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Mediation of Medical Treatment Disputes: A Therapeutic Justice Model

医疗纠纷调解：治疗正义模式

基本信息

批准号：
ES/W00089X/1
负责人：
Jaime Lindsey
金额：
$ 30.99万
依托单位：
University of Essex
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2022
资助国家：
英国
起止时间：
2022 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=ES%2FW00089X%2F1
关键词：
Mediation Medical Treatment Disputes Therapeutic

项目摘要

The core aim of this research is to understand whether and, if so, the extent to which, mediation can and should be viewed as a form of Therapeutic Justice in medical treatment disputes. My research will develop a model of Therapeutic Justice which will then be tested and refined through the collection and analysis of original empirical data.Mediation, which is a form of alternative dispute resolution, is generally more informal and flexible than court proceedings, but often takes place alongside or in parallel with court cases. Facilitative mediation, which is the type most commonly practised in this area, is meant to be a confidential process whereby a third party, independent person helps the parties to resolve part or all of the dispute themselves. The mediator facilitates the parties to reach agreement, rather than directing them in particular ways. This is because mainstream mediation theory suggests that it is beneficial for the parties themselves to guide the process, rather than an external third party. When discussing 'medical treatment disputes' I mean disagreements that arise between patients, health professionals, family members and others regarding the provision of health and care to the patient herself. Usually the patient will be an adult with impaired mental capacity or be a child below the age of 16, such that they are legally incapable of making their own decision about medical treatment, hence the involvement of healthcare professionals, family members and the courts. The disputes most commonly arise between family members of the patient and healthcare professionals, but in some cases may involve the patient herself. The research will consider whether there are any therapeutic, or healing, benefits of using non-court based methods of resolution, such as mediation, to resolve disputes that arise from healthcare contexts, as well as considering the ways in which mediation could become more therapeutic as an intervention. For example, through improved communication between parties, improved voice or participation in the process of dispute resolution and speed of resolution. This project builds on existing research on mediation and Therapeutic Justice to consider mediation's value in often challenging healthcare environments, while also considering that mediation comes with a number of risks which may make it is less than ideally therapeutic. For example, mediation can reflect or reinforce existing power imbalances between parties, it can limit the participation of the subject of proceedings and it may be seen as a cost saving, rather than therapeutic, exercise. As the use of mediation has not yet been tested through empirical research in the medical treatment disputes context, nor has a model of Therapeutic Justice been developed or applied to this field, this project seeks to test those claims empirically through qualitative analysis of mediation in medical treatment disputes.The PI and Project Consultants have all conducted research in relation to potentially vulnerable participants' experiences of the law and mediation. Further, we have researched the role of mediation in relation to the Court of Protection, judicial review and Special Educational Needs disputes. By carrying out this research now we expect to benefit potential users of mediation to resolve such disputes by identifying ways in which mediation can be used in therapeutic ways, while acknowledging the potential risks of mediation in this area. For example, we hypothesise that certain approaches to mediation (including, style and process), times at which to mediate and the participation of lay participants may all impact upon the extent to which therapeutic justice can be achieved. We will also consider whether there is anything specific to the healthcare environment that makes it particularly amenable to, or challenging for, the therapeutic benefits of mediation.

本研究的核心目的是了解是否，如果是的话，在何种程度上，调解可以和应该被视为一种形式的治疗正义的医疗纠纷。我的研究将开发一个治疗正义的模型，然后将通过收集和分析原始的经验数据进行测试和完善。调解，这是一种替代性纠纷解决方式，通常比法院诉讼更非正式和灵活，但通常与法院案件一起或同时进行。便利调解是这一领域最常用的调解方式，是一个保密的过程，由第三方、独立人士帮助当事方自行解决部分或全部争议。调解员协助各方达成协议，而不是以特定的方式指导他们。这是因为主流调解理论认为，由当事人自己来指导调解过程，而不是由外部第三方来指导，是有益的。当讨论“医疗纠纷”时，我指的是病人、卫生专业人员、家庭成员和其他人之间在向病人提供保健和护理方面出现的分歧。通常，患者是心智能力受损的成年人或16岁以下的儿童，因此他们在法律上没有能力自己决定是否接受治疗，因此需要医疗保健专业人员、家庭成员和法院的参与。纠纷最常发生在患者家属和医疗保健专业人员之间，但在某些情况下可能涉及患者本人。该研究将考虑是否有任何治疗，或愈合，使用非法院为基础的解决方法，如调解，以解决纠纷所产生的医疗环境，以及考虑的方式，调解可以成为更有疗效的干预。例如，通过改善当事方之间的沟通，提高在争端解决过程中的发言权或参与度，以及加快解决速度。该项目建立在调解和治疗正义的现有研究的基础上，考虑调解在经常具有挑战性的医疗环境中的价值，同时也考虑到调解存在许多风险，这些风险可能使其不具有理想的治疗效果。例如，调解可以反映或加强当事方之间现有的权力不平衡，可以限制诉讼主体的参与，可以被视为节省费用而不是治疗性的做法。由于调解的使用尚未通过医疗纠纷背景下的实证研究进行测试，也没有开发或应用于该领域的治疗正义模式，本项目旨在通过对医疗纠纷调解的定性分析，对这些主张进行实证检验。PI和项目顾问都进行了与潜在弱势参与者的法律体验相关的研究，调解此外，我们还研究了调解在保护法院、司法审查和特殊教育需求纠纷中的作用。通过开展这项研究，我们希望通过确定调解可以用于治疗的方式，同时承认调解在这一领域的潜在风险，使调解的潜在用户受益，以解决此类纠纷。例如，我们假设，某些方法调解（包括，风格和过程），时间调解和外行参与者的参与可能会影响在何种程度上可以实现治疗正义。我们还将考虑是否有任何具体的医疗环境，使其特别适合，或具有挑战性的，调解的治疗效益。