從醫學人文與全人教育觀點談醫療事故預防及爭議處理法

Issues on the Medical Malpractice Prevention and Dispute Resolution Act from the Perspective of Medical Humanities and Holistic Care Education

10.6320/FJM.202307_27(4).0012

王志嘉(Chih-Chia Wang)

醫療事故預防及爭議處理法 ； 醫療調解 ； 衝突解決 ； 溝通能力 ； 醫學人文教育 ； Medical Malpractice Prevention and Dispute Resolution Act ； medical mediation ； conflict resolution ； communication competence ； medical humanities education

台灣醫學

27卷4期（2023 / 07 / 25）

485 - 492

繁體中文;英文

醫療事故預防及爭議處理法，在醫、法、病三方20餘年的努力，於2022年完成立法，醫療機構對於爭議事件的關懷、衛生局的醫療爭議調解、以及醫療事故的預防，是該法的三大核心。該法採取調解先行的設計，換言之，在進行訴訟前必須先經過調解程序，未來臨床醫事人員直接與病方面對面的溝通對話機會增加。從醫學人文教育觀點，有必要增加衝突解決的專業素養，就醫病溝通部分，事前溝通、事發關懷以及事後調解是必備的技能，此外，對於衝突理論以及相關的心路歷程、醫療爭議調解制度、以及調解程序應具備的態度等，也是醫學人文與全人教育的一環。

After over two decades of persistence effort by patient rights groups, medical professionals, and lawmakers, the Medical Malpractice Prevention and Dispute Resolution Act was finally enacted in 2022, providing better protections against medical malpractice. There are three core elements to this Act: medical institutions' care over disputed incidents, medical dispute mediation by the Department of Health, and the prevention of medical accidents. Instead of relying solely on traditional litigation, medical disputes will be shifted from the traditional solving mechanism through litigation in a bipartite-confronting mode. Clinical medical staff and patients will have more opportunities to face-to-face communication in the future. From the perspective of medical humanities education, conflict resolution skills must be strengthened. In the medical treatment of communication, skills such as pre-communication, crisis care, and post-mediation play an important role. Additionally, medical humanities and holistic care education emphasizes conflict theory, related psychological processes, medical dispute mediation system, and the attitudes required in the mediation process.