歷史宿命或時代使命？台灣社會工作專業介入醫療爭議事件之分析

陳武宗; 賴宛瑜; 郭惠旻; 林東龍

doi:10.29814/TSW.200907.0001

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社会科学 > 社会学

DOI： 10.29814/TSW

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历史宿命或时代使命？台湾社会工作专业介入医疗争议事件之分析

A Destiny or a Mission? Analysis of Social Work Intervention in Medical Dispute in Taiwan

陈武宗；赖宛瑜；郭惠旻；林东龙

台湾社会工作学刊； 7 期 (2009 / 07 / 01) ， P1 - 48

繁体中文 DOI： 10.29814/TSW.200907.0001

社会工作；医疗争议；修复性正义；公开谈论； social work ； medical dispute ； restorative justice ； open disclosure

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摘要 │ 参考文献 (35) │ 被引用文献 (3) │ 国际计量

摘要〈TOP〉

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This study attempts to analyze social workers' roles, attitudes, and difficulties when they intervene in medical disputes under the context of health care system reforms and medical dispute resolving mechanisms inside and outside the hospitals in Taiwan, and then speculates upon the development and possibilities of the social workers' involvement in the field of medical dispute.
Both quantitative and qualitative methods were used. In one hand, this study conducted a general survey by mailing questionnaires to the social workers in social work departments (psychiatry departments not included) of those medical centers and regional hospitals in Taiwan. On the other hand, in-depth interview was applied where five interviewees, who were highly experienced all played important roles in the dealing process of medical disputes in hospitals.
There are three major findings including: first, most medical social work departments in Taiwan indeed have intervened in handling medical disputes, and the medical social workers held positive attitudes toward their intervention roles in medical disputes. Second, the social workers have been playing several important roles including the mediator between the doctors and patients, the instructor of on-the-job training, the analyzer of medical dispute cases, and indirect evaluator of employees performance. These roles may help to prevent more medical disputes from reoccurrence, and have improved the medical procedures and professional position of social work. Third, the involvement in compensation negotiation during the medical disputes handling process have brought pressures to medical social workers; however, following the increasingly systematic structure of the medical dispute resolution mechanisms in hospitals, there has been clearer division of collaboration among various roles. Thus, the conflicts, pressures, and moral controversies of social workers' roles regarding this issue have been alleviated to some degree.
This study concluded with two suggestions. First, the social work professional association or the academics should offer courses to improve social workers' professional ability in dealing with the roles conflicts and ethical dilemma while dealing with the medical disputes. Second, the conflict resolution system as well as the communication mechanism of open disclosure should be built-up and based on restorative justice so as to achieve a 'win/win/win' situation among the doctors, patients, and community.

参考文献 ( 35 ) 〈TOP〉

Berger, C.,Cayner, J.,Jensen, G.,Mizrahi, T.,Scesny, A.,Trachtenberg, J.(1996).The Changing Scene of Social Work in Hospitals.Health & Social Work,21,167-177.
Black, D.(1993).The Social Structure of Right and Wrong.San Diego:Academic Press.
Bornstein, B. H.,Rung, L. M.,Miller, Monica K.(2002).The Effects of Defendant Remorse on Mock Juror Decisions in a Malpractice Case.Behavioral Sciences and the Law,20,393-409.
Caputi, M. A.(1978).Social Work in Health Care: Past and Future.Health and Social Work,3(1),10-29.
Cook, C.,Easthope, G(1996).Symptoms of a Crisis? Trust, Risk and Medicine.Australian and New Zealand Journal of Sociology,32(3),85-98.

被引用文献 ( 3 ) 〈TOP〉

蔡芝欣,林洁,王美富(2022)。探讨跨专业团队医疗事件合作经验－以精神医疗社工为例。身心障碍研究季刊，20(1)，32-67。
郑丽珍、游美贵、许雅娟(2014)。台湾社会工作人员的一般健康初探。台湾社会工作学刊，14，103-156。
(2024)。《医疗事故预防及争议处理法》实施与医务社会工作者处理医疗争议之角色探讨。社区发展季刊，186，401-417。

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