Fostering guardians for frontline medical disputes: a government-led medical dispute mediator training program in Taiwan

BMC Health Services Research

Research

Chih-Chia Wang¹  Yi-Chih Shiao²  Yueh-Ping Liu³  Wan-Ting Chen⁴  Chung-Liang Shih⁵  Yu-Ying Huang⁶  Wen-Wen Chen⁶ 

[1] Department of Family and Community Medicine, Tri-Service General Hospital and School of Medicine, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist., 114, Taipei City, Taiwan;Department of Family and Community Medicine, Tri-Service General Hospital and School of Medicine, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist., 114, Taipei City, Taiwan;College of Law, National Chengchi University, No.64, Sec.2, ZhiNan Rd., Wenshan District, 116, Taipei City, Taiwan;Department of Medical Affairs, Ministry of Health and Welfare, No. 488, Section 6, Zhongxiao E Rd, Nangang District, 115, Taipei City, Taiwan;Department of Psychiatry, Tri-Service General Hospital and School of Medicine, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist., 114, Taipei City, Taiwan;Ministry of Health and Welfare, No. 488, Section 6, Zhongxiao E Rd, Nangang District, 115, Taipei City, Taiwan;Taiwan Drug Relief Foundation, 10F., No. 22, Aiguo E. Rd., Zhongzheng Dist., 100, Taipei City, Taiwan;

关键词: Medical dispute;    Interdisciplinary;    Mediator training;    Government-led;   

DOI  :  10.1186/s12913-022-08909-z

 received in 2022-03-09, accepted in 2022-11-29,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundMediation is increasingly used for medical dispute resolution, and the particularity of such mediation necessitates specialized training. In response to the promotion of compulsory mediation ahead of a legislation in Taiwan, we invited experts with an interdisciplinary team to design a case-based mediator training workshop. Our study aimed to investigate the learning outcomes of trainees and analyze their perspectives.MethodsWe recruited 129 trainees of a non-probability convenience sample who served as mediators or have dealt with medical dispute-related cases to undergo 2.5 h of lectures (introduction; procedure; roles of two mediators; principles and techniques of mediation; dispute arrangement; and issue analysis) and 1.5 h of case-based exercises. An after-class survey was conducted using a 4-point Likert-type scale to evaluate trainees’ viewpoints and learning outcomes. A total of 104 questionnaires were collected (response rate: 80.6%).ResultsThe professions of the participants were medical (56%), law (16%), and administration and others (28%). Males considered the course more helpful (3.79 vs. 3.63, p = 0.053) and more important (3.88 vs. 3.74, p = 0.042) than did females. Participants with a legal background scored the highest in helpfulness (3.84), followed by medical (3.74) and administrative (3.63) professionals. Medical and administrative professionals scored the highest (3.85) and lowest (3.76), respectively, on importance. Respondents with more than 10 years (3.81) and less than 1 year (3.79) of experience produced higher scores in helpfulness. Respondents with 1–5 years of experience (3.68) were found to be less likely to agree with the practical importance of course content compared with other groups of trainees. Administrative professionals obtained the highest scores (89.68) in written examinations.ConclusionsThere are variations in mediators’ perspectives based on gender, occupation, and work experience. Our nationwide mediation training workshop can be utilized to cultivate capabilities of mediators for handling medical disputes to achieve the goal of non-litigation in medical disputes.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 4