醫療法第82條修正實施後醫界現況探討

Exploring the Medical Community Situation after the Amendment of Article 82 of the Medical Care Act

本文探討醫療法第82條修正後對醫界的影響，包括修法背景、修正內容、實施成效、以及如何作為醫療過失的輔助判斷基準，修法的核心係將過失概念明文化為「違反醫療上必要之注意義務且逾越合理臨床專業裁量」，亦即是將合理臨床專業裁量入法。醫療法第82條修正後以及其他多元醫療糾紛處理模式的介入，醫療糾紛案件的數量並未增加，初步顯示已達到緩解醫療糾紛的效果。最後，探討醫療常規與臨床專業裁量在醫療過失判斷中的重要性，以及新興疾病、罕見疾病、末期病人以及臨床困境等，適合應用臨床專業裁量。

This article discusses the impact on the medical community after the amendment of Article 82 of the Medical Care Act, including the amendment's background, content, effectiveness, and its role as an auxiliary criterion for medical negligence judgment. The amendment's essence is the explicit definition of negligence as ''violating the necessary duty of care in medicine and exceeding reasonable professional clinical discretion,'' effectively incorporating reasonable professional clinical discretion into law. After the amendment of Article 82 of the Medical Act and the intervention of various medical dispute resolution models, there has been no increase in medical dispute cases, indicating initial success in mitigating medical disputes. Finally, the article discusses the significance of medical practice and professional clinical discretion in determining medical negligence, especially in scenarios involving emerging diseases, rare diseases, terminal patients, and clinical dilemmas, where clinical professional discretion is particularly applicable.