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題名:臺灣醫師與病患對醫病關係看法之差異
書刊名:醫學與健康期刊
作者:劉彩娥應立志 引用關係王萬琳 引用關係
作者(外文):Liu, Tsai-erYing, Li-chihWang, Wan-lin
出版日期:2015
卷期:4:2
頁次:頁53-64
主題關鍵詞:醫病關係重要績效分析法Patient-physician relationshipsImportance-performance analysis
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:160
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目的:瞭解目前台灣醫師與病患之間對醫病關係之看法有何差異。方法:蒐集文獻歸納製作醫病關係問卷,研究對象為某區域醫院之醫師以及前來此醫院就診之病患,問卷發放期間為2013年8月至9月,獲得填答問卷共計病患272份及醫師60份。採用之研究方法包含問卷之信度與效度、敘述統計、Mann-Whitney U檢定以及重要性-績效分析法等。結果:病患問卷得分最高之前三項(亦即超過2.5分)為:認為醫師會詳細記載病歷、會傾聽病患訴說病情及服務態度良好;又由反向題之分析得知病患認為多數醫師不會因為病患具特殊社經地位或關說送禮而特別照顧該病患。而醫師問卷得分最高之前三項(亦即超過2.8分)為:醫師自認對病患之服務態度良好、自認總是抱持視病如親之態度以及病患尚存看病的結果一定會拿到藥或打針這種不正確的觀念。結論:近年來醫師多會仔細詢問病患之病史及藥物過敏史且會傾聽病患訴說病情,如此則可降低醫療處置錯誤率以避免醫療糾紛。建議:醫師應多與病患溝通,採用病患可以理解的方式說明用藥之副作用及吃較多的藥不見得有益於身體之觀念,且針對病況提供適合之治療方式並說明優缺點供病患選擇。
Objectives. The objective of this study was to investigate and analyze the gap in viewpoints regarding patient-physician relationships between patients and physicians in Taiwan. Methods. We collected the related literature to develop a questionnaire to investigate the patient-physician relationships. The subjects included physicians and patients of a regional hospital. During the period from August to September 2013, the questionnaire was issued to the subjects and completed by 272 patients and 60 physicians. The data was analyzed by statistical methods including reliability, validity, descriptive statistics, Mann-Whitney U test and Importance-Performance Analysis. Results. The three items, with highest scores, in patients' questionnaire (higher than 2.5) were (1) most patients believe that their medical records were well documented, (2) physicians would listen carefully to the patients' descriptions of their conditions, and (3) physicians' attitudes towards patients would be very good. Analysis of reverse-coding items shows that most physicians do not take special care of those patients who have higher socioeconomic status, who send gifts to them, or intercede with them. With regard to the physicians' questionnaire, the three items with highest scores (higher than 2.8) were (1) most physicians consider themselves to have good attitudes towards patients, (2) most physicians consider themselves as treating patients as if they were family members, and (3) most physicians believe that the patients still have the misconceptions that they should get some drugs or injections when each visit. Conclusion. In recent years, most physicians will ask patients about their medical records and drug allergy history, and they will listen carefully to patients' descriptions of their conditions. This can reduce errors in medical treatment and prevent medical disputes. Suggestions: Physicians should communicate with patients more often in a manner in which patients can understand describing the side effects of medicine and explaining that taking more medicine is not necessarily beneficial to the body. They should provide appropriate treatment and explain the advantages and disadvantages of different treatment options.
