醫師與病人對診間醫病關係之感知差距的探討－以多元文化為觀點
陳偉權1,2 張志宏1 陳建旭1 劉文欽1 楊儀華1
天主教聖功醫院1 泌尿外科
高雄師範大學 成人教育研究所2
Exploration of perception gap of doctor-patient relationship at out-patient department from perspective of multiculturism: exemplified by a kaohsiung city teaching hopital
Wei-Chuan Chen,1,2 , Chih-Hung Chang1, Jian Shiu Chen1, Wen-Chin Liou1, Yi-Hua Yang1
1Division of Urology Department of Surgery St. Joseph Hospital, Kaohsiung;
2National Kaohsiung Normal University Graduate Institute of Adult Education
Taiwan
Purpose: For a deeper understanding of the relationship between doctors and patients from perspective of multiculturism, the present study attempted to explore the medical sociology of outpatient doctor-patient relationship perception gap. This study, different from the past literature which was based on theory of management, explored the relationship between doctors and patients through the perspective of multiculturism to look for another direction in thinking of the doctor-patient relationship.
Materials and Methods: Researchers used quantitative survey and qualitative interview to enhance the validity of the study. Constructive questionnaire formula contained five domains of subjectivity, power/knowledge, responsibility ethic, care ethic and multiculturism literacy. Qualitative interview study included interviews with 11 outpatients and four representatives of the different levels of senior hospital doctors.
Results：The study shows that except for "Care" facets, quantitative and qualitative studies gave similar results, namely, physicians and patients had a perception gap between the doctor-patient relationship and the physician showed a higher degree of perception. But the qualitative study shows that the statement of the physicians was mostly assumption instead of reality, and patients were mostly in expectation. Multiculturism literacy played a key role in both quantitative and qualitative research results.
Conclusion: additional to construction of the hardware architecture in a friendly medical environment, in order to establish a good doctor-patient relationship, the transfer of medical expertise should be enhanced by noticing the role of multicultural realities and trends, and then thinking of development of doctor-patient relationship in the perspective of multicultural orientation, to obtain physicians’ reflection and patient’s empowerment. This topic is worthy of medical educators’ thought.