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医生遭受的不容忍和暴力。

Intolerance and Violence Against Doctors.

机构信息

Child Care Center, 625, Sector 37, Arun Vihar, Noida, Uttar Pradesh, India.

出版信息

Indian J Pediatr. 2017 Oct;84(10):768-773. doi: 10.1007/s12098-017-2435-9. Epub 2017 Aug 11.

Abstract

Intolerance and grouse against doctors is a global phenomenon but India seems to lead the world in violence against doctors. According to World Health Organization, about 8-38% healthcare workers suffer physical violence at some point in their careers. Many more are verbally abused or threatened. Public is almost behaving like health sector terrorists. The spate of increasing attacks on doctors by damaging their property and causing physical injury is not acceptable by any civilized society. The public is becoming increasingly intolerant to a large number of social issues because of poor governance and vote bank politics. There is a need to arrest the development of further distrust between doctors and their patients/relatives, otherwise it will compromise all achievements of medical science and adversely affect healing capabilities of doctors. Rude and aggressive behavior of the patients or their family members, and arrogant and lackadaisical approach of the doctor, adversely affects the doctor-patient relationship and the outcome of the patient. The doctors, hospital administration and government must exercise "zero tolerance" with respect to acts of violence against healthcare professionals. It is possible to reduce the incidence of intolerance against doctors but difficult to eliminate it completely. The healthcare providers should demonstrate greater compassion and empathy with improved communication skills. The hospitals must have adequate infrastructure, facilities and staff to handle emergencies without delay and with due confidence and skills. The security of healthcare providers, especially in sensitive areas, should be improved by having adequate number of security guards, frisking facilities, extensive CCTV network and availability of "Quick response team" to handle unruly mob. In case of any grievances for alleged mismanagement, the public should handle the situation in a civilized manner and seek redressal through Medical Protection Act and legal avenues. Laws to prevent violence against doctors do exist but they need to be made more stringent and implemented properly.

摘要

对医生的不宽容和抱怨是一种全球现象,但印度似乎在针对医生的暴力行为方面位居世界之首。根据世界卫生组织的数据,约有 8-38%的医护人员在职业生涯中的某个时刻会遭受身体暴力。更多的人则受到言语辱骂或威胁。公众的行为几乎就像医疗行业的恐怖分子。越来越多的人破坏医生的财产并对其造成身体伤害,这种对医生的攻击行为是任何文明社会都无法接受的。由于治理不善和选票政治,公众对大量社会问题的容忍度越来越低。需要阻止医生和他们的病人/亲属之间进一步产生不信任,否则这将危及医学科学的所有成就,并对医生的治疗能力产生不利影响。病人或其家属的粗鲁和攻击性行为,以及医生的傲慢和懒散态度,都会对医患关系和病人的治疗结果产生不利影响。医生、医院管理部门和政府必须对针对医疗保健专业人员的暴力行为采取“零容忍”政策。减少对医生的不宽容是可能的,但要完全消除它是困难的。医疗保健提供者应该通过提高沟通技巧来表现出更多的同情心和同理心。医院必须具备足够的基础设施、设备和人员,以便能够及时、自信和熟练地应对紧急情况。应通过增加足够数量的保安、搜身设施、广泛的闭路电视网络和提供“快速反应小组”来改善医疗保健提供者,特别是在敏感地区的安保。如果对管理不善有任何不满,公众应该以文明的方式处理这种情况,并通过《医疗保护法》和法律途径寻求补救。防止针对医生的暴力行为的法律是存在的,但需要更加严格地执行。

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