醫學雜誌

台灣急重症醫學雜誌

Volume 6, Number 2 副刊, June2021

Review Article 綜合論述

THE PALLIATIVE MEDICAL RIGHTS OF CRITICALLY ILL SARS-CoV-2 PATIENTS ARE PROTECTED UNDER CURRENT LAWS IN TAIWAN

Shew-Dan Chen

The SARS-CoV-2 virus has caused a global pandemic since its outbreak in 2019. Many countries are facing the problem of insufficient medical resources. To take care of the largest number of people and reaching the greatest benefit, the allocation of limited critical medical resources is an important issue. Clinicians have to respect the medical autonomy of terminal patients in order to maintain their quality of lives and to die with dignity. Hence, withhold and withdrawal life-support for critically ill SARS-CoV-2 patients must be considered when the patients’ clinical conditions are worsening.

Taiwan’s Hospice Palliative Care Act and Patient Right to Autonomy Act can guarantee the good death of such patients, reduce the pressure on doctors when making medical decisions, reduce the risk of infection among healthcare workers, and contribute to the reasonable allocation of medical resources.

An official document issued by the Ministry of Health and Welfare in March 1991 instructed that under the epidemic situation, hospitals can conduct family meetings for consultation and communication through video or other electronic devices, and then obtain consent documents, such as non-applying cardiopulmonary resuscitation, non-life-sustaining treatment and withdrawal of life-sustaining treatment consent, etc.

Keyword:  SARS-CoV-2, palliative care, Hospice Palliative Care Act, Patient Right to Autonomy Act

臺灣現行法律保障新冠肺炎重症患者的緩和醫療權益

陳秀丹

新冠肺炎(SARS-CoV-2或稱COVID-19)自2019年出現以來,來勢洶洶,短期內全球大流行,許多國家因此出現醫療資源不足的窘境,有限的重症醫療資源該如何分配,以照顧到最多人、達到最大利益是相當重要的議題。為尊重末期病人的醫療自主權,使其保有生活品質與生命尊嚴,新冠肺炎重症病人維生設備的不給與撤除時機是重症醫師面對病人病情變化時,必須時常檢視的。臺灣現行的安寧緩和醫療條例與病人自主權利法,可以保障這類病人的善終,同時減少醫師面臨醫療抉擇的壓力、降低醫療人員染疫的風險,且有助於醫療資源的合理分配。衛生福利部在民國109年3月的一只公文指示,在疫情下醫院可透過視訊或其他電子方式,召開家庭會議進行諮詢及溝通,進而取得不施行心肺復甦術同意書、不施行維生醫療同意書、末期病人終止或撤除維生醫療同意書⋯等。

關鍵詞: 新冠肺炎,緩和醫療,安寧緩和醫療條例、病人自主權利法
點閱率:90