知情同意原則於放射科臨床檢查之適用

The Application of the Principles of Informed Consent Doctrine in Clinical Radiology Examination

「知情同意原則（informed consent doctrine）」之理論基礎，最重要的觀念即是醫師必須在開始執行醫療行為前，充分說明重要的醫療資訊，如病情狀況、各種的治療方案與治癒率、可能產生的併發症與副作用，甚至不接受治療的後果等，爾後，再由病人自己針對狀況考量，自主決定採用何種方式進行治療，並承擔預期可能產生的風險。綜觀目前有關知情同意原則的文獻，可以發現，甚少討論臨床實際遭遇的問題，更遑論醫療實務已經面臨的相關問題與改善建議。基此，本文擬將知情同意原則的法理運用到放射科臨床檢查案件上，藉由臨床實務面臨的問題發掘，來檢視臺灣醫療法律規範不足之處，建構醫療糾紛議題，提供未來修法的思考方向。

The most critical concept of the rationale of the “Informed Consent Doctrine” is that physicians ought to adequately explain important medical information, such as the disease condition, various treatment regimens and cure rates, possible complications and side effects, as well as consequences of noncompliance, prior to the medical treatment. Following that, patients will determine their treatment of choice and bear the possible risks based on their own considerations. Based on a literature survey on the principles of informed consent, it appears that actual problems encountered during clinical practice have been rarely discussed, let alone the existing problems and recommendations faced in medical practice. Therefore, this article aims to apply the principles of informed consent to the examinations in clinical radiology, to discover and address the shortcomings of the medical laws in Taiwan through examining the problems faced in clinical practice, and to provide answers for future revisions of medical laws.