同志友善醫療：醫護人員觀點與實作經驗

Homosexual-friendly practice of medicine: From hands-on experiences of medical personnel's viewpoint

胡馨方(Hsin-Fang Hu)

指導教授 ： 楊幸真

高雄醫學大學/人文社會科學院/性別研究所碩士班/碩士(2015年)

https://doi.org/10.6832/KMU.2015.00133

摘要

本研究從醫護人員視角出發探究同志友善醫療，目的是希望剝去同志醫療使用者對於醫護人員的誤解與排斥。探究醫護人員在臨床實務中對於同志醫療的觀點與經驗。運用質性研究中深度訪談之研究方法，去分析、澄清原先醫護人員言行舉止背後的動機。研究發現公平待遇中的差別待遇，是呈現不友善醫療現場確實存在。然而醫護人員在實務上的困境與心聲同時也需要納入考量，並且醫病卅醫用之間都需要互相給予同理心與角色置換去跳脫自身處境，透過理解對方的困境與樣貌，一同增進友善的醫療氛圍。
　　建置同志友善醫療是許多同志的渴求，也是本研究的期望。從醫護人員訪談中得知提供醫療服務者各自有不同傳遞友善的方式，而本研究中最重要發現處在於，同志友善醫療除了提供專業友善之外必需合併積極友善。而積極友善指的是強化零排斥、零歧視、零恐懼三零友善的醫療現場。最後，不對等的醫療使用權如何平等。以及身為醫護人員，對於醫療知識與疾病的導因應具有精確的認識，避免將疾病標籤化與污名化。本研究期望同志友善醫療，醫病之間能夠建立在理解的基礎上，醫護人員能夠對於同志朋友提供積極友善所建議，讓同志病友不再因為擔心醫療現場而忽視自身之健康需求。

關鍵字

積極友善 ； 理解 ； 同志 ； 醫病卅醫用關係 ； 零恐懼

並列摘要

This research is to explore how medical staffs see a homosexual-friendly practice of medicine environment, and its purpose is to eliminate homosexual patients' misunderstanding and rejection to the medical crew. In addition, investigate the medical personnel point of view and experiences in clinical practice for LGBT patients. By qualitative research, this study analyze and clarify the original motives of medical staff's behavior through insight interviews. The results show the discrimination do exist at some unfriendly medical scenes. However, it has to take practical difficulties and the voice inside medical personnels into account. Doctor-patient relationship needs to understand each other's predicaments by role switching and mutual empathy, a more friendly medical environment will be built together.
　　Establish homosexual-friendly practice of medicine is eagerly anticipated in homosexual people, also an expectation of this research. Given from different medical personnel's interviews, each medical service provider has their way to deliver friendliness. The most important finding in this research is that in addition to offer professions and friendliness, it also has to be "enthusiastically friendly" in homosexual-friendly practice of medicine. Enthusiastically friendly here means zero-rejection, zero-discrimination, and zero-fear medical scene. And last but not least balance unequal medical rights. Medical knowledge and the cause of illness must be thoroughly known by all medical personnel’s to avoid the discrimination of certain diseases. This research expects a more homosexual-friendly practice of medicine, doctor-patient relationship could be built on the basis of mutually understanding, and offer an enthusiastically friendly environment for homosexual that no longer has to overlook their health needs because of the medical scenes.

並列關鍵字

enthusiastically friendly ； understanding ； homosexua ； doctor/patient relationshipz ； ero-fear.

參考文獻

參考文獻

刁筱華（譯）（2000）。疾病的隱喻。（原作者：S. sontag）。台北：大田。

王淑芳（2014）。醫療場域之性別意識檢視。醫療品質雜誌，8(4)，82-86。

王紫菡（2013）。原生理女性女同志就醫經驗（未出版之碩士論文）。高雄醫學大學，高雄市。

王璟雲（2005）。疑「山窮水盡」盼「柳暗花明」---探討精神科專科醫院女性護理長之職場性別經驗（未出版之碩士論文）。樹德科技大學，高雄市。