長期照顧服務訴訟之探討—以民事判決為例【本期企劃】 試閱
A Preliminary Analysis of Long-Term Care Litigation - Focusing on Civil Judgments
由於接受長期照顧服務的人口迅速增加，近來長期照顧訴訟案件也隨之增加。本文採回溯性分析，由司法院法學資料檢索系統資料庫，收集2002年至2021年間的長期照顧糾紛訴訟案件共164件進行分析。統計方法應用描述性統計各變項發生件數與百分比，推論性分析採皮爾森卡方檢定比較兩個不同分類變項間是否相關。結果顯示：受照顧方勝訴率為33.54%，疏失案件數以住宿型機構最多，居家式與社區式照顧訴訟案例則自2017年起呈增加趨勢；被告對象以機構雇主最多（98.17%），其次是照服員、護理人員；且受照顧者之共病症數與請求權基礎，與訴訟勝敗訴機率具有統計上意義。本研究預期可協助長照機構管理者與長照人員更深入了解照顧糾紛實證狀況，以提升照顧服務過程的安全和品質。
The number of long-term care litigation cases has increased over the recent years due to an increasing number of people using long-term care services. This study adopted retrospective analysis and collected a total of 164 long-term care dispute litigation cases from 2002 to 2021, derived from the database of Judicial Yuan in Taiwan. Descriptive statistics was used to analysis data which includes numbers and percentage of each variable. Inferential analysis adopted Pearson’s chi-squared test to compare whether two different classification variables are related. The results show that the ligation cases of home-based and community based services have been increasing since 2017; the largest number of defendants are the employers of long-term care institution (98.17%), followed by long-term care personnel and nurses. The win rate of care recipients is 33.54%. Residential institutions are often accused of malpractice. The number of comorbidities and the basis of right of claims are statistically significant with the percentage of wins in lawsuit. This study would offer suggestions that the long-term care institutions and personnel would gain a deeper understanding of the empirical situation of care disputes, so as to improve the safety of the care service and the quality of care.
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