醫療決策專題討論

本課程以個體在面對健康失調,如何面對和進行醫療決策的情境和現象,經由其日常性的生活或疾病經驗中探索相對應的決策和實踐所在,同時探尋其潛在涵蓋不同層面的醫療、照護、法律、政策、體制等理論性與實踐性相關的知識和行動。課程中重要概念包括生病角色、自主性和偏好,醫療共享決策及決策輔助工具、醫病或護病關係等,藉此對倫理推論和決策行動之複雜度有所認識和促進。選修此課程的學生需具備對此議題的熱忱,對相關疾病經驗和各種角色處境有充分反思的能力,願意嘗試瞭解,藉此課程的設計和互動中企圖幫助學生在醫療照護領域中的病者處境有更全面及深入的詮釋、認知、和行動。This course recognizes and promotes the patient’s medical decision-making for its complexity of medical choice and ethical care action by exploring various medical, legal, theoretical, and ethical knowledge bases that underlie this phenomenon. The exploration on the knowledge of patient’s sick role, autonomy, preferences, shared decision-making and decision-aide, physician-and-patient, and nurse-and-patient role are particular focuses in the course. The critical reflection on students’ perceptions and knowledge about patient’s ill experiences and the role figuring out of caring activity are required in this course to allow learning experiences integrated, thus new role and ethical practice become more understandable and valuable.

此課程以應用性和實務為基礎的課程,修習本課程後,學生能 1. 檢視醫療決策相關的角色、關係、知識、技能等概念 2. 學習對於一個特定且具爭議性的臨床議題作倫理分析和討論 3. 瞭解相關決策的理論知識、和技能,設法運用於臨床實務上 4. 探索健康醫療決策在社區和臨床領域所面臨的問題與擁有的資源 5. 反思醫護人員在醫療決策相關議題上可能的貢獻和扮演的角色 This is an applied, practice based course, examining not only what knowledge and skills base consists of client’s decision-making and care ethics activity, but also how related knowledge and skills may be effectively applied in practice. The primary focus is not learning how to argue appropriately for or against specific viewpoints in ethically controversial situations but involves students in critical reflection about the facilitating role of decision-making and what constitutes ethical practice in health care, and how such practice can be supported.

課程參與:20% 案例撰寫與討論:30% 期末專題報告與作業:50%