Cook D J, Griffith L E, Cohen M, Guyatt G H, O'Brien B
Department of Medicine, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
J Gen Intern Med. 1995 Oct;10(10):565-72. doi: 10.1007/BF02640367.
To identify the frequency of psychological and emotional abuse, gender discrimination, verbal sexual harassment, physical sexual harassment, physical assault, and homophobia experienced by general internists.
Cross-sectional survey.
Canadian general internal medicine practices.
The overall response rate was 70.6% (984/1,393); the 501 respondents who classified themselves as general internists were studied. Three-fourths of the internists experienced psychological and emotional abuse at the hands of patients, and 38% of the women and 26% of the men experienced physical assault by patients. The majority of the female internists experienced gender discrimination by patients (67%) and by physician peers (56%). Forty-five percent of the women experienced verbal sexual harassment by patients, and 22% experienced physical sexual harassment by patients. The male internists experienced verbal sexual harassment from nurses slightly more often than the female internists did (19% vs 13%, p > 0.05). Verbal sexual harassment by male colleagues was reported by 35% of the female internists, and physical sexual harassment was reported by 11%. Approximately 40% of general internists reported homophobic remarks by both health care team members and patients.
Abuse, discrimination, and homophobia are prevalent in the internal medicine workplace. A direct, progressive, multidisciplinary approach is necessary to label and address these problems.
确定普通内科医生所经历的心理和情感虐待、性别歧视、言语性骚扰、身体性骚扰、身体攻击以及恐同症的发生频率。
横断面调查。
加拿大普通内科医疗实践机构。
总体回复率为70.6%（984/1393）；对501名将自己归类为普通内科医生的受访者进行了研究。四分之三的内科医生遭受过患者的心理和情感虐待，38%的女性和26%的男性遭受过患者的身体攻击。大多数女性内科医生遭受过患者（67%）和医生同行（56%）的性别歧视。45%的女性遭受过患者的言语性骚扰，22%遭受过患者的身体性骚扰。男性内科医生遭受护士言语性骚扰的频率略高于女性内科医生（19%对13%，p>0.05）。35%的女性内科医生报告遭受过男同事的言语性骚扰，11%报告遭受过身体性骚扰。约40%的普通内科医生报告称，医护团队成员和患者都有过恐同言论。
虐待、歧视和恐同症在内科工作场所普遍存在。需要采取直接、渐进、多学科的方法来识别和解决这些问题。
