人生最後的另一種選擇—談病人自主權利法與大體捐贈;An Alternative Choice at the End of Life: On the Patient Right to Autonomy Act and Organ Donation

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Title:	人生最後的另一種選擇—談病人自主權利法與大體捐贈;An Alternative Choice at the End of Life: On the Patient Right to Autonomy Act and Organ Donation
Authors:	莊雅莉;Chuang, Ya-Li
Contributors:	哲學研究所在職專班
Keywords:	關鍵字1;關鍵字2;keyword1;keyword2
Date:	2025-02-24
Issue Date:	2025-04-09 17:17:08 (UTC+8)
Publisher:	國立中央大學
Abstract:	活者善終死者無憾，關於我們人生中最後的另一種選擇。談論病人自主權利法，和大體捐贈。我們若有能力選擇自己的最終，那麼就能保持關於自身的尊嚴與生命的品質。當我們明白病人自主權利法與大體捐贈，便能清楚兩者的重要性。在最佳時機，選擇最合適的決定。人人做好合適的選擇能有圓滿結果，讓人人都能好好善終。若要好好道別達到雙贏的局面，務必討論這個議題才有機會選擇更好的人生。在第二章談論病人自主權利法是讓我們在最佳的時機，選擇最適合的醫療處置與方針。在第三章大體捐贈，是國人死亡前無條件願意捐贈遺體成為醫學院的無語良師。針對此議題探究；這個議題主要內容為何，如何執行步驟及流程。因為生死往往就在瞬間，明天和意外誰先來？所以，無論面對是健康的人或是生病的人，我們都想好好疼惜。當然每個來醫院的患者，都能藥到病除恢復健康。若是已經病入膏肓無法復原的狀況，也能少些折磨好好善終。最終結論發現：筆者發現無效醫療足足讓台灣的每個人躺床近八年，所以在台灣鼓勵「限時醫療嘗試」。簽署好過不簽署，筆者同時建議精簡諮詢流程與簽屬文件之簡化。建議衛生福利部，在透過全民給付制度能有所調整並使資源平均分配。能讓視病猶親的醫療體系才能回歸自然，而我們每個人都有機會好好善終。對於大體捐贈建議相關單位能有統一捐贈管道，才便利全國民眾願意捐贈也使醫學院能供需足夠。關於病人自主權利法與大體捐贈是個人不同的選擇，因為選擇權在我們手上。在台灣每人都可以選擇最合適自己的方式，圓滿最終。最後簽署病人自主權利與大體捐贈是做了一個明智的決定，期許這篇論文讓更多人受惠。並確保我們可以有尊嚴善終好好離開，讓我們都能活著善終死而無憾。當生命猶如曇花一現，在有限的生命中。盡其所能發光發熱，在最終時刻生死圓滿了無遺憾。關鍵字:善終；生死圓滿；病人自主權利法；大體捐贈；限時醫療嘗試 ;To achieve a good end for the living and no regrets for the deceased, this thesis explores the alternative choices we face at the end of life, focusing on the Patient Right to Autonomy Act and whole-body donation. If we have the ability to choose our final journey, we can preserve our dignity and the quality of life. Understanding the importance of the Patient Right to Autonomy Act and whole-body donation allows us to make the most appropriate decisions at the right time. When everyone makes suitable choices, the result is a fulfilling and dignified end of life. Discussing this topic is essential to enable better life choices and create a win-win situation in saying goodbye. Chapter 2 discusses the Patient Right to Autonomy Act, which allows individuals to choose the most suitable medical treatments and strategies at the right time. Chapter 3 focuses on whole-body donation, where individuals voluntarily donate their bodies after death to serve as silent mentors for medical education. This chapter explores the core aspects of this topic, including its implementation steps and procedures. Life and death are often unpredictable, and since we do not know what will come first—tomorrow or unexpected events—we should cherish everyone, whether healthy or ill. While we hope every hospital patient can recover, those in terminal conditions should also have the opportunity for less suffering and a dignified end. The final conclusion reveals that ineffective medical treatments have caused Taiwanese individuals to remain bedridden for an average of eight years. Therefore, this thesis advocates for “time-limited medical trials” in Taiwan. Signing advance directives is better than leaving them unsigned. The author also recommends simplifying the consultation and signing process. It is suggested that the Ministry of Health and Welfare adjust the national health insurance system to allocate resources more equitably. By fostering a medical system that treats patients as family, everyone can have the chance for a natural and dignified end. For whole-body donation, it is recommended that relevant agencies establish a unified donation system to facilitate public willingness to donate and ensure medical schools have sufficient resources. The Patient Right to Autonomy Act and whole-body donation represent personal choices, as the decision lies in our own hands. In Taiwan, everyone has the option to choose the most suitable way to achieve a fulfilling end. Signing both advance directives and whole-body donation agreements is a wise decision. It is hoped that this thesis will benefit more people and ensure that everyone can have a dignified and regret-free departure. When life is as fleeting as a blooming flower, we should strive to shine and contribute within our limited time. At the final moment, we can achieve peace and fulfillment in life and death, leaving no regrets behind. Keywords: Good death; Life and death fulfillment; Patient Right to Autonomy Act; Whole-body donation; Time-limited medical trials
Appears in Collections:	[Executive Master of Philosophy] Electronic Thesis & Dissertation

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