台湾医疗体制与医病关系下之隐私权探讨

Taiwan's medical system and the privacy right in the patient physician relationship

病人隐私权是在医疗体制当中,保障病人权益与保持医病之间信任的重要部份,影响医疗体制和医疗服务质量至巨。台湾医界与学界对隐私权的论述多半由西方转植而来,然而西方所谈论的隐私权,往往将每个个体视为原子式的存在,试图将个体与社群作出明显的切割,而我们的社会文化在看待个体时,可能抱持着不同的态度。尝试就医疗行为上的隐私问题,引介西方的隐私权理论和应用到医病关系上的意涵,并讨论台湾健保制度上所涉及的手术同意书、家属的参与和意见的地位,分析在医疗体制上和医病关系上的隐私权问题,并进一步与西方医疗行为上只尊重病人之决定而排除家属的参与作比较,最后讨论西方排除家属与台湾的家属参与在隐私保护上的合理性和可行性。

In the Health -Care system, the right of privacy is an important part for protecting benefits and the trust between doctors and patients. Most of the discussion about privacy in Taiwan is modeled after the West. They assume that every individual is exiting like an atom, and separate the individual from the community. In our society and culture, we look at the individual with a totally different attitude. This paper tries to introduce the western privacy theory and extends its meaning when applying into the relationship between doctors and patients. It analyses the problem of privacy in terms of the participation and status of family members in the signing of the surgical consent form and patient physician relationship and tries to make a comparative studies of the reasonableness feasibility of the exclusion of the participation of the family in the West.