期刊論文
1.Street, R. L., Jr.、O'Malley, K. J.、Cooper, L. A.、Haidet, P.(2008)。Understanding concordance in patient-physician relationships: personal and ethnic dimensions of shared identity。Ann Fam Med,6,198-205。  new window
2.Parchman, M. L.、Burge, S. K.(2004)。The patient-physician relationship, primary care attributes, and preventive services。Fam Med,36,22-27。  new window
3.Thompson, D.、Ciechanowski, P. S.(2003)。Attaching a new understanding to the patient-physician relationship in family practice。J Am Board Fam Pract,16,219-226。  new window
4.林季蓉(2001)。電子醫療改寫醫病關係。遠見雜誌,179,52-54。  延伸查詢new window
5.蔡甫昌(20030300)。診療室中的道德議題之一--從醫病關係談起。臺北市醫師公會會刊,47(3),43-47。  延伸查詢new window
6.黃達夫(2002)。醫病關係是醫病相互的承諾。遠見雜誌,188,206。  延伸查詢new window
7.王宏育(2008)。醫病關係。臺灣醫界,51,62-63。  延伸查詢new window
8.蔡維音(20020100)。從全民健保觀察醫病關係之變遷。應用倫理研究通訊,21,25-29。new window  延伸查詢new window
9.Ha, J. F.、Longnecker, N.(2010)。Doctor-Patient Communication: A Review。The Ochsner Journal,10(1),38-43。  new window
10.應立志、李福春、王萬琳(20120800)。就醫者之醫療體驗對醫院滿意度之影響。若瑟醫護雜誌,6(1),20-38。  延伸查詢new window
11.應立志、李福春、林秀櫻(2009)。行政院衛生署豐原醫院就醫者服務需求與滿意度調查。健康照護產業論壇,4(1),21-40。  延伸查詢new window
12.吳統雄(1995)。態度與行為研究的信度與效度:理論、反應、反省。民意學術專刊,1(2),29-53。  延伸查詢new window
13.廖士程、李明濱、謝博生、李源德(20050600)。醫病關係與醫療滿意度之全國性普查。醫學教育,9(2),149-161。new window  延伸查詢new window
14.蔡文正、龔佩珍(20030600)。民眾對基層診所評價與就醫選擇影響因素。臺灣公共衛生雜誌,22(3),181-193。new window  延伸查詢new window
學位論文
1.Tsai, D. J.(1996)。Transformation for physicians' public identities in Taiwan and the United States: A comparative and historical study of ambivalence, public policy, and civil society(博士論文)。University of Michigan。  new window
2.熊心如(2005)。全民健保總額支付制度與醫病關係之影響--某醫學中心之個案研究(碩士論文)。東海大學,臺中。  延伸查詢new window
3.Kucharewski, R.(1991)。A Description of Third-party Reimbursement on Physician and Patients Relational Perceptions(博士論文)。Bowling Green State University。  new window
4.王河清(2001)。運用層級分析法探討引起醫療糾紛發生的因素「以某區域醫院為例」(碩士論文)。國立雲林科技大學,雲林。  延伸查詢new window
圖書
1.Waltz, C. F.、Strickland, O. L.、Lenz, E. R.(2010)。Measurement in Nursing and Health Research。Springer。  new window
2.Rotter, D. L.、Hall, J. A.(1992)。Doctors Talking with Patients, Patients Talking with Doctors。Westport, CT:Auburn House。  new window
3.Bernard, L. C.、Krupat, E.(1994)。Health psychology: Biopsychosocial factors in health and illness。Harcourt Brace College。  new window
4.梁世武(2012)。市場調查。臺北:普林斯頓。  延伸查詢new window
5.張苙雲(1998)。醫療與社會:醫療社會學的探索。台北:巨流。new window  延伸查詢new window
其他
1.賴其萬。臺灣的醫病關係,http://www.libertytimes.com.tw/2002/new/jan/l 8/today-o1.htm#o2, 2002/01/18。  new window
2.楊志良。看病別指揮醫師別要求特權,http://mag.udn.com/mag/life/storypage.jsp?fART_ID=413268#ixzz29QfFJPDq, 2012/09/18。  延伸查詢new window
3.黃達夫,侯文詠(2012)。對談醫病關係,黃達夫基金會。,http://www.kfsyscc.org/foundation/ med-educatioon/article3/, 2012/02/14。  延伸查詢new window
 
 
 
 
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