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博碩士論文 etd-0703106-120625 詳細資訊
Title page for etd-0703106-120625
論文名稱
Title
資訊社會之醫病關係管理之研究
A Study of Physician-Patient Relationship Management in the Information Society
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
76
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2006-06-16
繳交日期
Date of Submission
2006-07-03
關鍵字
Keywords
資訊社會、醫病關係、消費主義意識、醫病關係管理、自主意識
Information Society, Physician-Patient Rrelationship, Physician-Patient Relationship Management, Consumerist Consciousness, Autonomous Consciousness
統計
Statistics
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中文摘要
近代社會,由於政治上權威主義之解體及民主平等思潮之興起,以及資訊發達與醫學知識普及,使得病患自主意識與消費主義意識抬頭。在此資訊社會中,網際網路的無遠弗屆與帶來大量的資訊,協助一般民眾得以主動地充實自身的醫療專業知識,且可與他人作線上討論及互相支援。這些改變將使得醫病關係從傳統專業領導的互動轉變為不同型態的互動,而使得醫師與病患關係脫離昔日的社會階級體系。醫學知識已不再是醫師所能壟斷與專享,而演化成數種醫病關係型態。
因此,當資訊化全面衝擊醫界之際,為因應醫療領域未來的發展與變化,協助醫學生與執業者在快速變遷的媒體資訊時代,不斷自我學習新知識與新技術、掌握並開創合適的溝通能力,以奠立合適的未來醫者角色,因而引發了個人以深度訪談的質性研究方法,針對醫師「應具有哪些職能」來有效經營「資訊社會之醫病關係管理」之機制,作一深入研討之動機。希望經由本研究之文獻探討及深度訪談,整理出資訊社會之醫病雙方調適彼此之醫病關係型態之道 ,且讓醫師們了解到提升其醫病關係管理功效,才能在和諧的醫病關係下,創造雙贏的結果。
Abstract
In the contemporary society, with the disintegration of political authoritarianism and the rise of democratic equality thoughts, as well as the flourishing information and popularity of medical knowledge, patients’ autonomous consciousness and consumerist consciousness thus arise. In this information society, the boundless Internet brings a huge amount of information, and enables the general public to actively enrich themselves with professional medical knowledge, to have a online discussion with others, or to provide online support to each other. Such moves will transform the physician-patient relationship from the traditional “professional led” interaction to different types of interaction, and hence the relationship between a physician and a patient generally deviates from the social hierarchy system in the past. Medical knowledge is no longer something that the physician can monopolize and enjoy exclusively. Accordingly, several types of physician-patient relationship have been developed.
While the information revolution is generally striking the medical profession, in response to the future development and change in the medical field, some assistance should be given to medical students and practitioners to continuously learn new knowledge and new technology, as well as grasp and develop proper communication ability in this rapidly changing information age to build a solid foundation for their future role as a physician. Therefore, it leads to the author’s query about “what competence should a physician possess” to effectively manage the “new physician-patient relationship management in the information society” mechanism, which becomes the motivation of making an in-depth study. It is hoped that the literature review and the in-depth interview in this study could help find out the way that physicians and patients “adjust” to each others in these new types of physician-patient relationship in the information society. Moreover, physicians have to understand that only by improving the effect of their physician-patient relationship management can they create a win-win result under a harmonious physician-patient relationship.
目次 Table of Contents
目 錄
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與範圍 3
第三節 論文架構 4
第二章 文獻探討 5
第一節 傳統醫病關係型態 5
第二節 資訊社會之特色與一般民眾醫學資訊之改變 7
第三節 資訊社會之醫病關係型態 14
第四節 資訊社會之醫病關係管理 16
第三章 研究方法 25
第一節 研究設計與流程 25
第二節 資料蒐集方式 28
第三節 個案選擇與深度訪談對象 29
第四章 資料分析與討論 30
第一節「醫病合作」關係之實證研究分析30
第二節「 醫療消費」主義之實證研究分析 32
第三節「醫用」關係之實證研究分析 34
第四節 資訊社會之醫病雙方應「如何調適」彼此之醫病關係型態之實證研究分析 36
第五節 醫師「應具有哪些職能」來有效經營「資訊社會之醫病關係管理」之實證研究分析 40
第五章 結論與建議 44
第一節 研究發現與貢獻 44
第二節 研究限制 47
第三節 研究建議 48
參考文獻 51
中文文獻 51
英文文獻 52
參考網站 54
附錄 55
附錄一 個案之醫藥師訪談紀錄 55
附錄二 個案之一般民眾訪談紀錄 61
參考文獻 References
參考文獻
中文文獻
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醫學中心為例,中山大學資訊管理研究所碩士論文。
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31(11),5-18。

英文文獻
1. Barton, A. J. (2005). Cultivating informatics competencies in a community of practice. Nursing Administration Quarterly, 29(4), 323-328.
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3. Cheung, P. P. Y., & Yam, B. M. C. (2005). Patient autonomy in physical restraint. Journal of Clinical Nursing, 14, 34-40.
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5. Dailey, R. K., Neale, A. V., Northrup, J., West, P., & Schwartz, K. L. (2003). Herbal product use and menopause symptom relief in primary care patients: A MetroNet study. Journal of Women's Health, 12(7), 633.
6. Donadio, G. (2005). Improving healthcare delivery with the transformational whole person care model. Holistic Nursing Practice, 19(2), 74-77.
7. Evans, M. G., & Kalra, D. (2005). Healthcare computer systems--global approaches. Lancet, 365(9453), 10-11.
8. Fox, N. J., Ward, K. J., & O'rourke, A. J. (2005). The `expert patient': Empowerment or medical dominance? the case of weight loss, pharmaceutical drugs and the internet. Social Science & Medicine, 60(6), 1299-1309.
9. Lewis, S. D., Johnson, V. R., Farris, R. P., & Will, J. C. (2004). Using success stories to share knowledge and lessons learned in health promotion. Journal of Women's Health, 13(5), 616-624.
10. Lorencet, D. P., & Spink, A. (2004). Semantics and the medical web: A review of barriers and breakthroughs in effective healthcare query. Health Information & Libraries Journal, 21(2), 109-116.
11. Meyers, C. (2004). Cruel choices: Autonomy and critical care decision-making. Bioethics, 18(2), 104-119.
12. Moody, L. E. (2005). E-health web portals delivering holistic healthcare and making home the point of care. Holistic Nursing Practice, 19(4), 156-160.
13. Newbold, S. K. (2004). New uses for wireless technology. Nurse Practitioner, 29(4), 45-46.
14. Rankin, J. M. (2003). ‘Patient satisfaction’: Knowledge for ruling hospital reform — an institutional ethnography. Nursing Inquiry, 10(1), 57-65.
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18. Wagner, E. H., Bennett, S. M., Austin, B. T., Greene, S. M., Schaefer, J. K., & Vonkorff, M. (2005). Finding common ground: Patient-centeredness and evidence-based chronic illness care. The Journal of Alternative & Complementary Medicine, 11, Supplement 1, pp. S-7__S-15.

參考網站
1. http://www.uhealthy.com/chinese/taiwan.htm (UHealthy健康醫療網,2005)
2. http://www.webhospital.org.tw/chinese_medicine/
(KingNet 國家網路醫院所推出的便民「健康資訊」與「醫療服務」、 「國家網路藥典」網站,2005)
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