台灣地區從事矯正治療醫師之醫療糾紛調查－初步研究

The Investigation on Medical Dispute of Clinical Orthodontic Practice in Taiwan-A Preliminary Study

許勝評(Sam Sheng-Pin Hsu) ； 遲玉堃(Yu-Kun Chih)

《中華民國齒顎矯正學雜誌》 24卷1期 (2012/03) Pp. 15-23

https://doi.org/10.30036/TJO.201203.0002

摘要

目的：近年來台灣在齒顎矯正治療發生醫療糾紛與爭議的比例快速地增加，然而在這方面相關的研究卻相當地稀少；因此在中華民國齒顎矯正學會醫事委員會的推動與協助下，進行此一研究以探討目前台灣地區矯正治療發生醫療糾紛與爭議的分析調查。研究對象與方法：調查方式採用問卷調查，問卷發放對象為在台灣地區有從事齒顎正相關治療的牙醫師，總計有效資料為七十二份，經統計各項問題結果並以百分比例方式呈現。結果：受訪醫師當中有28%曾經歷過至少一次的醫療糾紛或爭議的事件，其中不正咬合以Class II division I所佔的比例最高，而其臨床問題以中線的問題佔最多；醫療糾紛或爭議發生的原因以「溝通不良」佔絕大多數，其次是「未盡告知的義務」；這些爭議與糾紛的解決主要還是透過各種管道和解，只有4%會進入到法律訴訟的程序。結論：目前從事齒顎矯正治療的醫師約有三成的機會遇到醫療的糾紛或爭議，而且實際發生問題的情況與臨床醫師的認知上存在著相當的落差，本次研究提供臨床醫師在執行齒顎矯正治療時做為參考。（J. Taiwan Assoc. Orthod. 24（1）: 15-23, 2012）

關鍵字

齒顎矯正治療 ； 醫療糾紛

並列摘要

Purpose: The prevalence of medical disputes or controversies in orthodontic treatment is getting higher and higher in Taiwan. Nevertheless, the related researches and literatures are few. The purpose of the study was to investigate and analyze the situation of medical disputes or controversies in clinical orthodontic practice in Taiwan.Materials and methods: The investigation was done by the questionnaire survey among the dentists who perform orthodontic treatment as either part or all of his/her clinical practice. Totally seventy-two valid questionnaires were collected. The outcome of each question was shown as percentage.Results: Twenty-eight percent of all respondents had ever experienced at least one medical dispute or controversy. Among all these disputes or controversies, Class II division 1 and midline problem are the most popular malocclusion type and clinical problem, respectively. Most medical disputes or controversies happened because of ”poor communication” the majority, followed by ”not entirely informed of the obligation”. Majority of the cases achieved settlement through varies ways, while only 4% of them ended up as legal problems.Conclusion: Currently dentists who perform orthodontic treatment in his/her clinical practice have about 30% of chance to encounter medical disputes/controversies. In addition, there is a considerable gap between physician awareness of this issue and the real situation. The outcome of this study would provide clinical physicians the valuable related information. (J Taiwan Assoc. Orthod. 24( 1): 15-23, 2012)

並列關鍵字

Orthodontic treatment ； Medical dispute