以一受虐個案探討醫療團隊對外籍勞工遭受暴力或性侵害之處理原則

Case Study Outlining Medical Profession Initiatives to Resolve Cases of Foreign Workers' Sexual and Physical Abuse

蘇富雄(Fu-Hsiung Su) ； 張宏哲(Hong-Jer Chang) ； 宋怡瑩(Yi-Ying Sung) ； 宋楷元(Kai-Yang Sung)

《台灣家庭醫學雜誌》 15卷1期 (2005/03) Pp. 54-62

https://doi.org/10.7023/TJFM.200503.0054

摘要

一位28歲印尼女傭，前來醫院進行外勞例行性體檢，在初步身體檢查，個案雙手臂有多處新舊燙傷疤痕，嘴巴周圍有多處瘀青，脖子雙側也有新舊擦傷，經詢問個案才發現是暴力虐待事件。因台灣目前並無保護外勞的法源及作業程序可茲依循，體檢的醫護人員基於人道精神隨即啟動該院的家庭暴力暨性侵害防治流程，並委請勞工局會同警察單位至急診處受理此外勞家暴事件，使女傭與雇主隔離以保護受虐者。此個案在勞工局及社會福利機構與雇主協調下達成協議，讓外勞提前解約回國。
由此案例得知，醫護人員應有高度的警覺心和面談技巧來篩檢出受虐的外籍勞工。尤其是女性的外籍勞工受虐或性侵害事件的處理，有賴於團隊的合作，需要醫師與護士、社會工作人員、和牧靈人員的密切配合。並且，每個醫院都需要建立醫院內對受虐或性侵害外勞處理的流程和原則。政府相關機構也應本著維護基本人權的精神，積極訂定或修訂立法，將外勞的權益也納入法律保護的條文之內，交由執法機關執行，以達到公平、正義的原則。

並列摘要

A 28 years old female foreign worker from Indonesia came to the hospital for a routine medical check-up. She appeared quite scared. During the initial physical screening, several bruises around her mouth, burn marks on her arms, and abrasions on both sides of her neck were noted. After ascertaining more detailed information from the worker, a case of physical abuse was suspected. Unfortunately, due to no government provisions or laws to protect foreign workers in Taiwan, the medical staff had a dilemma on how to report the abuse. However, based on humanitarian principles, the involved personnel activated the hospital’s protocol of preventing family violence and sexual abuse for citizens. County police and the labor departments were contacted to help remove the patient from the employer to avoid further abuse. After negotiations with the employer, the county labor department and a non profit organization were successful in nullifying the patient's work contract and helped her return to Indonesia.
As observed from this case, the medical professionals should be on high alert to screen abused foreign workers. In particular, female foreign workers who have been physically or sexually abused require the well-coordinated efforts from medical staff, social workers and pastoral care workers. Additionally, every hospital should establish protocols and regulations in dealing with physically and/or sexually abused foreign workers. The responsible government agencies should, in the interest of protecting and maintaining fundamental human rights, either establish new or modify existing legislations to help protect the interests and rights of foreign workers. This approach will help to ensure future incidents are treated in a fair and just manner.

並列關鍵字

foreign labor ； physical abuse ； domestic violence ； sexual abuse