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E88095
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004
全民健保後醫師與病人關係及醫療糾紛之評估研究
The Evaluation of Physician-patient Relationship and Malpractice after the Implementation of National Health Insurance
1.鍾國彪
1.Kuo-piao Chung
1.國立臺灣大學資醫療機構管理研究所
1.Graduate Institute of Health Care Organization Administration, National Taiwan University
001,002,003,004
1.國立臺灣大學資醫療機構管理研究所
1.Graduate Institute of Health Care Organization Administration, National Taiwan University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):1998-08-01
A.14 計畫執行期間(訖):1999-07-31
A.16 收到日期:1999-10-28
2
台北縣市醫師公會所提供之88年會員名單

1

203


203
003
01
C.2 聯絡日期:1999-10-28
2
1.國立臺灣大學資醫療機構管理研究所
1.Graduate Institute of Health Care Organization Administration, National Taiwan University
1
C.7 資料公開日期:1999-08-01
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008
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001
1,2
1.全民健康保險
2.焦點團體法
3.醫病關係
4.醫療服務品質
5.醫療糾紛
1.Focus Group Method
2.Malpractice
3.Medical Service Quality
4.National Health Insurance
5.Physician-patient Relationship
本研究旨在探究影響醫師醫病關係及對醫療糾紛的因應行為的因素,利用郵寄問卷的方式,針對大台北地區內、外、婦、小兒四科共1939位醫師進行調查,有效問 卷共計203份,回收率為10.47%,本研究同時利用內容分析的方式針對法院判決進行分析,嘗試歸納出進入司法程序醫療糾紛的特性。結果顯示:影響醫師 醫病關係的因素主要還是取決於醫師對醫療糾紛的態度,而醫師對醫療糾紛的認知及對醫療糾紛相關主題的態度,則會對於醫師對醫療糾紛的因應行為產生影響。而 經由內容分析則發現,進入司法程序的醫療糾紛判決結果,醫師勝訴還是佔多數,而病人提出告訴的原因,主要是偏向對醫師在「專業知識」及「關照義務」的挑 戰,亦是一種期望的落差。

The purpose of this study is to explore the factors that influence physician-patient relationship and physicians\' coping behavior due to malpractice. A structural questionnaire is developed and mailed to the internal medical physicians, surgeons, gynecologists and obstetricians, and pediatricians. The response rate is 10.47 percent. In qualitative part, we analyzed the court room final judgment, and tried to conclude the characteristics in these cases. The major outcomes included: the major factor which influence physician-patient relationship is physicians\' attitude of malpractice. Physicians\' knowledge and attitude of malpractice will impact physicians\' coping behavior due to malpractice. In the content analysis, physicians won most of the cases for those entering into judicial process. The reasons why patients brought up the claim include that patients try to challenge medical professions and obligation of care as well as gap of expectation.

D.16 完成檢誤日期:2000-11-29
D.17 預定釋出日期:2001-08-01
D.18 初次釋出日期:2001-08-01
D.19_1 最新版釋出日期:2001-08-01
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10.6141/TW-SRDA-E88095-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E88095
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