Violence in general practice: a gendered risk?

Violence in general practice: a gendered risk?
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DOI:
10.1111/1467-9566.12373
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发表时间:
2016-03
影响因子:
2.9
通讯作者:
Gabe J
Gabe J
中科院分区:
医学2区
文献类型:
--
作者:
Elston MA;Gabe J

文献摘要

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这篇文章主要关注英国针对家庭医生的暴力在多大程度上存在性别差异。它使用了两项研究的数据:对1,300名全科医生的邮寄调查(回复率为62%)和对26名受到攻击或威胁的医生的深入访谈;13个具有初级保健小组的焦点小组和19名对暴力侵害医生问题表示兴趣的全科医生的深入访谈。大多数全科医生,无论性别,都报告说在过去两年里受到了口头虐待,这通常被解释为对专业人士越来越不尊重的结果,而实际的身体攻击和威胁要罕见得多,更有可能是由男性报告的。总体而言,女性全科医生更有可能表达对暴力的担忧,并采取个人预防措施,尽管在市中心执业的年轻男性全科医生也有很高的担忧程度。这项研究展示了家庭医生工作的某些方面是如何按性别划分的,以及这些因素如何导致暴力体验的差异。我们认为,家庭医生中女性比例的增加可能会对这些通常是默契的组织例行公事产生影响。
This article focuses on the extent to which violence against family doctors in England is experienced in gendered terms. It draws on data from two studies: a postal survey of 1,300 general practitioners (GPs) (62% response rate) and in‐depth interviews with 26 doctors who have been assaulted or threatened; and 13 focus groups with primary care teams and 19 in‐depth interviews with GPs who had expressed an interest in the topic of violence against doctors. Most GPs, regardless of gender, reported receiving verbal abuse over the last two years, often interpreted as a consequence of declining deference to professionals, while actual physical assaults and threats were much rarer and more likely to be reported by men. Overall, women GPs were much more likely to express concern about violence and to take personal precautions, although younger male GPs working in inner‐city practices also had high levels of concern. The study shows how some aspects of family doctors’ work has been organised on gendered lines and how these contribute to the differences in experience of violence. We suggest that the increasing proportion of women among family doctors may have implications for these, often tacit, organisational routines.