醫療損害案件中的延誤治療與生存機會喪失之賠償──王○華、莊○理與金○宏大醫院醫療損害責任糾紛案

Compensation for Loss of Chance due to Delayed Treatment in Cases of Medical Malpractice

生存機會喪失應當被視為對「生命權」或「健康權」之侵害，以人格權體系加以保護，保證認定標準的明確化和舉證責任的寬鬆化。在損害賠償上，應採納「比例式賠償」模式。醫療水平的相對化並未成為醫療侵權的免責／減責事由。「鑑定雙軌製」之頑疾積重難返，應當通過建立統一的醫療過錯鑑定制度和鑑定專家庫，採納鑑定人實名制、完善鑑定人出庭質詢制度來解決。此外，法官可拒絕採納鑑定報告之自由裁量權必須有充分證據或專家意見予以支撐。

The Loss of Chance should be regarded as the infringement of ’’the Right to Life’’ or ’’the Right to Health’’. Therefore, it should be protected by the system of Personality Rights, so as to ensure the definition of standards and the loosening of the burden of proof. The mode of ’’Proportional Compensation’’ should be adopted in compensation for damages. Relativization of medical level has not become an exemption or reduction of liability in medical tort. It is necessary to establish a unified medical-fault-identification system and expert database, adopt the Real-Name system of appraisers, and improve the system of judicial inquiry of appraisers in court. In addition, a judge’s discretion to reject an appraisal report must be supported by sufficient evidence or expert opinion.