New Communication Model in Medical Dispute Resolution in Japan
New Communication Model in Medical Dispute Resolution in Japan
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发表时间：
2013
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通讯作者：
Toshimi Nakanishi
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作者：
Toshimi Nakanishi
和田和中西提出的促进对话的医疗纠纷内部调解模式（医疗调解）是一种使用重新定义的调解技能的医疗冲突管理方法。医疗调解试图最大限度地减少情绪敌对冲突并改善不太令人满意的解决方案，例如在诉讼中，问题受到严格限制，而各方的重要需求（例如真诚的情绪反应）被忽视。相反，它试图合作、灵活地解决医疗不良事件后患者和医疗提供者之间提出的问题。我们的内部医疗调解模式以社会建构主义为理论基础，解构了广泛流传的正统调解模式的概念和思想，采用注重当事人情绪、感受、观点和隐藏的隐形利益转变的叙事方式。该模型符合医疗冲突管理的理念，是基于患者和医疗提供者之间的对话而开发的。
The dialogue-facilitative in-house mediation model for medical disputes (medical mediation) that Wada and Nakanishi have proposed is a medical conflict management method that uses redefined mediation skills. Medical mediation attempts to minimize emotional hostile conflict and improve less-satisfactory resolutions, like in litigations in which issues are narrowly limited and important need of parties like sincere emotional response is ignored. Instead it attempts to cooperatively and flexibly resolve issues that are raised between patients and medical providers following a medical adverse event. Based theoretically on social constructionism our in-house medical mediation model deconstructed concepts and ideas of widely spread orthodox mediation model, adopting a narrative approach which focuses on transformation of parties' emotions, feelings, perspectives and hidden invisible interest. This model fits the philosophy of medical conflict management and has been developed based on dialogue between patients and medical providers.