澳大利亚卫生专业人员的性行为不端，2011-2016 年：对向卫生监管机构通报的回顾性分析。

Sexual misconduct by health professionals in Australia, 2011-2016: a retrospective analysis of notifications to health regulators.

机构信息

Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC.

Center for Health Policy, Freeman Spogli Institute for International Studies, Stanford University, Stanford, CA, United States of America.

出版信息

Med J Aust. 2020 Sep;213(5):218-224. doi: 10.5694/mja2.50706. Epub 2020 Jul 27.

DOI:10.5694/mja2.50706

PMID:33448397

Abstract

OBJECTIVES

To assess the numbers of notifications to health regulators alleging sexual misconduct by registered health practitioners in Australia, by health care profession.

DESIGN, SETTING: Retrospective cohort study; analysis of Australian Health Practitioner Regulation Agency and NSW Health Professional Councils Authority data on notifications of sexual misconduct during 2011-2016.

PARTICIPANTS

All registered practitioners in 15 health professions.

MAIN OUTCOME MEASURES

Notification rates (per 10 000 practitioner-years) and adjusted rate ratios (aRRs) by age, sex, profession, medical specialty, and practice location.

RESULTS

Regulators received 1507 sexual misconduct notifications for 1167 of 724 649 registered health practitioners (0.2%), including 208 practitioners (18%) who were the subjects of more than one report during 2011-2016; 381 notifications (25%) alleged sexual relationships, 1126 (75%) sexual harassment or assault. Notifications regarding sexual relationships were more frequent for psychiatrists (15.2 notifications per 10 000 practitioner-years), psychologists (5.0 per 10 000 practitioner-years), and general practitioners (6.4 per 10 000 practitioner-years); the rate was higher for regional/rural than metropolitan practitioners (aRR, 1.73; 95% CI, 1.31-2.30). Notifications of sexual harassment or assault more frequently named male than female practitioners (aRR, 37.1; 95% CI, 26.7-51.5). A larger proportion of notifications of sexual misconduct than of other forms of misconduct led to regulatory sanctions (242 of 709 closed cases [34%] v 5727 of 23 855 [24%]).

CONCLUSIONS

While notifications alleging sexual misconduct by health practitioners are rare, such misconduct has serious consequences for patients, practitioners, and the community. Further efforts are needed to prevent sexual misconduct in health care and to ensure thorough investigation of alleged misconduct.

摘要

目的

评估澳大利亚卫生监管机构收到的注册卫生从业人员性行为不端举报的数量，按医疗保健专业划分。

设计、环境：回顾性队列研究；对澳大利亚卫生从业人员监管机构和新南威尔士州卫生专业人员委员会管理局 2011-2016 年期间性行为不端举报数据的分析。

参与者

15 个卫生专业的所有注册从业者。

主要观察指标

每 10000 名执业医师年的举报率（每 10000 名执业医师年）和按年龄、性别、专业、医学专业和执业地点调整的调整后比率（ARR）。

结果

监管机构收到了 1507 份性行为不端举报，涉及 724649 名注册卫生从业人员中的 1167 名（0.2%），其中 208 名（18%）在 2011-2016 年期间收到了不止一份报告；381 份举报（25%）指控性关系，1126 份举报（75%）性骚扰或攻击。精神科医生（每 10000 名执业医师年 15.2 次举报）、心理学家（每 10000 名执业医师年 5.0 次举报）和全科医生（每 10000 名执业医师年 6.4 次举报）的举报率更高；区域/农村地区的执业医师高于大都市地区的执业医师（ARR，1.73；95%CI，1.31-2.30）。性骚扰或攻击的举报更多地涉及男性从业者而非女性从业者（ARR，37.1；95%CI，26.7-51.5）。性行为不端举报比其他形式的不当行为导致监管制裁的比例更大（709 个已结案案例中的 242 例[34%]，而 23855 个案例中的 5727 例[24%]）。