當遊民在醫院染疫之後──潛在醫療糾紛的化解

Assisting a Patient to Avoid Medical Disputes: A Case During COVID

目的：為個案找尋安置機構，化解醫糾危機。方法：應用問題解決法，醫療團隊評估染疫前個案與案子關係疏離；染疫後個案日常生活需部份協助，並需以輪椅代步，案子意圖將責任推給醫院，醫療團隊警覺到有產生醫療糾紛的潛在性。因此，以社工師為窗口，實踐賦權的處置，透過資訊、資源的分享及提供共同參與決定的機會，促使個案及家屬產生自主權，願意出面參觀多家機構後做比較。結果：決定到他們偏好的地區，完成個案及家屬的期待，讓彼此好好的生活，不再有牽掛、怨懟。結論：醫療團隊對醫療糾紛要有警覺性，共同努力化解，關鍵在於信任關係的建立以及賦權的處置。

Objectives: To identify hardship cases and avoid medical disputes. Methods: Upon contracting COVID-19, a patient required considerable assistance with activities of daily living and needed a wheelchair. Where and how to care for the patient was uncertain, but the medical team assisted in finding a care facility appropriate to the patient's needs. Results: The patient was settled in a satisfactory care center, and this prevented disputes among the family, patient, and hospital. Conclusions: Medical teams must be alert to medical disputes and work together to resolve them. This depends on the establishment of trusting relationships with patients and their families.