由台灣民眾的就醫經驗探討病患如何減低不確定感

Reducing Patient Uncertainty by Addressing Patient/Physician Relationships from the Patient’s Perspective in Taiwan

葉蓉慧(Becky J. H. YEH) ； 連吉時(Gi-Shih LIEN)

《傳播與社會學刊》 17期 (2011/07) Pp. 61-85

https://doi.org/10.30180/CS.201107_(17).0005

摘要

本文藉由分析病患與家屬的意見反映以及就醫經驗，試圖勾勒出台灣民眾在醫病關係中表達與減低不確定感的方式。研究以檢閱病患或就診者向醫院意見反映電話與信件的紀錄，以及深入訪談15位病患或病患家屬，來勾勒台灣民眾與病患如何在醫病關係中減低不確定感及焦慮。研究發現：民眾與病患會以問問題、要求各種檢查、向醫生抱怨病痛表達不確定感及焦慮。病患與民眾也期待能由醫生說明病況，告知醫療進度，採取積極的醫療作為，來紓解病患的焦慮與不確定感。文中也討論提升民眾醫療素養，對於醫病關係的重要性。

關鍵字

醫病關係 ； 降低不確定感 ； 焦慮 ； 台灣社會

並列摘要

Patient/physician relations in Taiwan are greatly influenced by traditional Chinese, contemporary western, and colonial medical systems, as well as by sociocultural perceptions of health and illness. This study analyzed letters of complaint and encouragement and the medical experiences of hospital visitors, patients, and primary care givers to understand (1) how patients express their uncertainties when encountered with physicians, and (2) what actions or procedures can substantially reduce the uncertainties of patients and their families. One thousand nine hundred and forty-one letters and 14 in-depth interviews are analyzed. Finally, the importance of medical literacy is discussed under the framework of Taiwanese physician/patient relations. Through these letters and interviews, Taiwanese patients expressed their uncertainties by asking questions of their physicians, requesting various health checks, and complaining about their health problems to medical staff in a repetitive manner. Patients expect their physicians to notice or reduce their uncertainties by answering questions, sharing medical plans or medical knowledge, and intervening positively and energetically with medical action.

並列關鍵字

physician/patient relations ； uncertainty reduction ； Taiwanese society