| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學系 === 94 === The purposes of this study were as the following: to investigate the knowledge of and the attitude toward medical dispute administration mediation of physicians in charge of hospitals and clinics and their experiences through a questionnaire survey; secondary data analyses of the medical dispute mediation records of Taipei city government; the legal economical analyses of judicial proceedings and alternative dispute resolutions. The materials of this research came from four sources: the questionnaire survey, the medical dispute mediation files of the health bureau of Taipei City Government, the judicial decision database of Judicial Yuan of the Republic of China, and the expert opinions extracted by the nominal group technique.
The result indicated that 41.56% of the in charge physicians have ever encountered medical disputes in the past; 90.96% of the responding physicians have a good understanding of medical dispute administration mediation and only 3.2% of them have negative attitudes toward administration mediation. The physicians’ gender will influence knowledge. The physicians’ age, knowledge of administration mediation, medical dispute experiences will influence their attitude toward administration mediation. 889 disputed cases have been reported to the health bureau from 2001 to 2005. Internists, obstetricians/gynecologists, general surgeons and orthopedic surgeons account for most of these disputes, and the most important reason causing disputes is clinical practice related, 62.9%. However, of the 889, only 18.7% filed for mediation, and the monetary amounts of settlements range from 0 to 1,150,000 new Taiwan dollars.
As to the legal economical analyses, when we compared non-administration mediation with lawsuit, both physicians and patients would prefer mediation from the perspective of expectation value. On the other hand, when the comparison is between administration mediation and lawsuit, physicians would prefer administration mediation, whereas patients would prefer lawsuit.
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