Healthcare Provider and Patient Dispute: From Prevention to Restoration-the Neccessity of Communication and Caring

Abstract

This article is meant to discourse the idea and skill of communication and care that is fundamental to the prevention as to restoration from dispute between healthcare provider and patient (DHP). DHP can be separated into 3 steps of intervention, thus 1. internal hospital negotiation; 2. external hospital mediation from Bureau of Health, medial association, city government mediation committee or arbitration; 3. Court litigation or mediation. Then, we introduced the current models of these 3 steps in Taiwan and Internal Hospital Mediator (IHM) model known as Japanese style, a form of medical alternative dispute resolution (ADR). Different ability of communication and care can be used in different situations as self-mediation, onsite correspondence, and professional mediation. Finally, how IHM can be of use as intervention principle and methods to 7 scenarios of physician-patient relationship.