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针对全科医生的工作场所暴力的患病率:一项系统评价与荟萃分析。

Prevalence of workplace violence against general practitioners: A systematic review and meta-analysis.

作者信息

Tian Kunming, Xiao Xue, Zeng Rong, Xia Wenqi, Feng Jing, Gan Yong, Zhou Yuanzhong

机构信息

Department of Preventive Medicine, School of Public Health, Zunyi Medical University, Zunyi, China.

Department of General Practice Medicine, Zunyi Medical University, Zunyi, China.

出版信息

Int J Health Plann Manage. 2022 May;37(3):1238-1251. doi: 10.1002/hpm.3404. Epub 2021 Dec 17.

Abstract

Global Conference on Primary Health Care identified that promoting the primary healthcare system has become an important work. Workplace violence (WPV) against GPs is an important global problem. This study aimed to summarise the evidence on the prevalence of WPV against GPs. We systematically searched the PubMed, Embase, and Web of Science databases, and the references of retrieved articles to identify studies on reporting the prevalence of WPV against GPs. We included 15 eligible studies in this meta-analysis. 63.1% (95% confidence interval (CI): 55.6%-70.6%) experienced any form of WPV, 33.8% (95% CI: 25.3%-42.3%) encountered non-physical violence, and 8.5% (95% CI: 5.7%-11.4%) reported experiencing physical violence. The proportion of physical violence differed across study location, sex, and practice setting, and the prevalence of physical violence increased with study period. No significant differences in the prevalence of non-physical violence in sex and study location were found. The prevalence of WPV against GPs is high. A higher prevalence of physical violence was found in some Asian countries (such as China), male GPs, and primary care.

摘要

全球初级卫生保健会议指出,推广初级卫生保健系统已成为一项重要工作。针对全科医生的工作场所暴力是一个重要的全球性问题。本研究旨在总结针对全科医生的工作场所暴力流行情况的证据。我们系统检索了PubMed、Embase和Web of Science数据库以及检索文章的参考文献,以确定报告针对全科医生的工作场所暴力流行情况的研究。我们在这项荟萃分析中纳入了15项符合条件的研究。63.1%(95%置信区间(CI):55.6%-70.6%)经历过任何形式的工作场所暴力,33.8%(95%CI:25.3%-42.3%)遭遇过非身体暴力,8.5%(95%CI:5.7%-11.4%)报告经历过身体暴力。身体暴力的比例在研究地点、性别和执业环境方面存在差异,且身体暴力的流行率随研究时间增加。在性别和研究地点方面,非身体暴力的流行率未发现显著差异。针对全科医生的工作场所暴力流行率很高。在一些亚洲国家(如中国)、男性全科医生和初级保健机构中,身体暴力的流行率较高。

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