Miedema Baukje Bo, Hamilton Ryan, Tatemichi Sue, Lambert-Lanning Anita, Lemire Francine, Manca Donna, Ramsden Vivian R
Family Medicine Teaching Unit, Dr. Everett Chalmers Regional Hospital, Dalhousie University, 700 Priestman Street, P.O. Box 9000, Fredericton, NB, Canada E3B 5N5.
Int J Family Med. 2010;2010:387202. doi: 10.1155/2010/387202. Epub 2010 Nov 11.
Objective. The goal of this study was to examine the monthly incidence rates of abusive encounters for family physicians in Canada. Methods. A 7-page cross-sectional survey. Results. Of the entire study sample (N = 720), 29% of the physicians reported having experienced an abusive event in the last month by a patient or patient family member. Abusive incidents were classified as minor, major, or severe. Of the physician participants who reported having been abused, all reported having experienced a minor event, 26% a major, and 8% a severe event. Of the physicians who experienced an abusive event, 55% were not aware of any policies to protect them, 76% did not seek help, and 64% did not report the abusive event. Conclusion. Family physicians are subjected to significant amounts of abuse in their day-to-day practices. Few physicians are aware of workplace policies that could protect them, and fewer report abusive encounters. Physicians would benefit from increased awareness of institutional policies that can protect them against abusive patients and their families and from the development of a national policy.
目的。本研究的目的是调查加拿大全科医生遭受辱骂事件的月度发生率。方法。一项7页的横断面调查。结果。在整个研究样本(N = 720)中,29%的医生报告在过去一个月内曾遭到患者或患者家属的辱骂。辱骂事件分为轻微、严重或极严重。在报告遭受辱骂的医生参与者中,所有人都经历过轻微事件,26%经历过严重事件,8%经历过极严重事件。在经历过辱骂事件的医生中,55%不知道有任何保护他们的政策,76%没有寻求帮助,64%没有报告辱骂事件。结论。全科医生在日常工作中遭受大量辱骂。很少有医生知道可以保护他们的工作场所政策,更少有人报告辱骂事件。提高对能保护他们免受辱骂患者及其家属侵害的机构政策的认识,并制定一项国家政策,将使医生受益。