• 기록학연구
• /
• 제30호
• /
• pp.175-204
• /
• 2011

기록은 공공, 민간 분야를 가리지 않고 생산되고 있으며 앞으로 이들 기록은 융합적으로 이용될 것이다. 공공기록물을 기록물관리시스템에 보관하는 것처럼 민간 전자문서는 공인전자문서보관소(공전소)에 저장하여 보존성과 증명력을 높일 수 있다. 공전소는 당사자 간에 유통하는 전자문서를 대신 위탁 보관하고 증명해 주는 "신뢰성 있는 제3자"의 역할을 수행하는 민간 사업자이다. 공전소를 많은 사용자가 활용해 주고 그로 말미암아 사업자가 수익을 얻어야만 공전소 제도는 유지된다. 그런데 지금까지 8개 업체가 공전소 사업자로 지정되어 사업을 벌이고 있지만 어느 사업자도 충분한 사용자를 확보하지 못하고 있다. 공전소의 활용도를 어떻게 하면 높일 수 있는가 하는 것은 이 분야의 가장 긴급한 현안이다. 본 논문에서는 현 공전소가 문서의 최초등록자로부터 요금을 받고 그에게 문서 서비스를 해 주는 모델로 운용되고 있기 때문에 당사자들 간의 중립적인 제3자 역할을 수행하여야 하는 공전소가 신뢰성을 위협받고 있고, 사용 방법이 전문적이기 때문에 개인이 활용하기에는 쉽지 않은 것이 이용 활성화를 가로막는 한계점이라고 분석하였다. 이를 타개하기 위하여 문서의 관련자 개념을 확대하고, 하나의 문서에 대하여 공동명의를 부여하되 한 당사자가 대표로 개설하는 제도를 개발하며, 필수관련자 지정 및 관련자 고지를 의무화하고, 대리위임을 허용하여 개인을 보호하는 방안을 제안하였다.

• 의료법학
• /
• 제13권1호
• /
• pp.199-247
• /
• 2012

According to the review and analysis of medical cases that are assigned to the Supreme Court and all local High Court in 2011 and that are presented in the media, it was found that the following categories were taken seriously, medical and pharmaceutical product liability, the third principle of trust between medical institutions, negligence and causation estimation, responsibility limit, the meaning of medical records and related judgment of disturbed substantiation, Oriental doctors' duties to explain the procedures, IMS events, whether one can claim for each medical care operated by non-physician health care institutions to the nonmedical domain in the National Health Insurance Corporation, and the basis of norms for each claim. In the cases related to medical pharmaceutical product liability, Supreme Court alleviated burden of proof for accidents with medical and pharmaceutical products prior to the practice of Product Liability Law and onset the point of negative prescription as the time of damage strikes to condition feasibility of the specific situation. In the cases related to the 3rd principle of trust between medical institutions, the Supreme Court refused to sentence the doctor who has trusted the judgment of the same third-party doctors the violations of the care duty. With respect to proof of a causal relationship and damages in a medical negligence case, the Supreme Court decided that it is unjust to deny negligence by the materials of causal relationship rejecting the original verdict and clarified that the causal relationship shall not deny the reasons to limit doctors' responsibilities. In order not put burden on patients with disadvantages in which medical records and the description of the practice or the most fundamental and important evidence to prove negligence and causation are being neglected, the Supreme Court admitted in the hospital's responsibility for the case of the neonate death of suffocation without properly listed fetal heart rate and uterine contraction monitor. On the other hand, the Seoul Western District Court has admitted alimony for altering and forging medical records. With respect to doctors' obligations to description, the Supreme Court decided that it is necessary to explain the foreseen risks by the combination of oriental and western medicines emphasizing the right of patient's self-determination. However, questions have arisen whether it is realistically feasible or not. In a case of an unlicensed doctor performing intramuscular stimulation treatment (IMS), the Supreme Court put off its decision if it was an unlicensed medical practice as to put limitation of eastern and western medical practices, but it declared that IMS practice was an acupuncture treatment therefore the plaintiff's conduct being an illegal act. In the future, clear judgment on this matter should be made. With respect to the claim of bills from non-physical health care institutions, the Supreme Court decided to void it for the implementation of the arrangement is contrary to the commitments made in the medical law and therefore, it is invalid to claim. In addition, contrast to the private healthcare professionals, who are subject to redemption according to the National Healthcare Insurance Law, the Seoul High Court explicitly confirmed that the non-professionals who receive the tort operating profit must return the unjust enrichment and have the liability for damages. As mentioned above, a relatively wide range of topics were discussed in medical field of 2011. In Korea's health care environment undergoing complex changes day by day, it is expected to see more diverse and in-depth discussions striding out to the development in the field of health care.