召開家庭會議改善醫病溝通

Promoting Communication in Health Care through Family Meeting

黃露萩(Lu-Chiu Huang) ； 郭俐蘭(Li-Lan Kuo) ； 鄒淑萍(Shu-Ping Chou) ； 陳淑暖(Shu -Nuen Chen) ； 蔡惠華(Hui-Hua Tsai) ； 楊式辰(Shih-Chen Yang) ； 劉翠瑤(Tsui- Yao Liu) ； 馮容莊(Rung-Chuang Feng)

《北市醫學雜誌》 15卷4期 (2018/12) Pp. 91-103

https://doi.org/10.6200/TCMJ.201812_15(4).0011

摘要

家庭溝通會議是醫療團隊與病人或家屬溝通最有效方式，透過建立良好之醫病關係，共同參與以達治療照護的共識與決策。本院於104年4月落實推動醫病溝通與參與決策的策略，透過政策制定流程再造、教育訓練分享學習、硬體設備及標準作業規範的建置、更開辦擬真教學教案分享會、家庭溝通經驗分享會，高階主管以走動式管理方式臨床指導臨床同仁啟動及召開會議之準備與技巧等，以培育全人醫療照護能力及建立關懷文化，以同理心為主軸帶入醫療團隊各職類教育訓練，讓照護團隊具備更多的能量，落實於家庭溝通會議的推動，為世界首見將家庭溝通會議列為住院常規作業。在跨團隊合作機制及經驗交流學習，提升團隊合作意識及追求卓越的學習，重新發現、理解及反思醫學，提供以病人為中心個別化的照護，以提升醫療照護品質及滿意度。期許透過北市聯合醫院在推動家庭溝通會議之經驗，提供台灣醫療界在臨床實務推動上之參考。

關鍵字

醫病溝通 ； 家庭溝通會議

並列摘要

Family meeting is the most efficient way for liking the medical team, patient, and family for establishing a good relationship to reach shared-decision and consensus in treatment and care. We have been implementing the shared-decision policy since April 2015. Through the policy development process, education and shared-learning, establishment of hardware and standard operating practices, sharing of simulation teaching and experience of family communication, walk-through management approach of senior administrators, etc, we have formulated the family meeting as a routine operation for hospitalization. Also, we improve the care quality and satisfaction through cross-team cooperation mechanisms and experience exchange, rediscovery, understanding and reflection of medical knowledge, and provision of patient-centered individual care. Through the sharing of our experience, we anticipate this article to be referred for practical promotion of family meeting.

並列關鍵字

physician-patient communication ； family meeting