外科新醫療科技之發展與醫療風險之界定及分擔 －外科醫療風險之檢討與再界定(總計劃)－
Date Issued
2003-07-31
Date
2003-07-31
Author(s)
張金堅
DOI
912420H002021
Abstract
According to the rapidly evolving of surgical new techniques and artificial
implants, it was said that the 21st Century would prolong life expectancy. However,
surgical risk definition system covering surgical practice in nontraditional roles( e.g.
new techniques trial, artificial implants risks) was not well developed in Taiwan.
Chang Gung Memorial Hospitals carried out risk sharing management in Jan. 1998 as
response to the impact of Case Payment Policy. Physicians will be rewarded as the
medical expenditure of their patients below amount paid by National Health Insurance.
They focused on the money. However Taiwanese care more about quality. There is a
gap between Taiwanese and medical suppliers. In order to redefinite the surgical risk,
it is necessary to understand the definition of Taiwanese society in case studies,
human clinical trial, criminal responsibility, civil liability, liability insurance, and
health insurance.The major items of this study are two-fold: 1) to analyze surgical risks 2) to
redefinite surgical risks. According to the principle of risk sharing, surgical risk will
be redefined to meet the real need of Taiwanese society - surgical quality
improvement.
Analyzing the data of other daughter plans in this study, members will design a
new definition that was developed from Taiwanese society and Statistics. The
relative weights for different types of diseases will be developed. With respect to
co-morbidity and complications, the new definition will cover the impacts on advance
surgical technique.
In summary, the scopy of study is based on the profession of social science, law
and surgery.The study would provide the transparency about surgical risk
management in the Taiwanese society. The advance for patients' protection is our goal.
Subjects
外科醫療風險
疾病嚴重度
風險分擔
醫事法
SDGs
Publisher
臺北市：國立臺灣大學醫學院外科
Type
report
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