New Communication Model in Medical Dispute Resolution in Japan

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Other Title
  • 医療紛争解決における日本の新しいコミュニケーションモデル
  • イリョウ フンソウ カイケツ ニオケル ニホン ノ アタラシイ コミュニケーション モデル

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Abstract

論文(Article)

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.

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