摘要
目的:了解近年来我国暴力伤医事件数量的变化情况,分析其发生特点及趋势,并提出相应有效的防范建议。方法:以标准化的搜索方式检索2018年至2022年国内网络报道的暴力伤医事件并分析事件特征,构建框架式防范策略。结果:共纳入186例伤医事件;一天内的18时~24时(26.3%)为事件高发时段,三级医院(56.5%)、急诊科(32.3%)、诊室及病房内(50.6%)为高发地点;施暴者多为患者亲友(51.1%),伤医诱因主要为患方对院方诊疗过程不满(38.8%);施暴者受到行政处罚的比例较高(33.9%)。结论:相较于2013年~2017年,伤医事件总体呈下降趋势,诊疗秩序得到改善;可分别从事前、事中、事后三阶段,医方、患方、医院环境、社会文化环境四方面采取措施,以减少伤医事件的发生。
Objective To explore the changes of workplace violence(WPV)against healthcare professionals in recent years,analyze its characteristics and trend,and put forward effective prevention strategies.Methods WPV incidents reported by domestic network media from 2018 to 2022 were retrieved and analyzed through a standardized search method.And a framework of prevention strategies was developed.Results A total of 186 cases were retrieved,which was concentrated in 18 to 24 o'clock(26.3%),tertiary hospitals(56.5%),emergency departments(32.3%),consulting rooms and wards(50.6%).Most of the perpetrators were relatives or friends of the patients(51.1%).The main causes of WPV were the patients'dissatisfaction to diagnosis and treatment process(38.8%).And 33.9%of the perpetrators were subjected to administrative punishment.Conclusion Compared with the period of 2013-2017,the overall WPV incidents has decreased.And the medical occupational environment has been continuously improved.Strategies can be implemented on three stages(before,during and after the incident)and from four aspects(healthcare,patients,hospital environment,and social and cultural environment)to reduce the incidence of WPV against healthcare professionals.
作者
罗希
张乾坤
张新庆
梅姗姗
Luo Xi(School of Humanities and Social Sciences,Peking Union Medical College,Beijing,P.R.China)
出处
《中国卫生事业管理》
北大核心
2023年第12期923-925,930,共4页
Chinese Health Service Management
基金
2022年度中国科协战略发展部资助课题“义务工作者从业状况调查及研究”(20220615HT1227002)
西安医学院第五批校级重点学科建设项目(12202310)。
