「你沒開案的兒少疏忽，我來接手」：專科醫師兒保醫療服務經歷檢視

The Neglect of Child Neglect? An Examination on Pediatricians’Perceptions of Child Neglect and their Role within the Child Protection System in Taiwan

在兒童不當對待範疇內，兒少疏忽相對於兒童虐待有著「看不見」、「無大礙」和「舉證困難」的特質，而醫師作為兒少疏忽徵狀的首要可能發現者，如何處遇兒少疏忽議題是本研究的研究焦點。本研究採取焦點團體的方式，蒐集8位現於臺灣各地兒童保護醫療團隊中工作之醫師的觀點，發現醫師們在醫療場域處理兒少疏忽議題的特殊性，以及界定兒少疏忽的困難。醫療團隊在應對兒少疏忽上多是依法規通報，有些則因資源豐富而能自行建置後續關懷資源，接手社政未開案但有疑慮的服務對象；在網絡合作上，醫師期待透過各種重大案件會議將不同單位之工作意向進行溝通，以確保兒少安全。本研究建議兒少疏忽議題需增加與醫療資源的網絡合作，並投入更多的預防及倡議資源，減少兒少疏忽的風險。

In the area of child maltreatment, it is observed that, in comparison to child abuse, cases of child neglect demonstrate characteristics such as being‘not clear’,‘it doesn’t matter’, and‘difficult to prove’. This study focuses on how pediatricians in Taiwan deal with the issues of child neglect as professionals in children's medical treatment. The research adopts the focus group method, collecting opinions and ideas from eight pediatricians who work in child protection medical services in Taiwan. It reveals certain features of child neglect in medical settings and the challenges of identifying and providing treatment. Mandatory reporting is a fundamental task for the medical team. However, some of the pediatricians can offer further services when working with case managers or social workers. It is also shown that some pediatricians are not only equipped to identify neglected cases but also act as coordinators in the team, demonstrating the growing importance of networking in the child protection system. It is suggested that in future child protection system in Taiwan, further collaboration with other professionals is expected, and resources for prevention and advocacy for child neglect are required.