Inter-hospital transfer, depending on its medical and legal appropriateness, affect the prognosis of patients and can even lead to legal disputes. As Emergency Medical Service Act, any physician shall, in case where deemed that pertinent medical service is unavailable for such patient with the capacities of the relevant medical institution, transfer without delay such patient to another medical institution where a pertinent medical service is available. For medico-legally appropriate inter-hospital transfer, the head of a medical institution shall, in case where he transfers an emergency patient provide medical instruments and manpower required for a safe transfer of the emergency patient, and furnish the medical records necessary for a medical examination at the medical institution in receipt of such patient. And transfer process must comply with the requirements prescribed by executive rule such as attachment of the referral, provision of ambulance, fellow riders and informed consent of transfer. Those engaged in emergency medical service shall explain an emergency medical service to an emergency patient and secure his consent. In addition to the duty to inform about emergency medical service to the patient and his or her legally representative, there is also a duty for doctors to sufficiently explain to the patient and his or her legally representative during inter-hospital transfer that the need for the transfer, the medical conditions of the patient to be transferred and emergency treatment that will be provided by the hospital from which the patient is going to transferred. Likewise, the hospital to which the patient is transferred must be thoroughly informed about matters such as the patient's conditions, the treatment the patient was given and reasons for transfer by transferring doctors.
목차
I. 들어가며 : 응급환자의 전원 II. 응급환자 전원의 적법성 판단 1. 응급환자 전원에 있어서 적법요건 2. 응급환자 전원의 적법요건으로서의 환자의 동의 III. 응급환자의 전원과 의사의 설명의무 1. 응급환자의 전원 과정에서 설명의무의 당사자 2. 응급환자의 전원과 신뢰 3. 전원 설명의 특수한 경우 : 환자가 전원에 동의하지 않는 경우 의사의 설명 IV. 결론 참고문헌 ABSTRACT
키워드
응급환자전원응급의료에 관한 법률설명의무EMTALA(Emergency Medical Treatment and Active Labor Act)Emergency patientInterhospital transferEMTALA(Emergency Medical Treatment and Active Labor Act)Emergency medical service actInformed consent
대한의료법학회는 “법학계, 법조계, 의료계가 공동하여 의료법학의 학제적 연구와 판례 평석 등을 통하여 전문분야에 있어서의 법률문화 향상에 기여함을 그 목적”으로 하여 1994년 2월에 태동한 이후 1999년 4월 24일에 공식 출범한 이래 2006년 3월 30일 법무부 산하의 사단법인으로 등록된 세계적 수준의 순수 학술단체이다.