社会工作视角下医疗纠纷第三方调解研究

发布时间：2018-04-19 08:06

本文选题：医务社会工作 + 医疗纠纷　；参考：《山西医科大学》2017年硕士论文

【摘要】：随着社会的发展,人们对医疗卫生的需求趋向多元化,由此推动一元化的医学治疗模式逐渐向“生理—心理—社会”医学模式转变。患者在诊疗过程中不仅需要生理方面的治愈,更需要在心理,社会方面得到人性化的关怀。与此同时,医护人员由于承担繁忙的临床工作从而在一定程度上缺乏对患者的人文关怀、医患之间的信息不对等、医患之间沟通的不到位等原因导致近年来医疗纠纷呈不断上升趋势,严重伤害和谐医患关系的建立、损害医疗卫生事业在老百姓心中的形象,甚至影响社会的和谐与稳定。医疗纠纷的不断发生以及如何预防与调解,已然成为如今社会的一个重要课题。本文拟对我国医疗纠纷及医疗纠纷调解的现状及原因、医疗纠纷第三方调解的发展及困境进行分析;对社会工作的价值理念及实务特点进行探讨,结合实务案例分析,对社会工作视角下医疗纠纷第三方调解研究,为我国社会工作的发展及医疗纠纷的预防和调解提供有益的参考和建议。本研究主要采用理论研究与实践研究相结合。实践研究部分主要通过参与式观察、行动研究及访谈的方法收集第一手资料,笔者通过深入医疗机构和第三方调解组织实习获取第一手真实资料,附以个案访谈,实地观察,参与调解,发现问题,提出对策建议。同时结合文献研究法,厘清概念,夯实理论基础,对医务社会工作及医疗纠纷第三方调解的相关文献的整理并分析,从而从理论上对相关问题进行探讨。本研究主要从下面五个部分对所要研究的问题进行探讨分析第一部分:主要介绍了论文的选题背景与选题意义,研究问题的提出,整理相关文献,提出论文的研究思路和研究方法。并对其理论基础和相关概念进行界定。第二部分:医疗纠纷现状及原因分析,并对医疗纠纷现有解决机制分析。第三部分:首先分析医疗纠纷第三方调解机制的现状,并对其困境加以分析。第四部分:首先阐述医务社会工作在我国的发展现状,并分析医务社工对医疗纠纷的预防与调解有什么优势和不足,结合具体案例分析。第五部分:主要是对本研究的结论进行总结,反思本研究存在的不足,为进一步的研究提供参考。通过综合分析研究,本文认为医疗纠纷的频繁发生严重影响正常的医疗秩序,阻碍医患关系的和谐发展,破坏社会的和谐与稳定。兼具社会工作专业沟通技能和医学素养的医务社工可以在医患关系中起到桥梁的作用,有效预防和调解医患纠纷。
[Abstract]:With the development of society, people's demand for medical and health care tends to be diversified, thus promoting the transformation of the unified medical treatment model to the "physiological-psychological-social" medical model.In the process of diagnosis and treatment, patients need not only physical healing, but also psychological and social care.At the same time, due to their busy clinical work, medical personnel lack humanistic care for patients to a certain extent, and the information between doctors and patients is not equal.The lack of communication between doctors and patients leads to a rising trend of medical disputes in recent years, which seriously damages the establishment of harmonious doctor-patient relationship, damages the image of medical and health undertakings in the hearts of the common people, and even affects the harmony and stability of the society.The continuous occurrence of medical disputes and how to prevent and mediate has become an important topic in the society.This paper analyzes the current situation and causes of medical disputes and mediation of medical disputes, the development and predicament of third-party mediation of medical disputes, discusses the value concept and practical characteristics of social work, and analyzes the practical cases.The research on the third party mediation of medical disputes from the perspective of social work provides useful references and suggestions for the development of social work and the prevention and mediation of medical disputes in China.This research mainly uses the theory research and the practice research unifies.The part of practical research mainly collects first-hand information by means of participatory observation, action research and interview. The author obtains first-hand and true information by going deep into medical institutions and third-party mediation organizations, with case interviews and field observation.Participate in mediation, find problems, and propose countermeasures.At the same time, combined with the literature research method, clarify the concept, consolidate the theoretical basis, medical social work and third party mediation of medical disputes related literature collation and analysis, so as to theoretically discuss the relevant issues.The first part mainly introduces the background and significance of the selected topic, puts forward the research questions, arranges the relevant documents.The research ideas and methods of the thesis are put forward.And its theoretical basis and related concepts are defined.The second part: the status quo and causes of medical disputes, and the existing medical dispute resolution mechanism analysis.The third part: firstly, it analyzes the current situation of the third-party mediation mechanism of medical disputes, and analyzes its predicament.The fourth part: firstly, it expounds the development of medical social work in China, and analyzes the advantages and disadvantages of medical social workers in the prevention and mediation of medical disputes, combined with a specific case study.The fifth part is to summarize the conclusions of this study, reflect on the shortcomings of this study, and provide a reference for further research.Through comprehensive analysis and research, this paper holds that the frequent occurrence of medical disputes seriously affects the normal medical order, hinders the harmonious development of the doctor-patient relationship, and destroys the harmony and stability of the society.Medical social workers with social work professional communication skills and medical literacy can play a bridge role in the doctor-patient relationship and effectively prevent and mediate doctor-patient disputes.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916

【参考文献】