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題名:消費者基金會醫療爭議案件之分析研究
書刊名:中華公共衛生雜誌
作者:劉斐文邱清華楊銘欽
作者(外文):Liu, Fei-wenChiou, Chin-huaYang, Ming-chin
出版日期:1997
卷期:16:1
頁次:頁77-85
主題關鍵詞:醫療爭議醫療過失消費者抱怨行為爭議處理消費者保護Medical disputeMedical malpracticeConsumer complaint behaviorDispute processingConsumer protection
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(6) 博士論文(1) 專書(2) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:6
  • 點閱點閱:52
     本研究以消基會歷年來受理之醫療申訴個案進行調查與分析,寄發 203 份問卷 ,得有效問卷 100 份。 重要結果:受訪者面對醫療服務上的不滿,所採取的抱怨行為中, 以私下抱怨的傾向最強,向消基會申訴的傾向居次。受訪者中以年齡較大、女性病人、曾有 策略性互動、該醫療問題造成病人身體殘障或精神失能、家人或親朋認為錯在醫方者,其抱 怨傾向較強。雖然受訪者對消基會的服務,整體而言並沒有顯著的期望差距,但若依照其情 境加以分析,則認為醫療抱怨風險越高、對醫療服務的實際感受越差、因與醫師承諾不符而 認定有問題、所認定的問題為不良反應、該問題造成病人身體殘障或死亡、自評後果嚴重、 親朋認為錯在醫方、家人或非此次問題相關的醫事人員支持求償、由參考團體得知消基會醫 療申訴單位者,對消基會服務的期望差距較大。本研究並根據調查結果及相關文獻之研究結 果,對醫療服務提供者及消基會提出具體建議。
     This study surveyed and analyzed all the cases ever filed omplains to the Consumers' Foundation because of medical disputes. Out of 203 questionnaires that were mailed out, 100 valid responses were received after two reminding postcards. Important findings are as follows: When dissatisfied with a medical service, the most frequently action taken by respondents was to complaint privately, followed by to report to the Consumer's Foundation. Among the respondents, those who were older, being female patients, being physically disabled or mentally retarded because of the medical malpratice, having taken strategic interactions, those whose significant others thought the medical staff were to be blamed, had stronger intentions to complain. In terms of respondents satisfaction toward the Consumers' Foundation, the overall difference ( gap ) between the respondents' expected and actual services received from the Consumer's Foundation was not statistically significant. However, further examination on the respondents' characteristics showed that those who thought the risk to complain was high, those who perceive the medical services were poor, the results were different from what the physician promised, the treatment resulted adversely, the malpractice resulted in disability or death, those who valued the effects were serious, those whose relatives thought the medical staff were to be blamed, those who were encouraged by their family or other medical practitioners to ask for compensation, and those who knew about the Foundation through their reference group, had worse perceptions about the Foundations's services. Suggestion to medical providers and the Consumers' Foundation were included.
期刊論文
1.Felstiner, W. L. F.、Abel, R. L.、Sarat, A.(1980)。The emergence and transformation of disputes: naming, olaming, claiming...。Law Soc Rev,15(3/4),631-654。  new window
2.Danzon, P. D.(1990)。The "Crisis" in Medical Malpractice; A Comparison of Trends in the United States, Canada, the United Kingdom and Australia。Law-Med-Health-Care,18(1/2),48-58。  new window
3.May, M. L.、Stengel, D. B.(1990)。Who Sues Their Doctors? How Patients Handle Medical Grienances。Law Soc Rev,24(1),105-120。  new window
4.謝啟瑞(19910900)。醫療糾紛處理結果的實證分析--美國佛羅里達州的研究。經濟論文,19(2),287-328。new window  延伸查詢new window
5.Meyers, A. R.(19871200)。"Lumping it": The Hidden Denominator of the Medical Malpractice Crisis。Am-J-Public-Health,77(12),1544-1548。  new window
6.Kritzer, H. M.、Bogart, W. A.、Vidmar, N.(1991)。The Aftermas of Injury: Cultural Factors in Compensation Seeking in Canada and the United States。Law Soc Rev,25,499-543。  new window
7.Parasuraman, A. P.、Zeithaml, Valarie A.、Berry, Leonard L.(1985)。A Conceptual Model of Service Quality and Its Implication for Future Research。Journal of Marketing,49(4),41-50。  new window
8.Hickson, Gerald B.、Clayton, Ellen Wright、Githens, Penny B.、Sloan, Frank A.(1992)。Factors that prompted families to file medical malpractice claims following perinatal injuries。JAMA,267(10),1359-1363。  new window
研究報告
1.林山田(1988)。台北市立醫院醫療糾紛及其法律問題之研究。台北市政府研究發展委員會委託研究。  延伸查詢new window
2.陳昭德、邱清華(1992)。醫療糾紛處理制度之研究--改進現行醫療糾紛處理程序。  延伸查詢new window
3.陳榮基、謝啓端(1992)。醫療糾紛對醫療成本之影響。  延伸查詢new window
4.吳正吉、劉緒倫(1992)。確立醫療糾紛鑑定制度的合理性。  延伸查詢new window
學位論文
1.鄭麗寶(1990)。醫療過程中人際互動的社會學分析(碩士論文)。國立臺灣大學。  延伸查詢new window
2.陳逸潔(1991)。行銷取向之公共關係研究:非營利機構之個案分析(碩士論文)。輔仁大學。  延伸查詢new window
3.闕河士(1989)。消費者抱怨行為及其影響因素(碩士論文)。國立政治大學。  延伸查詢new window
圖書
1.李雲裳(1980)。社會工作者在醫療糾紛上角色期待之研究。台北市:國泰綜合醫院。  延伸查詢new window
2.姚克明(1987)。醫護人員對病人權利義務之看法調查研究。台灣省公共衛生研究所。  延伸查詢new window
 
 
 
 
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