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“幽灵手术”在韩国是法律惩处的对象吗?

Is the "ghost surgery" the subject of legal punishment in Korea?

作者信息

Hong Seung Eun, Hong Min Ki, Park Bo Young, Woo Kyong Jae, Kang So Ra

机构信息

Department of Plastic and Reconstructive Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea.

出版信息

Ann Surg Treat Res. 2018 Apr;94(4):167-173. doi: 10.4174/astr.2018.94.4.167. Epub 2018 Mar 26.

Abstract

PURPOSE

Recently a controversy has arisen about so-called "ghost surgery" practices, and people have voiced their opinions for legal sanction against such practices, which clearly undermine the foundation of medical ethics. However, there has been a lack of legal basis for punishing those actions. The present study aims to examine which pre-existing legal provisions could be applied to regulate ghost surgery.

METHODS

The Korean Medical Service Act has a provision relating to informed consent to inhibit ghost surgery but does not include penalty provisions prohibiting ghost surgery itself. Also, the Korean Supreme Court precedents on this issue have not been settled as of yet. Therefore, this study referred to U.S precedents, law books, and related papers.

RESULTS

With respect to ghost surgery, we expect the charges of bodily harm, assault and battery, and fraud could be applied under Korean law, in addition to charges regarding the violation of medical law, such as the omission of entries or false entries in medical records. A patient provides consent to bodily harm prior to surgery, and only the person who is entrusted with such permission can become the operating surgeon in the operating room.

CONCLUSION

In other words, even if other medical professionals are present in the operating room, the operating surgeon who received consent must take overall responsibility for the whole process of the surgery. A surgeon should bear in mind that a violation of such duty can constitute a criminal offense.

摘要

目的

最近,关于所谓“幽灵手术”的做法引发了一场争议,人们纷纷表达了对这种明显破坏医学伦理基础的做法进行法律制裁的观点。然而,对于惩处这些行为却缺乏法律依据。本研究旨在探讨哪些现有的法律条款可适用于规范幽灵手术。

方法

《韩国医疗服务法》有一项关于知情同意的条款以抑制幽灵手术,但不包括禁止幽灵手术本身的处罚条款。此外,韩国最高法院在这个问题上的先例尚未确定。因此,本研究参考了美国的先例、法律书籍和相关论文。

结果

对于幽灵手术,我们预计根据韩国法律,除了诸如在病历中漏记或虚假记录等违反医疗法的指控外,还可适用身体伤害、殴打和欺诈等指控。患者在手术前同意身体伤害,并且只有获得这种许可的被委托人才可以成为手术室中的主刀医生。

结论

换句话说,即使手术室中有其他医疗专业人员,获得同意的主刀医生必须对手术全过程承担全面责任。外科医生应牢记,违反这一职责可能构成刑事犯罪。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e4e/5880973/bafc401e9050/astr-94-167-g001.jpg

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