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第 67  期

專題論文
Special Issue

  (69)
臺灣《病人自主權利法》的倫理分析
An Ethical Analysis of Patient Right to Autonomy Act of Taiwan
作者 林孟蒨
Author Meng-Chien Lin
關鍵詞 《病人自主權利法》尊重自律原則諮詢同意原則《安寧緩和醫療條例》生命醫藥倫理學
Keywords Patient Right to Autonomy Act, Principle of Respect of Autonomy, Principle of Informed Consent, Hospice Palliative Care Act, Biomedical Ethics
摘要 亞洲第一部《病人自主權利法》已於今年1月6日,在臺灣正式上路。《病人自主權利法》是繼《安寧緩和醫療條例》後,以病人為主體,攸關病人權益的根本大法。本文先藉此法與《安寧緩和醫療條例》之比較,以說明此法的基本原理和增強病人的權益的保護之處。本文再進一步依生命醫藥倫理學的基本原理分析此法案所含具的倫理意義。此一法案基本上奠基在「尊重自律原則」中所含的「病人自主自律」的權利,而落實此原則的運作則是著名的「諮詢同意原則」。本文試依此兩原則以展示此法在倫理上和執行上,如何達到病人的自主自律的權利和往前發展和修訂的問題。
Abstract The first Asian law of Patient Right to Autonomy Act was passed three years ago and implemented on 6 January, 2019. It is a bill after the Act of Palliative Treatment, taking the patient as the subject of decision, and it concerns the rights of terminal patients. In this paper, I begin with a comparison of the two bills to show the basic principles and the way it promotes the protection of the patient’s right in medical treatment. Its ethical justifications is further analyzed according to bioethical principles, namely the basic principle of respect of autonomy and the practical procedures in the principle of informed consent. I try to show how to fulfill the respect of the right of patients’ autonomy and self-determination with some suggestions for further improvement.
《病人自主權利法》之倫理、法律、社會與政策意涵:引言
/ 李瑞全    Shui-Chuen Lee
1
「趨生畏死」與「趨樂避苦」之兩難 抉擇──「自主意願」:流動且幽微的 心靈答案
/ 釋昭慧    Chao-hwei Shih
5
自主與善終
/ 尉遲淦    Chi-Kan Ywi
29
從儒家的觀點省察病人自主權利法的限制:以永久性植物人為例
/ 黃漢忠    Hon-Chung Wong
43
從一位醫師的角度來看病人自主權利法
/ 陳秀丹    Shew-Dan Chen
65
病人自主決定權與「涉艾信息」告知規則的建構
/ 胡曉翔    Xiaoxiang Hu
77
從北京首例冷凍胚胎案看患者自主權
/ 田文鳳、張新慶、張群芝、杜華英    Tian Wen-Feng, Zhang Xinqing, Zhang Jing-Zhi, Du Hua Ying
91
佛教生死觀在預立醫療照護諮商的應用
/ 李明書    Ming-Shu, Lee
107
突然「不想死」錯了嗎?──從尊重自主原則到尊重自主死亡權利的道德疑慮
/ 周琬琳    Wanling Chou
125
由「病人自主權利法」立法歷程論生命自主權之限制
/ 陳俊志    Chun-Chih Chen
157
論台灣病人自主法: 家庭干涉如何刺激病人自律
/ 許文鳳    BunRong Kouy
187
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