從重大醫療疏失新聞報導探討國內消費意識

A Study of Public Consciousness of Consumers’ Rights from Newspaper Reporting on Medical Malpractice

周孟瑾(Mon-jing Chou)

指導教授 ： 陳九五

高雄醫學大學/健康科學院/行為科學研究所/碩士(2007年)

https://doi.org/10.6832/KMU.2007.00057

摘要

本研究試著從消基會關注的年度重大醫療消費事件，在新聞發展過程中，報紙平面媒體相關新聞、特稿、社論對事件的追蹤報導及版面的呈現，探討新聞文本中消費者權利意識的表達，以便了解台灣醫療環境的消費者意識呈現情形。並依研究需要採內容分析法，以客觀、系統、量化，並兼具質化檢驗的方式來分析報紙的新聞報導。本研究選取榮總醫院事件、北城醫院事件和仁愛醫院事件為研究比較對象，經分析後結果如下:

一、本研究所觀察的三起事件，報導出現在「焦點／頭條／要聞」版的比例都最高，顯示其受到新聞媒體高度重視。
二、三個事件在事件報導的性質部分，都以「純新聞」出現的性質最多，顯示媒體報導事件的主要工作就是呈現事實。
三、個事件所著重的主題比例最高的都是「事件成因及解決」，顯示媒體在醫療糾紛事件發生之後的關注焦點在事件的肇因，並且注重能夠能提供或建議相關的解決方式之報導。
四、在報導向度上，三起事件的新聞報導大都偏向陳述事實。在其他向度方面也會關注，只是比例不高。
五、在消費者權利意識報導，研究發現:(一)在榮總醫院事件中報導以請求賠償的權利、知道正確資訊的權利及健康環境的權利最多。北城醫院事件以請求安全的權利權利、健康環境的權利及請求賠償的權利最多。仁愛醫院事件的報導以基本需求的權利意識、健康環境的權利及知道正確資訊的權利最多。(二)在本研究的三起醫療事件，決定選擇權利甚少被報導，極待醫療體系重視此問題。請求賠償權利的報導歷年來已大幅減少，可能意味請求賠償已然是一種消費大眾的共識，不需要再作多幅的報導。(三)研究中發現以三事件整體計算，請求健康環境權利呈現最多報導。

關鍵字

消費 ； 消費者主義 ； 醫療疏失 ； 內容分析

並列摘要

This study focus on the annual medical malpractice that Consumers’ Foundation has been most concerned about. Through the event-related news, boilerplate and editorials on the newspaper and their layout, this study explores the expression of consumers’ rights during the developing process of the media, in order to understand the public consciousness of consumers’ right about the medical environment in Taiwan. Accordingly, this study adopts the method of content analysis to analyze the news reporting on the newspaper in the objective, systematical, and both quantitative and qualitative way. This study selects three medical disputes—the disputes of Veterans General Hospital, Bei-Chien Hospital and Ren-Ai Hospital. The result is as follows:

I. The result of this study reveals that “Focus/Headline/Important News” has
the highest ratio, representing that the three events received most attention
from the media.
II. As to the quality of the news reporting about the three events, “straight news” has the highest ratio, revealing that the major task of the media is to present the fact.
III. As the reporting topic of the three events, “the cause and solution of the event” has the highest ratio, revealing that the media focused on the cause of the medical disputes and also emphasized the reporting that providing or suggesting the relative solution after the disputes took place.
IV. About the dimension of the news reporting, the reporting of the three events tends to present the fact. The reporting also paid attention to other dimension, although they have low ratio.
V. About the reporting of consumers’ rights, the study found: a. in the reporting of the Veterans General Hospital, it is the right to redress, to be informed and to a healthy environment that has the highest ratio. Whereas, it is the right to safety, to a healthy environment and to redress that has the highest ratio in the reporting of the Bei-Chien Hospital event. As to the event of Ren-Ai Hospital, it is the right to basic needs, to a healthy environment and to be informed has the highest ratio in the reporting; b. In the three medical disputes, the right to choose was seldom reported, so it extremely needs our medical system to pay attention to; c. To sum up, the right to a healthy environment has the highest ratio in the reporting of the three events.

並列關鍵字

consumption ； consumerism ； medical malpractice ； content analysis

參考文獻

<中文部分>

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