從整形外科醫療爭議女性患者特性探討醫病溝通之應用

蔡豐州; 廖俊凱; 蔡尚達; 李明濱; 孫雷銘; 呂淑妤

doi:10.6145/jme.201006_14(2).0004

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P115 - 121

Health & Medical Care > Medical Sciences
Social Sciences > Education

DOI： 10.6145/jme

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從整形外科醫療爭議女性患者特性探討醫病溝通之應用

Characteristics of Female Plastic Surgery Patients with Medical Disputes: Implications for Physician-Patient Communication

蔡豐州(Feng-Chou Tsai) ；廖俊凱(Chuh-Kai Liao) ；蔡尚達(Shang-Ta Tsai) ；李明濱(Ming-Been Lee) ；孫雷銘(Lei-Ming Sun) ；呂淑妤(Shu-Yu Lyu)

醫學教育； 14卷2期 (2010 / 06 / 01) ， P115 - 121

繁體中文 DOI： 10.6145/jme.201006_14(2).0004

醫療爭議；整形外科；醫病溝通； medical dispute ； plastic surgery ； physician-patient communication

Abstract │ Reference (15) │ Altmetrics

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Objectives: We investigated the characteristics of plastic surgery female patients with medical disputes. This study aims to enhance physician-patient communication and identify any implications that affect clinical practice. Methods: The target population consists of all female patients receiving cosmetic surgery who had medical disputes from a Taipei City District Hospital. The information was collected from January 2002 to December 2006 using medical chart records. Descriptive data was used to analyze the patients' characteristics. Results: A total of 1735 female patients received cosmetic surgery at the chosen hospital and among these individuals, thirteen patients had a medical dispute and four patients (26.7%) sued their plastic surgeon. Of the thirteen patients involved in a medical dispute, 61.5% were divorced; 76.9% received the operations under general anesthesia; 6.5% had a hi story of psychiatric clinic visits; 53.8% had junior college education or above; 46.2% had heard about their doctor before seeking the operation; 38.5% had borrowed money to pay for their surgery; 26.7% had received at least three previous cosmetic operation experiences and 15.3% had a history of medical dispute. Medical disputes showed a decreasing trend from 2002 to 2006. Conclusions: The incidence of medical dispute and litigation during the study period were 0.74% and 0.23%, respectively. Our study revealed that we should take the patient's characteristics into consideration in order to enhance preoperative communication with their health care provider.

Reference ( 15 ) 〈TOP〉

Liao, S.C.、Lee, M.B.、Hsieh, B.S.(2005)。Medical service satisfaction and the physician-patient relationship: A national survey via computer-assisted telephone interviews。J Med Educ，9，149-161。
連結：
Liao, S.C.、Lee, M.B.、Lee, Y.J.(2005)。Association between quality of informed consent and preoperation ambivalence。J Med Educ，9，80-90。
連結：
Campaign 92: Transcript for the First Presidential Debate. The Washington Post. Oct 12th, 1992, p. A16
Chi, Y.C.、Chi, L.L.、Wu, C.L.(2006)。Medical ethics and the doctor-patient relationship。Taipei City Med J，3，1-11。
Feldman, E.A.(2009).Why patients sue doctors: The Japanese experience.J Law Med Ethics,792-799.

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