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超越工作服:理解暴力伤医的根本原因。

Beyond Scrubs: Understanding the Root Causes of Violence Against Doctors.

作者信息

Jain Priyanshu, Singh Kamaldeep, Piplani Shobhit, Gulati Shreya, Kour Harpreet

机构信息

Medicine, Jawaharlal Nehru Medical College, Belagavi, IND.

Cardiology, Government Medical College & Hospital, Chandigarh, IND.

出版信息

Cureus. 2023 May 27;15(5):e39559. doi: 10.7759/cureus.39559. eCollection 2023 May.

DOI:10.7759/cureus.39559
PMID:37378246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10292170/
Abstract

Workplace violence (WPV) against doctors is a growing epidemic in India, with at least two-thirds of doctors facing some form of abuse during their careers. Verbal abuse is common, but doctors are also subjected to brutal attacks that endanger their lives. This review lists abusive incidents reported by the media since 2021. Despite increased respect for healthcare professionals during the COVID-19 pandemic, doctors in India are under significant stress due to inadequate medical infrastructure, mismanagement of young doctors, increasing mistrust between doctors and patients, a shortage of doctors, and overworked healthcare workers, leading to delays in attention and treatment. Additional factors contributing to the situation include the lack of proper insurance coverage, weak primary healthcare with overburdened tertiary care, the lack of an effective grievance redressal system, and the poor state of medical education. To combat this epidemic, collaborative efforts are needed between doctors, hospitals, the government, and society. Improving communication skills and treating patients with empathy are essential for healthcare workers. Meanwhile, hospitals should implement an efficient security system, a transparent billing system, and an active complaint system to prevent incidents. Unbiased reporting and adequate documentation are required to further investigate this occupational health hazard. The government should focus on building better medical facilities and passing a strict law against violence against doctors to ensure the safety of medical professionals. This review presents some solutions, along with the current legal coverage provided to healthcare professionals regarding WPV.

摘要

在印度,针对医生的职场暴力事件呈上升趋势,至少三分之二的医生在职业生涯中遭受过某种形式的虐待。言语辱骂很常见,但医生还会遭到危及生命的暴力袭击。本综述列出了自2021年以来媒体报道的虐待事件。尽管在新冠疫情期间对医护人员的尊重有所增加,但由于医疗基础设施不足、年轻医生管理不善、医患之间的不信任加剧、医生短缺以及医护人员工作过度,导致诊疗延误,印度的医生承受着巨大压力。造成这种情况的其他因素包括缺乏适当的保险覆盖、初级医疗保健薄弱而三级医疗负担过重、缺乏有效的申诉解决系统以及医学教育水平低下。为应对这一问题,医生、医院、政府和社会需要共同努力。提高沟通技巧并以同理心对待患者对医护人员至关重要。与此同时,医院应实施高效的安保系统、透明的计费系统和积极的投诉系统以预防此类事件。需要进行公正的报道和充分的记录,以便进一步调查这种职业健康危害。政府应专注于建设更好的医疗设施,并通过一项针对暴力侵害医生行为 的严格法律,以确保医疗专业人员的安全。本综述提出了一些解决方案,以及目前在针对职场暴力方面为医护人员提供的法律保障。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/61f2d6dba1ec/cureus-0015-00000039559-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/2cb0eb9cb076/cureus-0015-00000039559-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/d25d48b0b27d/cureus-0015-00000039559-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/689d4dc55f2b/cureus-0015-00000039559-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/d11213fe8fc6/cureus-0015-00000039559-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/61f2d6dba1ec/cureus-0015-00000039559-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/2cb0eb9cb076/cureus-0015-00000039559-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/d25d48b0b27d/cureus-0015-00000039559-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/689d4dc55f2b/cureus-0015-00000039559-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/d11213fe8fc6/cureus-0015-00000039559-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3317/10292170/61f2d6dba1ec/cureus-0015-00000039559-i05.jpg

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Workplace violence against doctors: Characteristics, risk factors, and mitigation strategies.
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