篇名

受僱醫師觀點看醫療法第82條修法──尋找醫療機構在醫療糾紛中的角色與責任   免費試閱

並列篇名

Amendment of Article 82 of the Medical Care Act from Employed Doctors’ Perspective: Seeking the Roles and Responsibilities of Medical Facilities in Medical Disputes

中文摘要

隨著病人權利意識的抬頭,醫療糾紛逐漸成為醫師不得不面對的潛在風險。即使多數案例並不會進入訴訟,但伴隨醫療糾紛而來的工作壓力、情緒挫折、時間成本、名譽傷害、財務風險等,對於個別醫師來說,實在太過巨大而難以承擔。因此,僅僅是發生醫療糾紛的潛在風險,都足以使個別醫師感到恐懼,工作感到不滿,並造成醫病關係的惡化。而此次醫療法第82條修法,也正是企圖透過責任的明確化,來回應這份內心的恐懼。然而,即使隨著醫療進入資本密集與專業分工的時代,多數醫師都已成為大型醫療機構中的受僱醫師,但討論到醫療糾紛的問題時,卻常常淪為醫病雙方衝突發生時的承擔者,而甚少討論到醫療機構在醫療糾紛中所扮演的角色與其責任。本文試圖從職場心理健康的角度出發,將受僱醫師面對潛在醫療糾紛的恐懼視為重要的工作壓力來源,檢視其對受僱醫師的心理健康傷害,並從國外研究文獻與臺大醫院的實務經驗出發,去探討醫療機構面對醫療糾紛,可以且應該提供哪些機制,來保護受僱醫師免於伴隨醫療糾紛而來的工作壓力。

英文摘要

Along with the awakening of patients’ rights, medical disputes become potential risks that doctors must face. Although most medical disputes would not proceed to trial, the accompanied work stresses, emotional frustrations, time costs, reputational damages and financial risks are too heavy to bear for individual doctors. Thus, the potential risks of medical disputes alone could already frighten individual doctors, leading to job dissatisfaction and deterioration of doctor-patient relationship. The purpose of Amendment of Article 82 of Medical Care Act is to try to respond to these doctors’ innermost fear by clarification of responsibilities. Although medical care has entered a capital-intensive and specialized era, and most doctors have already become employees of huge medical facilities, medical disputes issues are often reduced to conflicts between doctors and patients, leaving the roles and responsibilities of medical facilities seldom mentioned. This article considers doctors’ innermost fear of medical disputes as an important work stressor in the context of workplace mental health, and discusses its damage to mental health of employed doctors. In addition, referring to existing literatures and the practical experience of National Taiwan University Hospital, we also examine what medical facilities could and should provide in order to protect their employed doctors from work stress followed by medical disputes.

起訖頁

100-111

出版單位
DOI

10.3966/241553062018020016008  複製DOI  DOI查詢

QRCode

數位整合服務
產品服務
讀者服務專線:+886-2-23756688   傳真:+886-2-23318496   地址:臺北市館前路28號7樓

Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄
TOP