醫療法第82條修正後醫療常規與合理臨床專業裁量之法界現況探討

Discussion on the Current Legal Situation after the Amendment of Article 82 of the Medical Act Regarding Medical Guidelines and Reasonable Clinical Professional Discretion

2018年1月24日修正醫療法第82條，對於醫療行為之民事賠償責任與刑事責任，採過失責任，惟對於醫療過失行為之判斷標準，除了「違反醫療上必要之注意義務」之外，另增加「逾越合理臨床專業裁量。此一修法乃考慮醫療行為之專業性、錯綜性及不可預測性，因而將醫療過失之認定標準嚴格化。本文的探討重點，主要針對醫療法第82條規定之解釋與適用，進行說明。此外，亦針對修法後之司法判決現況進行探討。

On January 24, 2018, Article 82 of Medical Care Act was amended to stipulate clear requirements for the determination of liability for negligence in medical conduct. The establishment of medical negligence requires ''failure to exercise medically necessary care'' and ''failure to exercise reasonable professional clinical discretion.'' This amendment takes into account the professionalism, complexity, and unpredictability of medical behavior, and thus tightens the standards for identifying medical negligence. The focus of this article is mainly to explain the interpretation and application of Article 82 of the Medical Law. In addition, the current status of judicial decisions after the revision of the law is also discussed.