論美國訴訟外醫療紛爭處理之歷史發展經驗：兼評我國現狀之反省與展望

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题名:	論美國訴訟外醫療紛爭處理之歷史發展經驗：兼評我國現狀之反省與展望
作者:	梁志鳴 Liang, Chih-Ming
贡献者:	醫療暨生物科技法律研究所
关键词:	訴訟外醫療紛爭處理;審判前篩選;仲裁;調解／調處;溝通解決機制 medical alternative dispute resolution;pre-trial screening panels;arbitration;mediation;communication-and-resolution programs (CRPs)
日期:	2022-12
上传时间:	2024-12-04 14:06:05 (UTC+8)
摘要:	本文探討美國訴訟外醫療紛爭處理之比較經驗;首節為研究背景與問題;第貳節介紹美國醫療糾紛危機之歷史背景;及其衍生之兩類改革方案;第參節討論審判前篩選、仲裁、調解與溝通解決等醫糾ADR選項之發展經驗;本文發現追求修補醫病關係與提升病人安全之利益導向式調解;和強調資訊透明、誠實檢討、坦承道歉與早期和解的溝通解決;已成為美國近年最受期待之ADR選項。第肆節進而以上述比較觀察為基礎;檢視我國醫糾ADR發展現狀;特別點出我國醫療體系普遍抱持最小化訴訟曝險之風險管理觀;此文化特性也構成我國本土發展溝通解決機制的主要挑戰。 This paper explores the experience of medical alternative dispute resolution in the US. Part I lays out the background and research question. Part II introduces the historical background of medical malpractice crisis and the two generations of policy responses to the crisis. Part III further examines the development and evolution of four of the most widely used medical ADR options; including pre-trial screening panels; arbitration; mediation; and communication-and-resolution programs. The paper discovers some of the most promising and anticipated medical ADR options and policy proposals; including interest-based mediation and communication-and-resolution programs; which emphasize such ideas as repairing patient-physician relationships; promoting patient safety; ensuring full disclosure; expressing timely sympathy and apology; committing to prevention efforts; and making early offer of compensation. Based on these observations; Part IV reflects on the current status of medical alternative dispute resolution in Taiwan; and points out that limiting litigation exposure remains the dominant risk management philosophy of Taiwan's healthcare organizations; which constitutes a significant barrier to the local development of communication-and-resolution type of reforms.
關聯:	歐美研究;52(4);655-725
描述:	【112-2 升等】臺北醫學大學教師升等專門著作職別：專任送審等級：教授著作送審
附注:	代表著作名稱：《論美國訴訟外醫療紛爭處理之歷史發展經驗：兼評我國現狀之反省與展望》
数据类型:	article
显示于类别:	[教師升等送審著作] 112 [醫療暨生物科技法律研究所] 期刊論文

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