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Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents

OBJECTIVES: Patient-initiated hospital violence is a global problem which threatens the safety of health professionals and is indicative of doctor-patient tensions, impeding health system quality and access. The current study aimed to improve the understanding of medical workplace violence (WPV) in...

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Autores principales: Xiao, Yu, Chen, Ting-ting, Zhu, Shao-yi, Zong, Ling, Du, Na, Li, Chun-ya, Cheng, Hao-fei, Zhou, Qi, Luo, Li-shi, Jia, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9627169/
https://www.ncbi.nlm.nih.gov/pubmed/36339236
http://dx.doi.org/10.3389/fpubh.2022.1030035
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author Xiao, Yu
Chen, Ting-ting
Zhu, Shao-yi
Zong, Ling
Du, Na
Li, Chun-ya
Cheng, Hao-fei
Zhou, Qi
Luo, Li-shi
Jia, Juan
author_facet Xiao, Yu
Chen, Ting-ting
Zhu, Shao-yi
Zong, Ling
Du, Na
Li, Chun-ya
Cheng, Hao-fei
Zhou, Qi
Luo, Li-shi
Jia, Juan
author_sort Xiao, Yu
collection PubMed
description OBJECTIVES: Patient-initiated hospital violence is a global problem which threatens the safety of health professionals and is indicative of doctor-patient tensions, impeding health system quality and access. The current study aimed to improve the understanding of medical workplace violence (WPV) in China, using authoritative and nationally representative judgment records, and to approach violence prevention strategies. METHODS: All litigation records relating to violence against health professionals between 2013 and 2021 were extracted from the China Judgment Online System. Basic case information, victim characteristics, perpetrator characteristics and the nature of the violence were collated. The relationship between different treatment outcomes and violence was also explored. RESULTS: Numbers of cases of hospital violence gradually increased from 2013 to a peak in 2016 before gradually decreasing in the following years. The most common perpetrators were patients' relatives (58.2%), followed by patients themselves (38.2%). Only 9 perpetrators had a confirmed history of mental illness and only two were intoxicated with alcohol. More than half of the cases (52.5%) occurred in rural areas and this percentage is even greater for primary health care institutions (71.4%) and secondary hospitals (73.5%). On a departmental level, the highest incidence of medical WPV was found in the emergency (18.9%), pediatrics (13.2%) and obstetrics (11.5%) departments. Violent behaviors, such as stalking, mass occupation of the ward and sharp instrument injury were significantly related to cases not involving patient death (p < 0.05). Disruptive behavior, such as hanging banners, blocking hospital passages, placing flower wreaths and burning paper money were significantly correlated with cases involving patient death (p < 0.01). The interval between a patient's death and the ensuing violence was short, happening on the same day in 54.8% of cases. CONCLUSIONS: A comprehensive overview of medical WPV in China is presented and may have utility for the formulation of prevention strategies.
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spelling pubmed-96271692022-11-03 Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents Xiao, Yu Chen, Ting-ting Zhu, Shao-yi Zong, Ling Du, Na Li, Chun-ya Cheng, Hao-fei Zhou, Qi Luo, Li-shi Jia, Juan Front Public Health Public Health OBJECTIVES: Patient-initiated hospital violence is a global problem which threatens the safety of health professionals and is indicative of doctor-patient tensions, impeding health system quality and access. The current study aimed to improve the understanding of medical workplace violence (WPV) in China, using authoritative and nationally representative judgment records, and to approach violence prevention strategies. METHODS: All litigation records relating to violence against health professionals between 2013 and 2021 were extracted from the China Judgment Online System. Basic case information, victim characteristics, perpetrator characteristics and the nature of the violence were collated. The relationship between different treatment outcomes and violence was also explored. RESULTS: Numbers of cases of hospital violence gradually increased from 2013 to a peak in 2016 before gradually decreasing in the following years. The most common perpetrators were patients' relatives (58.2%), followed by patients themselves (38.2%). Only 9 perpetrators had a confirmed history of mental illness and only two were intoxicated with alcohol. More than half of the cases (52.5%) occurred in rural areas and this percentage is even greater for primary health care institutions (71.4%) and secondary hospitals (73.5%). On a departmental level, the highest incidence of medical WPV was found in the emergency (18.9%), pediatrics (13.2%) and obstetrics (11.5%) departments. Violent behaviors, such as stalking, mass occupation of the ward and sharp instrument injury were significantly related to cases not involving patient death (p < 0.05). Disruptive behavior, such as hanging banners, blocking hospital passages, placing flower wreaths and burning paper money were significantly correlated with cases involving patient death (p < 0.01). The interval between a patient's death and the ensuing violence was short, happening on the same day in 54.8% of cases. CONCLUSIONS: A comprehensive overview of medical WPV in China is presented and may have utility for the formulation of prevention strategies. Frontiers Media S.A. 2022-10-19 /pmc/articles/PMC9627169/ /pubmed/36339236 http://dx.doi.org/10.3389/fpubh.2022.1030035 Text en Copyright © 2022 Xiao, Chen, Zhu, Zong, Du, Li, Cheng, Zhou, Luo and Jia. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Xiao, Yu
Chen, Ting-ting
Zhu, Shao-yi
Zong, Ling
Du, Na
Li, Chun-ya
Cheng, Hao-fei
Zhou, Qi
Luo, Li-shi
Jia, Juan
Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents
title Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents
title_full Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents
title_fullStr Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents
title_full_unstemmed Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents
title_short Workplace violence against Chinese health professionals 2013–2021: A study of national criminal judgment documents
title_sort workplace violence against chinese health professionals 2013–2021: a study of national criminal judgment documents
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9627169/
https://www.ncbi.nlm.nih.gov/pubmed/36339236
http://dx.doi.org/10.3389/fpubh.2022.1030035
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