의료행위의 현대적 의의와 과제
A Study on the Modern Significance and Urgent Problem for the Practice of Medicine
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Universal definition of the "practice of medicine" doesn't exist in Korean law. However courts have defined the boundary of the practice of medicine in cases of unlicensed practitioners. According to court rulings, the practice of medicine is defined as preventing, treating for human disease and the practice that will bring about harm to one's health and sanitation if physician doesn't perform that practice. Recently government is preparing a bill to include the Supreme Court's view on the practice of medicine. In America each state regulation of medicine has its own definition of the practice of medicine. All state statutes included some combination of the following: (1)diagnosing, preventing, treating, and curing disease; (2)holding oneself out to the public as able to perform the above; (3)intending to receive a gift, fee, or compensation for the above; (4)attaching such titles as “M.D.” to one's name; (5)maintaining an office for reception, examination, and treatment; (6)performing surgery; and (7)using, administering, or prescribing drugs or medicinal preparations. In healthcare service system, clinical trials and critical medical cares are increasingly applied as scientific method to human health. The emergence of alternative and complementary medicine indicates a movement from medical orthodoxy toward a broader conceptualization of illness and health. To safeguard patient choices and recognize the growing body of literature regarding alternatives, policy-makers should reexamine the reduction of healing to medicine. And also telemedicine has destroyed the notion that healthcare services must be produced and consumed locally. As previously stated medicine is evolving rapidly. But till now the court rulings has reflected an view of practicing medicine, in which the physician is the exclusive guardian of health. As a result if a certain practice that will bring about harm to one's health and sanitation, the practice can only under physician supervision. Such definition is not proper and exceedingly vague in setting limits to the unlicensed practitioner's practice because the practice of medicine is being standardized by the adoption of both clinical guidelines and the techniques. To set a critical point between the practice of medicine and prohibited practice, the definition of the practice of medicine should be modified and amended. Courts should respond to the changing of medical circumstances and establish a new precedent to the definition of the practice of medicine.
Abstract
Universal definition of the "practice of medicine" doesn't exist in Korean law. However courts have defined the boundary of the practice of medicine in cases of unlicensed practitioners. According to court rulings, the practice of medicine is defined as preventing, treating for human disease and the practice that will bring about harm to one's health and sanitation if physician doesn't perform that practice. Recently government is preparing a bill to include the Supreme Court's view on the practice of medicine. In America each state regulation of medicine has its own definition of the practice of medicine. All state statutes included some combination of the following: (1)diagnosing, preventing, treating, and curing disease; (2)holding oneself out to the public as able to perform the above; (3)intending to receive a gift, fee, or compensation for the above; (4)attaching such titles as “M.D.” to one's name; (5)maintaining an office for reception, examination, and treatment; (6)performing surgery; and (7)using, administering, or prescribing drugs or medicinal preparations. In healthcare service system, clinical trials and critical medical cares are increasingly applied as scientific method to human health. The emergence of alternative and complementary medicine indicates a movement from medical orthodoxy toward a broader conceptualization of illness and health. To safeguard patient choices and recognize the growing body of literature regarding alternatives, policy-makers should reexamine the reduction of healing to medicine. And also telemedicine has destroyed the notion that healthcare services must be produced and consumed locally. As previously stated medicine is evolving rapidly. But till now the court rulings has reflected an view of practicing medicine, in which the physician is the exclusive guardian of health. As a result if a certain practice that will bring about harm to one's health and sanitation, the practice can only under physician supervision. Such definition is not proper and exceedingly vague in setting limits to the unlicensed practitioner's practice because the practice of medicine is being standardized by the adoption of both clinical guidelines and the techniques. To set a critical point between the practice of medicine and prohibited practice, the definition of the practice of medicine should be modified and amended. Courts should respond to the changing of medical circumstances and establish a new precedent to the definition of the practice of medicine.
