團隊合作的社會基礎：多元專業團隊協助男性口腔癌存活者重返工作之實踐經驗

本研究主要探究「多元專業」團隊協助男性口腔癌存活者重返工作之實踐經驗。此「多元專業」團隊不同於現有醫療機構以確立癌症分期和治療計畫為目標的專業團隊，嘗試連結衛生福利與勞政兩大體系的專業者，整合成以協助男性口腔癌患者重返工作為目標的「多元專業」團隊。此「多元專業」團隊涵蓋11種專業，歷經團隊籌組期、服務規劃期、服務提供與修正期及結束期等四個階段，共1年11個月，11位男性口腔癌存活者接受此服務，其中有8位重返工作。本研究重要發現有三：一是，因患者確診初期仍未覺察重返工作的重要性、無法配合團隊服務時間、信任感不足，以及缺乏友善勞動環境等原因，造成服務提供與接受之間存在落差；二是，此專業團隊符合「專業間團隊」模式，尚未達「跨專業團隊」模式，主要原因在於專業角色擴展有所限制；三是，既有人際網絡、單位主管支持、明確共同目標與成員認同、開放溝通的氛圍，以及通訊科技協助等因素，是此專業團隊穩定運作的重要因素。

關鍵字

男性口腔癌存活者；重返工作；多專業團隊；專業間團隊；跨專業團隊

並列摘要

This article focuses on the practical experience of a multiple disciplinary team in assisting male oral cancer survivors to return to work. This multi- discipline team was different from the professional team for cancer staging and treatment planning presently in the hospital, and attempted to connect professionals of the two systems of health welfare and labor and integrate them to help male oral cancer survivors return to work. It covered 11 professionals working in various periods including team preparation, service planning, service provision and revision, and a conclusive period, for a total of 1 year and 11 months. Eleven male oral cancer survivors received this service, and eight of them returned to work. There were three major findings. Firstly, there was a gap between service provision and use due to the fact that the patient was still unaware of the importance of returning to work at the initial stage of diagnosis, was unable to cooperate with service time, displayed lack of trust, lack of a friendly working environment; secondly, this multiple disciplinary team met the ＂interdisciplinary team＂ model but had not yet reached the ＂transdisciplinary team＂ model; the main reason being that the branching out of professional roles into other fields was limited; and thirdly, the interpersonal network, unit supervisors support, clear common goals and members commitment, open communication atmosphere, and communication technology were determined to be important factors for the stable operation of this multiple disciplinary team.

並列關鍵字

male oral cancer survivor ； return to work ； multidisciplinary team ； interdisciplinary team ； transdisciplinary team

參考文獻

行政院衛生署國民健康局（2017）。〈中華民國104 年癌症登記報告〉。取自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=269&pid=8084【Health Promotion Administration, Ministry of Health and Welfare. (2017). Cancer registry annual report, 2015 Taiwan. Retrieved from https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=269&pid=8084】