The weakness of the strong: Examining the squeaky-wheel effect of hospital violence in China
The weakness of the strong: Examining the squeaky-wheel effect of hospital violence in China
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DOI：
10.1016/j.socscimed.2019.112717
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发表时间：
2020-01-01
影响因子：
5.4
通讯作者：
Wang, Chunxiao
中科院分区：
文献类型：
--
作者：
Liu, Junqiang;Zhou, Hui;Wang, Chunxiao
医院暴力已成为困扰医疗保健系统的世界性问题。在满足13.9亿居民的医疗需求和确保1230万卫生专业人员的安全之间，中国处于一个特殊的困境。通过行政调查数据，分析了Z市2012 - 2013年发生的225起医疗纠纷中破坏性行为的类型和分布，并进行了汇总统计。Logit和OLS回归分析表明，以抗议参与者人数和抗议时间长短为特征的破坏性行为可以显著预测索赔人是否获得赔偿和赔偿金额。在其他条件相同的情况下，参与者人数增加一人，获得赔偿的几率增加3.94%，而抗议时间增加一天，获得赔偿的几率增加1.03%。进一步的分析表明，破坏性行为和赔偿结果之间的联系是由于国家的参与，这往往迫使医院支付时，大量的暴力存在。中国政府对社会稳定的压倒性重视给了抗议者对抗医院的筹码，这可以概括为“吱吱叫的轮子得到了润滑油。”“具有讽刺意味的是，中国政府对社会稳定的敏感成为其自身的弱点。政府的积极干预，以达到和平为导向的目标，将激励病人诉诸暴力，以追求赔偿。这项研究对理解中国政府解决社会问题的逻辑具有启示意义，这些问题包括医院暴力、劳动纠纷、土地纠纷、拆迁补偿和民事请愿。
Hospital violence has become a worldwide issue that disturbs health care systems. China is in a particular dilemma between meeting the healthcare demand of 1.39 billion residents and ensuring the safety of 12.3 million health professionals. Drawing on data from an administrative survey, we presented the types and distribution of disruptive behaviors, as well as the summary statistics of 225 medical disputes that took place from 2012 to 2013 in Z city. Logit and OLS regression analyses show that disruptive behaviors, characterized by the number of protest participants and the length of protest, can significantly predict whether the claimant receives compensation and the amount of compensation. All else equal, a one-person increase in the number of participants is associated with 3.94% higher odds of getting compensated, whereas a one-day increase in the length of protest is associated with a 1.03% increase in the odds of receiving compensation. Further analyses show that the link between disruptive behaviors and compensation outcomes is due to the involvement of the state, which tends to press hospitals to pay when substantial violence is present. Chinese government's overwhelming emphasis on social stability gives protestors leverage against hospitals, which can be summarized as "the squeaky wheel gets the grease." Ironically, the sensitivity of Chinese government towards social stability becomes a weakness of its own. Government's active intervention to reach a peace-oriented goal will incentivize patients to resort to violence in pursuit of compensation. This study has implications for understanding the Chinese government's logic of addressing social problems that range from hospital violence, labor disputes, land disputes to demolition compensation and civil petitions.