참고문헌 (50)
- 길준규, "E-Health 산업화와 의료행위", 31집 (2006), 한국토지공법학회
- 김선석, "의료과오에 있어서 인과관계와 과실", 재판자료 27 (1985), 법원행정처
- 김영환, "의료행위의 형법적 취급", 9(3호(통권 제35호)) (1998)
- 김천수, "진료에 대한 설명과 동의의 법리" (1999), 대구대학출판부
- 박동진, "치과의료법(가칭)의 제정필요성에 관한 연구", 6(1) (2005)
- 박종구, "보완대체의학에 대한 시론 - 세계동향과 보건정책적 시사 -" (2000)
- 석희태, "보완대체의료의 법적 평가", 6(1) (2005)
- 손덕옥, "보완대체요법에 대한 고찰", 25집 (2005)
- 유승흠, "예방의학과 공중보건" (1998), 서울:계축문화사
- 유지태, "의료행위의 개념", (3) (2002)
- 윤석찬, "현행 의료법에 있어 인터넷상의 의료행위의 허용여부", 563 (2003)
- 이덕환, "의료행위와 법" (1998), 서울:문영사
- 이윤성, "보완대체요법의 의학적 평가", 5(1) (2004)
- 정동진, "WTO", GATS 하의 보건의료서비스의 법적 문제, 2003, ~
- 조한익, "국민복지를 위한 원격의료와 의료정보 표준화", 4(2) (1997)
- 주호노, "의료인의 행위독점과 명칭독점", 44(10) (2001)
- 최재천, "의료행위의 개념의 변천과 대체의학", 33집 (2003)
- 최행식, "의료행위와 의료계약에 관한 기초론적 고찰", 14집 (2004)
- 연합뉴스, "한의사 시장 전면 개방 추진" (2006), 연합뉴스
- Deutsch, "Medizinrecht" (1999), Berlin, Springer
- Edward P. Richards, "The Police Power and The Regulation of Medical Practice: Historical Review and Guide For Medical Licensing Board Regulation of Physicians in Erisa-Qualified Managed Care Organizations", (201) (1999)
- Eisenberg DM, "Trend in Alternative Medicine Use in the United States, 1990-1997" (1998), JAMA
- Eric Ritigstein, "Paving the Way for Alternative and Complementary Medicine in California?" (2005)
- Furrow, "Health Law" (2000), West Publishing Co
- Maegaret Dean, "The Jurisprudent Physician" (1999), Arizona: Legis Press
- Michael H. Cohen, "A Fixed Star in Health Care Reform: The Emerging Paradigm of Holistic Healing", (Spring) (1995)
- Nancy Lugn, "Medical Licensure and Telemedicine: Necessity or Barrier?", (Winter) (2001)
- Wetzel MS, "Courses Involving Complementary and Alternative Medicine at US Medical Schools", 280(9) (1998), JAMA
- "Black v. State, 216 S.W. 181" (1919), Tex. Crim. App
- "Cal. Bus. &Prof. Code § 2051-2052" (1990)
- "Colo. Rev. Stat. Ann. § 12-36-106" (1994), West 1990 &Supp
- "Del. Code Ann., tit. 24, § 1703(b)(2)" (1987)
- "Ga. Code Ann. § 43-34-20" (1994)
- "Haw. Rev. Stat. § 453-1" (1992)
- "Haw. Rev. Stat. § 453-2" (1992), 1985 &Supp
- "Ind. Code Ann. § 25-22.5-1-1.1(a)(1)(c)" (1994), Michie 1991 &Supp
- "Ind. Code Ann. § 25-22.5-1-1.1(a)(2)" (1994), Michie 1991 &Supp
- "La. Rev. Stat. Ann. § 37:1262" (1988), West
- "Md. Code Ann., Health Occ. § 14-101(k)(2)(ii)" (1991)
- "Minn. Stat. Ann. § 147.081" (1989), West
- "N.D. Cent. Code § 43-17-01" (1993)
- "N.M. Stat. Ann. § 61-6-6" (1993), Michie
- "NEW YORK EDUC. L. §6521" (1994), McKinney
- "Or. Rev. Stat. § 677.085" (1989)
- "State v. Baylor, 439 N.E.2d 461, 462-63" (1981), Ohio Ct. App
- "Utah Code Ann. § 58-12-28" (1990)
- "Utah Code Ann. § 58-12-28(4)(a)" (1994)
- "W. Va. Code § 30-3-4" (1993)
- "Wash. Rev. Code Ann. § 18.71.011" (1994), Michie 1993 &Supp
- "Wis. Stat. Ann. § 448.01(9)(c)" (1988), West
