Sansone Randy A, Sansone Lori A, Wiederman Michael W
Departments of Psychiatry and Internal Medicine, Wright State University School of Medicine, Dayton, Ohio, USA.
Prim Care Companion J Clin Psychiatry. 2007;9(1):56-8. doi: 10.4088/pcc.v09n0110.
The bullying of physicians by patients has been documented in several previous studies, which indicate high rates among trainees as well as physicians in practice. However, these studies are few in number, many consist of non-U.S. samples, and no study has examined the subsequent risk for posttraumatic stress disorder among physicians.
In this study of 61 primary care physicians in predominantly suburban outpatient group practices located in a midsized, Mid-western city, we retrospectively explored the 12-month prevalence of various types of patient bullying behaviors as well as posttraumatic stress disorder symptoms using a self-report method. The study was conducted from November 2005 to March 2006.
We determined high rates of coercive and threatening behaviors by patients in this sample (e.g., 85% of participants [N = 52] reported office staff being verbally abused; 61% [N = 37] reported being bullied to write a prescription). In addition, 41% (N = 25) of participants acknowledged the need for security or the police to remove a patient from their office. One participant reported sufficient symptoms to meet the criteria for posttraumatic stress disorder (according to the Primary Care PTSD Screen).
Physicians undergo frequent patient bullying.
先前的几项研究记录了患者对医生的欺凌行为，这些研究表明实习医生以及在职医生中此类行为发生率很高。然而，这些研究数量较少，许多研究采用的是非美国样本，且没有研究调查过医生患创伤后应激障碍的后续风险。
在这项对位于中西部一个中等规模城市、主要为郊区门诊小组执业的61名初级保健医生的研究中，我们采用自我报告法回顾性地探究了各类患者欺凌行为以及创伤后应激障碍症状在12个月内的患病率。该研究于2005年11月至2006年3月进行。
我们确定在这个样本中患者的强制和威胁行为发生率很高（例如，85%的参与者[N = 52]报告办公室工作人员受到言语辱骂；61%[N = 37]报告受到逼迫开具处方）。此外，41%（N = 25）的参与者承认需要保安或警察将患者带出他们的办公室。一名参与者报告有足够的症状符合创伤后应激障碍的标准（根据初级保健创伤后应激障碍筛查量表）。
医生经常遭受患者欺凌。
