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題 名 | Investigation of the Emergency Physician and Patient's Family Relationships in the Workplace=急診醫師與急診病患及家屬關係之探討 |
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作 者 | 周志中; 陳永福; 蔡天賜; 阮祺文; 陳芳志; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 1:2 1999.08[民88.08] |
頁 次 | 頁133-140 |
分類號 | 419.47 |
關鍵詞 | 醫病關係; 急診醫師; 醫療糾紛; Physician-patient relationship; Emergency physician; Medical lawsuit; |
語 文 | 英文(English) |
中文摘要 | With the increasing number of the medical lawsuits in Taiwan, the physicians at the Emergency Department who work under the noisy, crowded, chaotic and stressful environment are often the vulnerable target. To survite the difficult situations, the emergency physicians have to maintain a high level of professional efficiency and provide a good quality of service that satisfies both patients and their families. A better physician-patient relationship (PPR) is a way to achieve the goal. To understand how the patients evaluate our emergency physicians' performance, we conducted a survey at the Emergency Department of Changhua Christian Hospital from October 21 to 26, 1996. A structured questionnaire was self-administered by 104 patients or family members regarding the waiting period from arrival and to the ward, the degree of patient's satisfaction on the physician's attitude toward explanation of clinical conditions, daily rounds, response time upon called at the observation unit, and patient's expectation. Although most of the patients were satisfied with the service they received, there were still 10-30% either not receiving or unsatisfied with the service. As for the daily ward rounds and the time waiting for admittance, what we do now is still better than patients' expectation in average. In order to improve the PPR and the service quality provided by the emergency physicians, we suggested that prompt attention upon arrival is necessary; proper ward rounds, clear explanation of clinical conditions and a prompt management over the patients upon request should be made; patients should not be kept waiting to the ward too long; the attitude of the medical workers is always important. |
英文摘要 | 眾所皆知,急診部門的忙亂、吵雜、壓力大、病人多、床位少、糾紛更多....。在如此惡劣的醫療環境下茍延殘存的急診醫師,如何在危急病人及家屬的殷切期盼下保持一定的醫療品質和減低醫療糾紛,而使醫病關係更和諧。在我們分析彰化基督教醫院急診醫學部85年10月21日到26日之急診病患及其家屬總共104例,我們依其待診時間、病情解釋態度滿意度、每日查房的次數、在急診觀察室中呼叫醫生來診視之時間長短、對醫生解釋臨床症狀內容滿意度、等待辦理住院之天數及可忍耐之等待天數做一系列分析和探討,在我們的結論下如親切的服務態度、詳細的病情解釋、較快的反應病患的主訴、多增加查房的次數、儘快處理病患愈快愈好、盡量勿要求病患轉院等,如能達到上述的幾項要求,醫病關係將能更有改善,急診的醫療救護品質將更能提升,而達到雙贏的境界。 |
本系統中英文摘要資訊取自各篇刊載內容。