個資「難詢」：急診社工尋人的「超級任務」

The Difficulties and Challenges of Emergency Social Work under the Personal Information Protection Act

陳虹彣 ； 廖羲鳳 ； 沈祐伃

《社會工作實務與研究學刊》 1期 (2014/12) Pp. 1+3+5-17

https://doi.org/10.6690/JSWPR.2014.1.1

摘要

社會工作在醫院急診室提供各種服務已有悠久歷史，向來是為緊急醫療需求的病人提供迅速服務。然而，隨著社會變遷，急診社工的角色自早期主要以處理路倒病人、醫療補助和出院安排的型態，逐漸發展到舉凡獨居長輩、家庭暴力或性侵受害者、兒童及老人虐待保護個案、自殺、藥酒癮、精神病人、遊民、到院前死亡者，以及重大意外事件病人等特殊個案等，乃至於一般急診病人皆是急診社工服務的對象。進入急診尋求醫療協助的病人，當無家屬陪伴且身份不詳時，醫護人員會立即照會社工「協尋家屬」，以利接續之後的醫療處置流程。不過由於近年來家庭型態日趨複雜，成員彼此關係疏離，再加上2012年10月1日《個人資料保護法》正式上路，導致急診社工在協尋家屬的過程中遭遇更多困難。因此，本研究旨在瞭解臺大醫院急診社工對無家屬病人的服務現況，進一步分析社工室所服務的急診無家屬病人處遇個案內容，以及在服務輸送的過程中所面臨的困境與挑戰。有別於傳統研究圍繞著服務對象的視角出發，本文將以社工主體的介入過程作為考察焦點，並期待提出具實務貢獻的具體建議。

關鍵字

醫務社會工作 ； 急診社會工作 ； 家屬協尋

並列摘要

It has been a long period since social workers first provided various immediate services for patients in need of urgent medical treatments in emergency rooms. However, as the society evolves, the role of ER social workers has shifted from helping with unidentified patients, medical subsidies and discharge arrangement to handling miscellaneous cases such as senior citizens living alone, family violence, sexually abused victims, children and senior citizens abuse, suicide, drug and alcohol addiction, mental illness, homelessness, Dead on Arrival (DOA) and severe accidents; Moreover, ordinary ER visits are also included in the scope of ER social workers' services. When unaccompanied and unidentified patients seek medical treatments in ER, hospital staff will contact social workers in no time to find their family members for the follow-up medical procedure. However, ER social workers have bumped into more difficulties to locate patient's family members due to family alienation developed by the change of family mode in recent years and the Personal Information Protection Act enforced on October 1st, 20. In light of this, this study aims to understand the service provided by ER social workers in National Taiwan University Hospital (NTUH) in the case of unaccompanied patients, to analyze the intervention made by the Social Work Office in NTUH and the obstacles and challenges faced in these processes. Unlike the perspective of previous research which focused on service receivers, this study emphasizes on the intervention made by social workers and social work organization as a whole in the hope of providing specific suggestions to make contribution to hospital practice.

並列關鍵字

medical social work ； ER social work ； finding family member

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