臺北市醫療院所之負責醫師對醫療爭議調處之認知及態度

The Knowledge and Attitude of In-Charge-Physicians toward the Medical Dispute Administrative Mediation in Taipei

目標：調查西醫醫療機構之負責醫師的醫療爭議經驗，並探討其對醫療爭議調處的認知及態度。方法：研究對象為台北市之西醫負責醫師，以郵寄問卷進行調查，總計發出1,281份問卷，回收有效問卷共323份，有效回收率為25.21%。問卷內容包括負責醫師對醫療爭議調處的認知量表、態度量表、醫療爭議經驗及個人特質。結果：41.18%的受訪者執業至今有醫療爭議的經驗；高達90.96%的受訪者對醫療爭議調處有相當程度之瞭解，僅有3.10%對調處抱持著負面態度。分析結果顯示性別會影響負責醫師對醫療爭議調處之認知，而年齡、對醫療爭議調處之認知及醫療爭議經驗則會影響負責醫師對醫療爭議調處之態度。結論：大部分負責醫師對於根據醫療法所建立的醫療爭議調處制度並不陌生，但鮮少利用；擔心無法面對衛生主管機關的壓力，可能是重要的原因之一。如何在醫療界建立衛生局調處公正不偏頗的形象並加強宣導，應該是未來努力的目標。

Objectives: The purposes of this study were to investigate the knowledge and attitude toward medical dispute administrative mediation of physicians in charge of hospitals and clinics, and their experiences. Methods: This research was conducted by a questionnaire survey (1,281 questionnaires were distributed with a valid response rate of 25.21%). The content of the questionnaire includes four sections: the knowledge scale, the attitude scale, medical dispute experiences and the characteristics of respondents. Results: The results indicated that 41.18% of the respondents have ever encountered medical disputes in the past; 90.96% of the responding physicians have a good understanding of medical dispute administrative mediation and only 3.10% of them have a negative attitude. The physicians’ gender will influence the level of knowledge. The physicians’ age, knowledge of administrative mediation and medical dispute experiences will influence their attitude toward administrative mediation. Conclusions: Although most in-charge-physicians are familiar with this statutory administrative mediation system, the utilization rate is still low. Concern about the pressure from government authorities appears to be a major deterrent from filing for administrative mediation. The health bureaus should strive to establish and promote a neutral and impartial image so as to facilitate the resolution of medical disputes