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초록

영어

The conventional medical appraisal which was done in the process of medical lawsuit was requested from the court to the designated hospital and was delivered as a pattern of one question and one answer in each. However, the comprehensiveness of medical appraisal which was pursued, for example, in Korea Medical Dispute Mediation and Arbitration Agency, could be guaranteed in terms of in-depth medical analysis as well as the broader capacity of the causality estimation besides. The comprehensiveness of appraisal would also include how well organized hospital system of medical care is and how well correlated job system among medical staffs, when medical dispute was happened at the hospital. This comprehensiveness will exert a big contribution on making a demonstrative medical care to prevent from the medical dispute and it could achieve the national plan of building the patient safety net which is effective in restoring the worsened quality of contemporary medical service. Therefore, the comprehensiveness of medical appraisal has to be designed to go forward interdisciplinary fused speciality rather than one division of medicine, which is also aiming at the reliable and consistent appraisal with the supreme dignity from one window. In addition to that, the objective and concrete frame of comprehensive appraisal under the computed connection has to be deliberated to make itself possible in collaboration with positive participation of medical community. The comprehensiveness of medical appraisal would serve to expand not only the capacity of speciality but also the ability of influence on a restorative justice, so that it give effect to an increased number of mediation and arbitration rather than medical lawsuit as well as a decreased number of the social cost and social conflict.

목차

I. 머리말
  1. 의료감정에 대한 사회적 수요의 변화
  2. 기존 의료감정의 문제점과 대처 방향
 II. 의료감정에 있어 포괄성의 의의(意義)
  1. 의료감정에서 포괄성 개념
  2. 포괄성 기반 의료감정의 가치
  3. 현재 의료감정의 운영체계
  4. 닫힌 감정과 열린 감정
 III. 의료감정의 포괄성 관련 실제적 접근
  1. 의료사고 내용 타당성 분석을 위한 기존 연구들
  2. 의료감정의 포괄성이 반영된 증례검토지
  3. 의료소송 판결과 포괄성 기반 의료감정 관점의 차이점
  4. 포괄성 기반 의료감정 틀 이용 예방가능성 정도의 산정
  5. 예방가능성 정도와 판례상 피고책임 제한 범위율 비교
 IV. 의료감정의 포괄성이 지향해야 할 점
  1. 회복적 사법에로의 지향
  2. 의료분쟁에 있어 소송보다 조정 및 중재의 확대
  3. 의료사고 예방의 기반 구축
 V. 맺음말
 참고문헌
 ABSTRACT

키워드

포괄적 의료감정 임상예방의료 의료분쟁 회복적 사법 예방 가능성 피고책임 제한범위 Comprehesive medical appraisal Clinical preventive medicine Medical dispute Restorative justice Preventability of medical error The defendants liability limitation

저자

• 윤성철 [ Yoon, Sung Chul | 단국대학교 의과대학 내과교수, 의학박사. ]

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