의료과오소송에 있어서 설명･동의에 관한 소고

다국어 초록 (Multilingual Abstract)

In recent times, it is generally recognized that patients must ensure right of self–determination, right to know, consent competency in medical practice.
However, in reality, the doctor is expert who has professional knowledge on the medicine field, whereas patients are layperson about medicine. Under these circumstances, it is natural that patients should be in a disadvantageous position in comparison with doctor. In this situation, it is required for the patients to ask various questions about disease, to advocate patient’s right to know. Also, doctor must make sufficient explanations to guarantee patients’right. Doctor should not manage to escape liability by formal and insincere questions. By setting up a good and trustful doctor–patient relationship, we can prohibit defensive medicine executed by a doctor. At the same time,we can foster more desirable treatment milieu between them. Informed consent is derived from to secure patient’s or participant’s right to self–determination substantially in the field of medical practice and medical research. On the other point of view, some opinions show that it is desirable to restrict informed consent to attenuate psychological burden, in case of participating medical treatment and medical research for the sake of securing patient’s or participant’s self–determination effectively. But this is superficial viewpoint. This is dimensionally different problem. Henceforth, That problem can practically be deduced a conclusion, vice versa, in real medical practice. In conclusion,it should be desirable to acquire informed consent from patients, except for the inevitable circumstances. To this point of view, we should solve this difficult problem rationally.

참고문헌 (Reference)

1 안선화, "환자의 알권리와 자기결정" 한국의료윤리학회 12 (12): 153-164, 2009

2 송영민, "환자의 동의능력의 판단기준" 법학연구소 (48) : 577-602, 2010

3 김선중, "최신 실무 의료과오소송법" 박영사 2005

4 이득환, "정신의료에 대한 민사법적 고찰" 경북대학교 대학원 2008

5 김민중, "의사책임 및 의사법의 발전에 관한 최근의 동향" 9 : 1993

6 노상엽, "의료행위 자기결정권과 그 한계" 가톨릭대학교 법학연구소 (5) : 2010

7 울산대학교 산학협력단, "의료기관 이용자 권리보호 실태 및 개선방안 연구" 국가인권위원회 2009

8 石原 明, "法と生命倫理20講" 日本評論社 2004

9 田坂 晶, "治療行爲に対する患者の同意能力に関する一考察 – アメリカ合衆国との比較法的考察–" 60 (60): 2008

10 甲斐克則, "レクチャー生命倫理と法" 法律文化社 2010

11 樋口範雄, "ケース･スタディ生命倫理と法, マーシャ･ギャリソン, In 自己決定權を飼いならすために – 自己決定權再考" 有斐閣 2004

12 Thomas G. Gutheil, "Clinical Handbook of Psychiatry and the Law" McGraw–Hill Book Company 1982

13 Janet L. Dolgin, "Bioethics and the law(2nd ed)" Aspen Publishers 2009

14 건강세상네트워크, "(환자가 고발하는)환자권리 피해 사례(제1회 환자권리주간 행사 : 환자, ‘권리’를 말하다, 일시: 2008.5.30.)"