近幾年來，全球化的趨勢讓世界各地的人們紛紛來到了台灣。這讓台灣籍的醫生們更有機會接觸到來自各國的病患。英語是最常用來溝通的語言，因此醫生擁有好的英文能力變得十分重要，也被認為較能提供病患適當的診治，在醫療專業上服務更多病患。然而，醫生使用英文與病患溝通的研究並不多。本研究要探討台灣籍的醫生們如何和外籍病患溝通。 此論文中的兩份問卷分別改編自先前相關的研究。第一份問卷發給二十位在台灣北部任職的醫生填寫，而另一份類似的問卷發給五十位曾經使用過台灣醫療服務的外籍病患填寫 。此研究結果顯示，雖然台灣籍醫生很少有機會使用聽力與口說的能力，同時也認為這是他們英文能力最弱的部分，但是外籍病患在與醫生溝通上仍然能理解台灣籍醫生講的英文。雖然如此，醫生和病患之間的溝通仍存在許多可以改善的空間，譬如開場白、展現同理心、詢問病徵、答覆病患的疑問、提供並解釋檢查結果、解釋用藥處方、描述與討論病痛、詢問病人敏感的私人問題。

In recent years, globalization has caused an increasing number of people from different parts of the world to come to Taiwan. The growing number of those from abroad has increased the opportunities for Taiwanese doctors to provide care to international patients. As a result, the status of English has increased and made it more important than ever for doctors to possess English abilities so that adequate healthcare can be provided to these patients. However, there is little research and understanding of the interaction of doctors using English with patients in Taiwan. Therefore, this study aims to explore the extent to which Taiwanese doctors can use English to communicate with international patients. An adapted questionnaire was given to 20 in-service doctors working in northern Taiwan and a parallel version of the questionnaire was distributed to 50 international patients who have utilized the Taiwanese healthcare before. The findings of the study showed that, though doctors rarely speak and listen to English and consider their listening and speaking as the weakest language skills, the international patients had no problems understanding Taiwanese doctors’ English. However, there is still a need for improvement in all aspects of doctor-patient communication, including greeting and opening the interview, showing empathy, asking about symptoms, responding to concerns, offering and explaining a diagnosis, offering and explaining a treatment plan, describing and talking about pain, and asking about sensitive questions to the international patients, especially in terms of using appropriate vocabulary.

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