論醫事人員對跨文化醫病關係之影響

Discussion Intercultural Influence of Medical Personnel on Physician-Patient Relationship

本研究探討文化差異對醫病關係的影響，採質性研究法中的半結構式訪談，對象為某醫學中心具十年以上經驗、來自不同專業的醫事人員，以立意取樣選取受訪者。研究團隊進行訪談後，透過訪談結果歸納出三大分析主軸：溝通方式、文化與價值觀、其他影響因素。結果顯示，在溝通層面的困境，以語言障礙、慣用語差異及非語言訊息詮釋落差的溝通誤解是主要原因；在文化價值觀方面，不同地區與年齡的民眾在社會習俗、性別角色期待與文化背景與現場的醫護具有顯著認知落差；其他層面則著重醫事人員對同理心與尊重的實踐，以及建立有效溝通平台的重要性。本研究呈現跨文化與世代互動經驗，並彙整改善醫病合作的建議，期能作為提升跨文化照護品質的參考。

This research investigates the impact of cultural variation on Physician-patient relation-ships. A qualitative research method was employed, utilizing semi-structured, in-depth interviews as the primary data collection approach. We conducted purposive sampling to select participants from a medical center in Taiwan, comprising healthcare professionals with more than ten years of experience across various clinical and administrative departments. Through thematic analysis, our research team organized the findings into three primary analytical domains: communication practices, cultural values and beliefs, and other influencing factors. The results indicate that communication misunderstandings mainly arose from language barriers, idiomatic differences, and discrepancies in interpreting non-verbal messages. Regarding cultural values and beliefs, significant cognitive gaps emerged due to varying social customs, gender role expectations, and culturally influenced perceptions. The other influencing factors highlight the practices of empathy and respect by healthcare professionals and underscore the necessity of establishing effective communication platforms. Building on these findings, our research provides insights into cross-cultural and intergenerational interaction experiences and compiles several practical recommendations aimed at enhancing Medical-patient colla-boration. Ultimately, we propose designing culturally sensitive communication tools and specialized training models as strategic guidelines to elevate the quality of intercultural healthcare.(J Med Health. 2025;14(3):55-65)