從「情境犯罪預防」論醫療暴力

“Situational Crime Prevention” for Medical Violence

醫院是治療疾病、恢復健康的場所，病人及醫護人員理應站在同一陣線，對抗疾病的威脅。然而，近幾年卻發生醫護人員在醫療過程中，受到言語威脅，甚至人身暴力對待，不只健康或安全受到威脅，更有可能干擾醫療運作，影響其他病人的治療。本文藉由情境犯罪預防理論預防犯罪之策略來預防醫療暴力，分析法院判決及醫療人員認知之常發生醫療暴力的原因、對象、場所及時問等因素，透過增加犯罪困難度、增加犯罪風險、減少犯罪機會及減少犯罪後報酬，制定預防醫療暴力策略。藉由跨領域團隊合作，共同進行案例檢討與預防策略管理，持續提升醫療人員對暴力事件防範與處理之能力，致力維護醫療環境安全與反暴力事件。

Hospitals are places to treat diseases and restore health. Patients and medical staff should stand on the same front to fight the threat of disease. However, in recent years, medical staff has been threatened with verbal threats or even physical violence during the medical process, which not only affects their health or safety, but also interferes with medical operations and affects other patients’ treatment. This article used the situational crime prevention theory to prevent medical violence and analyzes the reasons, objects, places, and time of medical violence that often occur in court judgments and medical staff’s perceptions. By increasing the difficulty of crime, increasing the risk of crime, reducing crime opportunities and reduction of post-criminal remuneration, we try to develop strategies to prevent medical violence. Through cross-field team cooperation to conduct case review and preventive strategy management, we will continue to improve the personnel's ability to prevent and handle violent incidents, and strive to maintain the safety of the medical environment and anti-violent incidents.