Elhoseny Taghareed A, Adel Amr
aDepartment of Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University bHealth Insurance Organization (HIO), Alexandria, Egypt.
J Egypt Public Health Assoc. 2016 Jun;91(2):80-5. doi: 10.1097/01.EPX.0000482793.51921.cb.
Disruptive behavior is the use of inappropriate words, actions, or inactions by physicians that interferes with their ability to function well with others. It is a current problem in the medical profession and has become a focus of public health attention due to its destructive impact on hospital staff, institutions, and quality patient care.
The aim of the present study was to evaluate the perceptions of physicians about disruptive physician behaviors, and their frequency and impact on clinical outcomes.
This cross-sectional, descriptive study was carried out in one of the hospitals of the Health Insurance Organization in Alexandria, Egypt. A self-administered questionnaire based on the American College of Physician Executives and QuantiaMD Survey on disruptive physician behavior was used to measure the physicians' perceptions. It was distributed to all physicians in all the departments (n=183). The number of returned questionnaires was 120, with a response rate of 65.6%.
Most of the respondents (93.3%) were concerned about disruptive physician behavior, 39.2% previously had such behaviors, and 78.3% had one incident at least monthly. Most respondents (98.3%) said that disruptive physician behavior affects patient care. Physicians agreed that they needed training on how to deal with disruptive behavior. The most frequent behavior was refusal to cooperate with other providers (74.2%). Disruptive behavior was attributed to workload by 35% of the respondents.
Disruptive physician behaviors are common in healthcare settings, with the most frequent behavior being refusal to cooperate with other providers. Training of physicians on team dynamics, communication skills, conflict management, and stress management is highly recommended.
破坏性行为是指医生使用不恰当的言语、行为或不作为，干扰其与他人良好协作的能力。这是医疗行业当前存在的一个问题，由于其对医院工作人员、机构以及患者优质护理产生的破坏性影响，已成为公共卫生关注的焦点。
本研究旨在评估医生对破坏性行为医生的看法，以及此类行为的频率及其对临床结果的影响。
本横断面描述性研究在埃及亚历山大市健康保险组织的一家医院开展。采用一份基于美国医师高管学院和QuantiaMD关于破坏性行为医生的调查问卷的自填式问卷，来衡量医生的看法。问卷分发给所有科室的所有医生（n = 183）。回收问卷120份，回复率为65.6%。
大多数受访者（93.3%）关注破坏性行为医生，39.2%的人之前有过此类行为，78.3%的人至少每月发生一次此类事件。大多数受访者（98.3%）表示破坏性行为医生会影响患者护理。医生们一致认为他们需要接受如何应对破坏性行为的培训。最常见的行为是拒绝与其他医疗人员合作（74.2%）。35%的受访者将破坏性行为归因于工作量。
破坏性行为医生在医疗环境中很常见，最常见的行为是拒绝与其他医疗人员合作。强烈建议对医生进行团队动态、沟通技巧、冲突管理和压力管理方面的培训。
