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면허외 의료행위와 관련한 의료인의 형사법적 책임

Criminal Liabilities of Medical Practitioners Related to Unlicensed Medical Practices

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The Supreme Court held that a physical therapist's performance of Oriental physical therapy without supervision of doctor or dental doctor was unlicensed medical practice under the Medical Services Law, and the Oriental medicine doctor who had directed the physical therapist with such act was charged as an accomplice. However, under the current Medical Services Law, which differentiates between Western and Oriental medical practices, the Oriental physical therapy performed by the physical therapist was outside the duty of physical therapists; thus it should have been recognized as unlicensed medical practice under that respect. The current case led to confusion as to the boundaries of licensed medical practices, because the Supreme Court had failed to make clear determination on the medical practice performed by the physical therapist. With advancement of science and technology, the boundaries of medical practice among medical doctors, dental doctors, and Oriental medicine doctors, as well as the boundaries of medical practice and non-medical practice have blurred. Previous Supreme Court cases had interpreted medical practice broadly, which include illness treatment,prevention as well as activities harmful to public health. As such broad interpretation can hinder specialization and effectiveness, those areas with low or no public heath threats should be limited to medical practitioners with specialized knowledge and skills. Moreover, the areas that overlap among the medical practitioners should be determined as to whether they are within the boundaries of licensed areas in accordance with the purpose of the Medical Services Law, which is the advancement of citizens’ health.

Abstract

The Supreme Court held that a physical therapist's performance of Oriental physical therapy without supervision of doctor or dental doctor was unlicensed medical practice under the Medical Services Law, and the Oriental medicine doctor who had directed the physical therapist with such act was charged as an accomplice. However, under the current Medical Services Law, which differentiates between Western and Oriental medical practices, the Oriental physical therapy performed by the physical therapist was outside the duty of physical therapists; thus it should have been recognized as unlicensed medical practice under that respect. The current case led to confusion as to the boundaries of licensed medical practices, because the Supreme Court had failed to make clear determination on the medical practice performed by the physical therapist. With advancement of science and technology, the boundaries of medical practice among medical doctors, dental doctors, and Oriental medicine doctors, as well as the boundaries of medical practice and non-medical practice have blurred. Previous Supreme Court cases had interpreted medical practice broadly, which include illness treatment,prevention as well as activities harmful to public health. As such broad interpretation can hinder specialization and effectiveness, those areas with low or no public heath threats should be limited to medical practitioners with specialized knowledge and skills. Moreover, the areas that overlap among the medical practitioners should be determined as to whether they are within the boundaries of licensed areas in accordance with the purpose of the Medical Services Law, which is the advancement of citizens’ health.

참고문헌 (12)

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  2. 吉俊圭, "E-Health 산업화와 의료행위", 토지공법연구, 31, pp.115~138 (2006), 한국토지공법학회
  3. 김나경, "의료의 철학과 법정책: 양방-한방의료의 경계설정과 무면허 의료행위의 규율", 법철학연구, 13(1), pp.157~186 (2010), 한국법철학회
  4. 김용섭, "크리스탈 필링기를 이용한 피부박피술이 의료행위에 해당하는지여부(적극)", 대법원 판례해설 48호 2003년하반기, ~ (2004)
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  7. 선정원, "의료직업의 규제 ― 의사와 한의사의 직역한계 ―", 행정법연구, (26), pp.347~390 (2010), 행정법이론실무학회(行政法理論實務學會)
  8. 곽명섭, "의료행위 개념의 법제화 논의과정에 대한 고찰", 법과정책연구, 7(1), pp.65~81 (2007), 한국법정책학회
  9. 이상돈, "무면허의료행위죄 - 현황, 구조, 한계, 대안", 고려법학, 40 (2003)
  10. 이인영, "의료행위의 현대적 의의와 과제", 법과정책연구, 7(1), pp.27~61 (2007), 한국법정책학회
  11. 정도희, "판례에서 나타난 무면허의료행위의 유형과 법률의 착오", 의료법학, 11(1), pp.243~270 (2010), 대한의료법학회
  12. 황만성, "무면허 의료행위에 있어서의 의료행위의 개념, In 형사판례연구 제14권" (2006), 박영사

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