歷史
- Medical Registration Bill, 1957
- First reading at page 142
- Second reading at page 182
- Penalties for Practice of Medicine and Dentistry by Unregistered Persons
(Miscellaneous Amendments) Bill 1986
- First reading and Second reading at page 417
- Penalties for Practice of Medicine and Dentistry by Unregistered Persons Ordinance
- Penalties for Practice of Medicine and Dentistry by Unregistered Persons (Miscellaneous Amendments) Bill
- Ordinance No. 68/1986
- Substituting new definition for “practice” in section 2 of Medical Registration Ordinance
法規
- Offence: section 28(2)(a).
- 從事內科或外科執業
- 除第(3)款另有規定外,任何人並非已註冊、臨時註冊或獲豁免註冊 (a)從事內科或外科執業,即屬犯罪
- 28(3): 第(2)款不適用於下述任何治療·····
- 28(5): 在第(3)款中,治療 (treatment)包括為給予治療而需要進行的診斷和訂明的醫療方法。
- 釋義: section 2(1)
- 執業 (practice)包括對任何形式的疾病的診斷,不論經如此診斷後是否予以醫藥治療或施行外科手術;
釋義
- 釋義總則
- Section 19, Cap. 1
- 普通法的釋義原則
- HKSAR v. CHAN CHUN KIT (陳俊傑); (2022) 25 HKCFAR 191; FACC 1/2022; [2022] HKCFA 15; paragraphs 10 and 11
- HKSAR v. Kwan Ka Hei (2020) 23 HKCFAR 229; FACC 8/2019; paragraphs 8 and 9
- Nam Sang Wai Development Co Ltd and another v Town Planning Board (2017) 20 HKCFAR 196), FACV 8/2016, paragraph 29
- HKSAR v. Fugro Geotechnical Services Limited (2014) 17 HKCFAR 755; FACC No. 1 of 2014, paragraph 19
法規目的
- 法院表示,該法規的目的是保護人民免受無知和無能力的人使用烈性藥物和藥物對生命和健康造成的危險。
- Tsui Sin-kwok and Others and The Queen CACC 756 to 771 of 1977; paragraph 3.
- Ching Kwai Yan v. The Queen CACC 377/1978; paragraphs 2 and 3.
- HKSAR and Mui Wai Cheung HCMA 1073/2000; paragraphs 17 to 23.
- The Medical Council Of Hong Kong and David Chow Siu Shek FACV No. 3 of 2000; [2000] 2 HKLRD 674; (2000) 3 HKCFAR 144; paragraphs 30 to 34.
- The Hong Kong Medical Association v. Medical Council of Hong Kong; [2014] 3 HKLRD 664; HCAL 70/2012; paragraph 20.
参考
- Allchurch v Olsen SC, SASR [1927] 16;
- An important update on medical consent; Hong Kong Med J 2015;21:376–7;
- Apothecaries Company v Jones [1892] 1 QB 89;
- Christian Science Practice – Legality; 25 Am. Inst. Crim. L. & Criminology 271 (1934-1935);
- Collins v The State of Texas 223 U.S. 288 (1912);
- In God We Trust: Faith Healing Subject to Liability; 14 J. Contemp. Health L. & Pol’y 451 (1998);
- In Re Ontario Medical Act; Ontario Law Reports Volume XIII, [1906] 501;
- Kugelman v Lenthall [1932] SASR 167;
- Kwong Wing Kie v Licentiate Committee of the Medical Council of Hong Kong & Anor, CACV 206/2014;
- Law and Ethics in Medical Practice: An Overview. Medical Section, August 2003;
- Law of medicine and the individual: current issues; What does patient autonomy mean for the courts? Justice KT Desai Memorial Lecture 2017;
- Mayo v Harris [1945] SASR 141;
- McDiarmid v Eilliott Manitoba Reports Vol. 41 [1933] 660;
- Montgomery and informed consent: where are we now? BMJ 2017;357;
- O’Connell v Culley and ors FC, VLR [1927] 502;
- Protecting the Legitimacy of Medical Expertise; N Engl J Med 388; 23 February 2023;
- Practice of Medicine in the 21st Century; Health Renaissance, September - December 2012; Vol 10 (No.3);168-169;
- R v Naftolin [1973] 3 O.R. 843;
- R v Nomm 57 N.S.R. (2d) 66;
- R v Oshanek Manitoba Reports Vol. 43 [1935] 234;
- R v Wong 50 C.C.C. (2d) 162;
- Schloendorff v Society of New York Hospital 211 N.Y. 125, 105 N.E. 92, 93 (1914);
- The Legal Definition of the Practice of Medicine; California State Journal of Medicine, April 1904, page 119;
- The Origins of Medical Registration in Singapore (Part I); Singapore Medical Journal, Volume 24, No. 5, October 1983, page 314;
- The Origins of Medical Registration in Singapore (Part II); Singapore Medical Journal, Volume 24, No. 6, December 1983, page 383;
- The practice of clinical medicine as an art and as a science; J Med Ethics: Medical Humanities 2000;26:18–22;
- What Is the Practice of Medicine?; Mich. L. Rev. 4 (1906): 373-9;
- Cave, Emma; Brazier, Margaret (2007). Medicine, patients and the law. New York: Penguin Books. page 6;
- Grubb A, Laing J, McHale J (2011). Principles of Medical Law. Oxford: Oxford University Press. page 88;
- Stephen Rushmore. A Definition of the Practice of Medicine. N Engl J Med 1937; 217:342-345.
