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白衣受袭:理解针对医生的暴力流行现象

White Coats Under Fire: Understanding the Epidemic of Violence Against Doctors.

作者信息

Pai Satvik N, Jeyaraman Madhan, Jeyaraman Naveen, Yadav Sankalp

机构信息

Orthopaedics, PESU Institute of Medical Sciences and Research, Bengaluru, IND.

Orthopaedics, South Texas Orthopaedic Research Institute, Laredo, USA.

出版信息

Cureus. 2024 Aug 7;16(8):e66346. doi: 10.7759/cureus.66346. eCollection 2024 Aug.

DOI:10.7759/cureus.66346
PMID:39247016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11377962/
Abstract

The doctor-patient relationship, once grounded in trust and mutual respect, is increasingly marred by incidents of violence against healthcare providers. This alarming trend not only threatens the safety of doctors but also undermines the integrity of medical care. This article delves into the multifaceted reasons behind such violence, exploring emotional, financial, societal, and systemic factors that contribute to this disturbing phenomenon. Drawing from extensive surveys and real-world incidents, we shed light on the pressures and misunderstandings that fuel hostility towards medical professionals. Our analysis identifies key stressors, including heightened emotions, lack of understanding, financial burdens, societal prejudices, and systemic frustrations, which exacerbate tensions in healthcare settings. By understanding these underlying causes, we offer practical recommendations for doctors to navigate these challenges, emphasizing empathy, clear communication, and professional boundaries. Additionally, we highlight the need for systemic reforms, such as better security measures in hospitals and effective grievance redressal systems, to protect doctors and improve the overall healthcare environment. This article aims to raise awareness, foster dialogue, and provide actionable solutions to mitigate violence against doctors, ultimately striving to restore the sanctity of the doctor-patient relationship.

摘要

医患关系曾建立在信任和相互尊重的基础上,如今却越来越多地受到针对医护人员暴力事件的破坏。这一令人担忧的趋势不仅威胁到医生的安全,还损害了医疗护理的完整性。本文深入探讨此类暴力背后的多方面原因,探究导致这一令人不安现象的情感、经济、社会和体制因素。通过广泛的调查和现实世界的事件,我们揭示了引发对医疗专业人员敌意的压力和误解。我们的分析确定了关键压力源,包括情绪激动、缺乏理解、经济负担、社会偏见和体制挫折,这些加剧了医疗环境中的紧张局势。通过了解这些根本原因,我们为医生应对这些挑战提供切实可行的建议,强调同理心、清晰沟通和专业界限。此外,我们强调进行体制改革的必要性,如在医院采取更好的安全措施和建立有效的申诉处理系统,以保护医生并改善整体医疗环境。本文旨在提高认识、促进对话并提供可采取行动的解决方案,以减轻针对医生的暴力行为,最终努力恢复医患关系的神圣性。

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Front Public Health. 2025 Jul 4;13:1615231. doi: 10.3389/fpubh.2025.1615231. eCollection 2025.

本文引用的文献

1
Pattern of workplace violence against doctors practising modern medicine and the subsequent impact on patient care, in India.印度现代医学实践中医务人员遭受工作场所暴力的模式及其对患者护理的后续影响。
PLoS One. 2020 Sep 18;15(9):e0239193. doi: 10.1371/journal.pone.0239193. eCollection 2020.
2
Physical Violence Against Doctors: A Content Analysis from Online Indian Newspapers.针对医生的身体暴力:来自印度在线报纸的内容分析
Indian J Community Med. 2020 Jan-Mar;45(1):108-109. doi: 10.4103/ijcm.IJCM_215_19.
3
Workplace violence against resident doctors: A multicentric study from government medical colleges of Uttar Pradesh.医疗机构工作场所暴力对实习医生的影响:北方邦政府医学院的一项多中心研究。
Indian J Public Health. 2019 Apr-Jun;63(2):143-146. doi: 10.4103/ijph.IJPH_70_18.
4
Violence against doctors in the Indian subcontinent: A rising bane.印度次大陆针对医生的暴力行为:日益严重的祸害。
Indian Heart J. 2016 Sep-Oct;68(5):749-750. doi: 10.1016/j.ihj.2016.07.023. Epub 2016 Aug 2.