中文摘要：

在病患自主定權受到重視的今天，社會大眾普遍認為醫師應善盡其醫療上之告知義務，並取得病患有效之之同意後，始得施行醫療行為，而此亦係告知後同意原則之實踐。然而，過去曾有實務見解認為醫師未善盡告知義務即屬刑法上注意義務之違反，而有過失，惟此見解已為現今實務判決所揚棄。因此，本文欲藉此一標竿判決即最高法院101年度台上字第2637號刑事判決之影響，進而研究並檢視醫師之告知義務應與刑事過失責任無關，以及病患或其家屬之同意在醫療刑法上之地位，以釐清醫師之刑事責任歸屬與病患自主權之保障。

本文係透過整理國內學者之學術文獻、實務判決之累積，進行比較、分析與歸納以作為本文之研究方法。在架構上，本文首先定義醫療行為與告知後同意原則，接著探究刑法上之承諾僅指本人之同意、醫療行為於刑法上之評價，與透過瞭解病患自主決定權與善終選擇權，剖析病患同意在刑法上之地位。接著，指出醫療刑法並無告知後同意原則之適用，並透過實務判決之發展，尤其是最高法院101年度台上字第2637號刑事判決「病患或其家屬之同意與醫師之刑事過失責任無關」之立場，加以佐證本文之研究成果。最後，本文於結論指出未履行告知後同意原則實與醫師之刑事責任無關。

英文摘要：

The development of informed consent is to guarantee the right of patients’ self-determination. It is generally accepted by the general public that doctors should obtain patients’ consent by informing the medical treatment. And doctors’ explanation of medical behaviors to patients is also called doctors’ duty of disclosure.

With the bad communication between doctors and patients is lead to the increasing of the medical lawsuits. Especially, doctors will be subject to criminal accusation by violating the doctrine of informed consent. However, whether doctors violate the right of patients’ self-determination or not, it doesn’t necessary to commit an intention or negligent crime.

In order to establish a correct value, this thesis will based on related academic studies, and recent judgements by the Supreme Court. Furthermore, this thesis will in Chapter II & III to discuss the meaning of medical behaviors and informed consent. Second in Chapter IV & V, this thesis will analyze the position of patients’ consent in medical criminal law and explain the reasons about informed consent isn’t apply for medical criminal law.

Last but not least, well doctor-patient relationship and communication is the best way to protect patients’ autonomy, rather than wants to put doctors to the jail.
 

資料來源：

台灣博碩士論文知識加值系統