of the Cosmetic Surgery Industry in the FEPZs

我國近年努力推動「自由經濟示範區」，而「醫療旅遊」為此特區之「國際健康產業園區」之重點項目之一。根據美國時代雜誌報導，全球經濟不振情況下，仍有六大產業逆勢突圍，其中一項則為美容整形產業；而我國在「國際醫療服務」計畫下之醫療美容，若能夠結合觀光旅遊，則將能促進我國經濟成長。而所謂的醫美觀光，即吸引外國旅客至我國旅遊，並同時接受美容服務的方式，此計畫除被認為可促進我國的經濟成長外，在醫療技術與健康照護管理等方面亦能提升我國之水準。然而，在發展醫美觀光之時，仍有許多問題亟待克服，例如：我國規劃允許外國法人參與經營，而這些法人的定位問題；允許外國醫事專業人員於此特區工作，而這些專業人士之聘用與管理問題；醫療服務的階層化，因為發展醫美觀光，將會使醫療機構採用最新技術與設備吸引消費者，如此可能造成醫療服務貴族化傾向；醫療資源短缺與專科人力失衡問題更形加劇，於發展醫美觀光之同時，將使我國現有的基礎的人力資源分配問題更形急劇。此外，如醫療品質的控管、醫療風險的轉移、醫療糾紛的解決等，都是我國在追求經濟利益之前，需未雨綢繆事先規劃，才能減少可能帶來的弊病。

Taiwan is ready to establish the Free Economic Pilot Zones (FPEZs) for the economic growth in recent years. Medical tourism is one of the project—International Healthcare Park—at FPEZs. The ground is that cosmetic plastic surgery services, a subgroup of the International Healthcare Services, is assessed as one of six industries that can keep on growing during the economic distress by the New York Times. That is, the project of medical tourism can draw international tourists to visit Taiwan and accept the plastic surgeries at FEPZs during the trip. The advantages are that the project can help Taiwan to promote its economic growth, innovate the medical techniques, health care administration and so on. However, there are many barriers needed to be overcome, such as the nature of these international juristic person when the drafted rules allowing the investment and the management of international corporations at the FPEZs; the employment and the management of international medical professionals at FPEZs, the medical stratification for the clients with higher socioeconomic status by importing new and costly medical techniques and instruments; the insufficiency of medical resources and the imbalance of some medical specialists, and so on. Additionally, the control and management of the medical quality, the transference of the medical risk, and the solution for medical disputes should be thought and designed in advance when we pursue the benefits of economic progress without creating new negative effects.