Chen Guochen, Zhang Wenjing
School of Criminology, People's Public Security University of China, Beijing, People's Republic of China.
Fourth Medical Center, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
J Multidiscip Healthc. 2023 Aug 24;16:2431-2438. doi: 10.2147/JMDH.S426167. eCollection 2023.
Violence against doctors is a global concern. Violent injuries against doctors occur periodically in China. At least one violent injury event was witnessed by 54% of medical staff against doctors in 2020. Analyzing this phenomenon and establishing preventive measures is a common concern of the medical and criminal communities.
This study comprised 712 injury events against doctors in Guangdong Province, China, from January 2019 to October 2022. The spatial distribution and spatiotemporal changes of these events were analyzed using ArcGIS and Excel software.
Considering the geographical distribution, the injury events against doctors showed a three-level concentric circle pattern where, Guangzhou and Shenzhen, adjacent cities, and distant cities were ranked as high, medium, and low-risk areas, respectively. In temporal distribution, the periods of high incidence were 9-11, 14-15, and 20 o'clock, and the incidence tended to be similar daily, with the peaks in June and July.
We found that the risk level of injury events against doctors was positively correlated with the medical resources level in the areas. The injury event incidence was higher during the daytime working hours. Temperature may have a strong positive effect on injury events against doctors.
暴力伤医是一个全球关注的问题。在中国,暴力伤医事件时有发生。2020年,至少54%的医务人员目睹过针对医生的暴力伤医事件。分析这一现象并制定预防措施是医学界和刑事界共同关注的问题。
本研究纳入了2019年1月至2022年10月在中国广东省发生的712起伤医事件。使用ArcGIS和Excel软件分析这些事件的空间分布和时空变化。
从地理分布来看,伤医事件呈现出三级同心圆模式,其中广州和深圳、相邻城市以及 distant cities分别被列为高、中、低风险区域。在时间分布上,高发时段为9-11点、14-15点和20点,每日发病率趋于相似,6月和7月达到峰值。
我们发现,伤医事件的风险水平与所在地区的医疗资源水平呈正相关。白天工作时间的伤医事件发生率较高。温度可能对伤医事件有强烈的正向影响。 (注:原文中“distant cities”未翻译完整,可能存在信息缺失)