https://scholars.lib.ntu.edu.tw/handle/123456789/109476
標題: | 全民健保後醫師與病人關係及醫療糾紛之評估研究 The Evaluation of Physician-Patient Relationship and Malpractice after the Implementation of National Health Insurance |
作者: | 鍾國彪 | 關鍵字: | 醫療糾紛;醫病關係;判決書;Malpractice;Physician-Patient Relationship;Judgment | 公開日期: | 31-七月-1999 | 出版社: | 臺北市:國立臺灣大學公共衛生學院醫療機構管理研究所 | 摘要: | 醫療糾紛的因應行為的因素,利用郵 寄問卷的方式,針對大台北地區內、外、 婦、小兒四科共1939 位醫師進行調查,有 效問卷共計203 份,回收率為10.47%,本 研究同時利用內容分析的方式針對法院判 決進行分析,嘗試歸納出進入司法程序醫 療糾紛的特性。 結果顯示:影響醫師醫病關係的因素 主要還是取決於醫師對醫療糾紛的態度; 而醫師對醫療糾紛的認知及對醫療糾紛相 關主題的態度,則會影響醫師對於醫療糾 紛的因應行為。而經由內容分析則發現, 進入司法程序的醫療糾紛判決結果,醫師 勝訴還是佔多數,而病人提出告訴的原 因,主要是偏向對醫師在「專業知識」及 「關照義務」的挑戰,亦是一種期望的落 差。 The purpose of this study is to explore the factors that influence physician-patient relationship and physicians’ coping behavior due to malpractice. A structural questionnaire is developed and mailed to the internal medical physicians, surgeons, gynecologists and obstetricians, and pediatricians. The response rate is 10.47 percent. In qualitative part, we analyzed the court room final judgment, and tried to conclude the characteristics in these cases. The major outcomes included: the major factor which influence physicianpatient relationship is physicians’ attitude of malpractice. Physicians’ knowledge and attitude of malpractice will impact physicians’ coping behavior due to malpractice. In the content analysis, physicians won most of the cases for those entering into judicial process. The reasons why patients brought up the claim include that patients try to challenge medical professions and obligation of care as well as gap of expectation. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/5003 | 其他識別: | 882416H002030 | Rights: | 國立臺灣大學公共衛生學院醫療機構管理研究所 |
顯示於: | 健康政策與管理研究所 |
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882416H002030.pdf | 34.73 kB | Adobe PDF | 檢視/開啟 |
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