曾士芬、蕭宏宜

Shih-Fen Tseng、Hung-Yi Hsiao

遠距醫療、團隊醫療、醫療行為過失、容許風險、信賴原則

Telemedicine、Medical Teamwork、Medical Negligence、Permitted Risk、the Rule of Reliance

　　醫療藉由科技發展之輔助，可克服距離限制。本文將遠距醫療類型化，同時解構醫療行為，分析其與遠距醫療之相容性，並進一步探討醫療義務、過失與團隊責任之分擔。遠距醫療之應用，首先分辨是否緊急，其次判斷現有資源人力，遠距醫療是否可行，第三瞭解問題是否為遠距醫療高相容性之階段，最後選擇通訊方式。此外，建議放寬遠距醫療適用地區，鬆綁遠端醫師資格之限制。期待本文之整理，有助於增廣遠距醫療服務範疇，守護民眾健康。

　　Medical care can now overcome its distance barriers through the aid of information and communication technologies. This article classifies telemedicine practice, dissects traditional medical practice, analyzes compatibility between telemedicine and traditional medical practices, and further discusses duty of care, medical negligence, and share of liability of medical teamwork. Before applying telemedicine in management of diseases, one should first inspect if the situation is urgent, and then determine if the available resources and manpower are adequate for telemedicine practices. Next, one should examine if the case is at the telemedicine-compatible phase in order to determine communication methods. The article suggests relaxing regulation of telemedicine to allow telemedicine being practiced in more areas, and loosening restrictions that preventing doctors being qualified for telemedicine practice. We hope this article can help widening scope of telemedicine service, and protecting public health.