其它法例
- Medical Registration Act Cap. 174 Singapore;
- Medical Practitioners Act 2007 Ireland.
甚麼是從事內科執業?
What Is the Practice of Medicine?; Mich. L. Rev. 4 (1906): 373-9.:
WHAT IS THE PRACTICE oF MEDICINE? - In a popular sense, and as ordinarily understood the practice of medicine is the applying of medical or surgical agencies for the purpose of preventing, relieving, or curing disease, or aiding natural functions, or modifying or removing the results of physical injury. Stewart v. Raab, 55 Minn. 20, 56 N. W. Rep. 256. But in some relations, and for some purposes, the expression has a more extended meaning. This is to be found sometimes in statutory provisions, sometimes in the decisions of the courts upon questions involving the construction of the expression and sometimes in both. Medical acts not infrequently state what shall be deemed to be the practice of medicine under them. But even where this is so, the courts are often called upon to interpret the Words of the legislature and to determine whether or not certain acts of a party make him a practitioner of medicine within the meaning of the governing statute. Where the medical act contains no direct provision in regard to the matter, the court, in case of litigation, must determine what is the practice of medicine, and in so doing must take into consideration the general scope and purpose of the statute. The medical statutes have been enacted primarily for the protection of the public, although incidentally the medical profession are protected by these laws. The difficult cases are not those where a person attempts to heal disease by the use of drugs or ordinary appliances, but rather those where resort is had to new or extraordinary methods. Some of the ways in which this question has arisen appear in the following paragraphs.
Kwong Wing Kie v Licentiate Committee of the Medical Council of Hong Kong & Anor, CACV 206/2014:
We first note that the title of the Ordinance reads: “To consolidate and amend the law by making more comprehensive provisions regulating the registration of practitioners in medicine and surgery”. In Chinese, it reads: “本條例旨在藉訂立更全面規管內外科醫生註冊的條文而綜合與修訂有關的法律”. The terms “medicine” (內科) and “surgery” (外科) are, as rightly accepted by Ms Ling, terms used in Western medicine. This is a useful pointer indicating that the Ordinance concerns Western medicine only. The repeated references of “medicine” (內科) and “surgery” (外科) in the relevant provisions relating to regulation of the registration of medical practitioners reinforce this point.
A person who (a) wilfully or falsely pretends to be qualified to practise medicine or surgery; or to be registered; (b) wilfully or falsely takes or uses any name, title, addition or description implying that he is so qualified or registered; or (c) not being registered or provisionally registered or exempted from registration, professes to practise or publishes his name as practising medicine or surgery, commits a criminal offence and is liable on conviction to a fine and to imprisonment for three years: section 28(1).
As can be readily seen, the entire registration scheme in Part III, the privileges conferred by section 16 and the penal consequences imposed by section 28, is to ensure that only properly qualified and registered medical practitioners holding a practising certificate can practise medicine (內科), surgery (外科) and midwifery (助產科) in Hong Kong. And medicine (內科), surgery (外科) and midwifery (助產科) are references to Western medicine only.
In our view, when all the relevant provisions of the Ordinance are properly considered, the legislative intent of the Ordinance is clear. It only applies to Western medicine and not Chinese medicine.