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台灣衛服部想推過的醫糾法

作者:L.O.R.D│2015-05-03 13:05:12│巴幣:2│人氣:216
以下是我用英文介紹台灣衛服部想過的醫糾法問題所在,原本只是想介紹給朋友看看但稍微補上中文。隨便打打的所以別太在意中文與英文的文法xD

Currently Taiwan's Ministry of Health and Welfare is attempting to pass No-fault Compensation for medical injury.
目前台灣衛服部嘗試通過類似無過失醫療事故補償的法案。

No-fault compensation system allows patients to request compensation for medical injury, even without an established negligence (negligence means the practice falls below standard of care). While "no-fault" and "medical injury" may sound contradicting, these situations are quite common due to the uncertainty in medicine. A 2-5% inherit risk of infection in surgery, an unforeseeable allergic reaction to treatment are all counted as medical injuries, despite doctors uphold the standard of care and tried their best to avoid these circumstances.
無過失醫療事故補償容許病人申請醫療補償,儘管沒有任何疏失(疏失是當醫療團隊的照顧沒有達到職業標準)。雖然『無疏失』跟『醫療傷害』看似相衝,但機率與突發事故在醫療照顧中卻是很常見的事情。就算醫療團隊再怎麼達成職業標準或避免意外,他們還是無法避開手術中2-5%感染的機會或無法預測到的過敏反應。

While the one in Taiwan seems similar to ACC in NZ, there are some serious concerns about this legislation.
儘管這個法案有點接近紐西蘭的ACC,台灣的法案卻有一些嚴重的疑慮。

1. The legislation only said in strict wording that the government will share 30% of the compensation. This means the rest 70% will be shared between smoke companies/donations/National Health Insurance and medical professionals/medical organisations. Although Ministry of Health and Welfare said they want to split these to 40% for the former combination and 30% for the latter one, no words in the legislation implied that. Furthermore, 30% sharing between medical professionals and hospitals will certainly put double burdens on medical professionals' finance, as hospitals will likely respond to this law with their staffs' wages, adhering to "Taiwan's culture". This unbalance in work and reward is even worse when medical professionals' salary doesn't match their high working hours in Taiwan.
1. 醫糾法只有明字規定說政府最高只會付30%的補償金,剩下的70%會讓菸/捐/健保與醫療人員/醫療機構分配。雖然衛服部解釋說他們希望能夠分配成40%讓前者組合付(菸/捐/健保)與30%讓後者付,法規沒有明確指出這個意思。而且剩下醫療人員與醫療機構負責的30%會給醫療人員的經濟帶來雙重壓力,因為醫院很可能會跟著台灣共體時艱的文化用醫療人員的薪水來反應醫糾法。醫療人員的薪水本來就跟不上自己的工時了,這法規只會讓不平衡的工作與報酬更嚴重。

2. This legislation does not protect medical professionals from being caught in a civil lawsuit. The ACC in NZ has guide on when the patient is able to withdraw from ACC and sue the doctors, such as reckless conducts. The new legislation in Taiwan doesn't have that, and the main requirement for patients to sue doctors in Taiwan is simply return their compensation. This provide little to no protection for medical professionals when they already invested money into the compensation.
2. 醫糾法並沒有真的讓醫療人員避免民訴。紐西蘭的ACC有標準說在哪些情況下才能退還補償並告醫療團隊求賠償,像一些不計後果的手術等。台灣的醫糾法主要限定說要告醫療團隊必須先退還補償。結果醫療團隊依醫糾法付補償金後還是沒有受到保護。

Medical professionals in Taiwan are already on the verge of collapse with abundant lawsuits, media pressure and long working hours. The new legislation may become the last straw. Currently many countries like Singapore are recruiting medical professionals in Taiwan, I wish the government can at least step into medical professionals' shithole and understand their worries. Or else Taiwan will soon be severely deprived of medical professionals, and this will create a domino effect that crushes the rest of the medical professionals.
台灣的醫療人員早就已經被長工時、訴訟與媒體壓力下壓迫到快要崩毀了。這個醫糾法很有可能成為最後一根稻草。目前像新加坡等國家都在大力招募台灣的醫療人員,我希望政府能夠走入醫療團隊的糞坑並了解他們的憂慮。不然台灣很快就會嚴重缺乏醫生,而這引起的骨牌效應會壓毀剩下的醫療人員。


目前醫勞盟正極力反對醫糾法,各位可以去查查看
無過失醫療補償並不是一個新法律,世界上很多First World國家(但沒有美國喔!)都有在用
但醫療人員/醫療機構負責這麼多%的補償還真是史無前例
成不成功在於這個國家的醫療系統夠不夠健全與國家核心觀念,有興趣可以看看這篇文章


還有留下一些有趣的話題,這是沒有對與錯的
你們覺得就算沒有疏失,醫療人員還是得為醫療傷害負責嗎?
補償原是好意,但法規限定下是否跟賠償一樣呢?到底差別又在哪?
你們覺得台灣醫療系統的核心價值在哪?台灣的醫療能夠承受醫糾法嗎?
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