A response to patient-initiated aggression in general practice: Australian professional medical organisations face a challenge
A response to patient-initiated aggression in general practice: Australian professional medical organisations face a challenge
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DOI：
10.1071/py09074
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发表时间：
2010-01-01
影响因子：
1.3
通讯作者：
Parker, Rhian
中科院分区：
文献类型：
--
作者：
Ceramidas, Dagmar M.;Parker, Rhian
人们对澳大利亚患者发起的针对全科医生的攻击行为的发生率、流行率和影响以及医学相关专业组织如何应对这一问题知之甚少。澳大利亚现有的少数研究表明，多达约三分之二的澳大利亚全科医生在 12 个月内经历过患者发起的攻击行为。本文报告了相关专业利益相关者组织对其在澳大利亚全科诊所工作的成员所遭受的侵犯的看法和应对措施。十三个组织各指定一名代表进行一次性半结构化访谈。受访者从组织、实践层面和全科实践部门的角度介绍了研究结果。尽管所有专业组织都认识到澳大利亚全科医疗中存在暴力和攻击性行为，但很少有组织在管理困难患者或攻击性患者方面采取积极主动的措施，或为其成员提供实际支持。总体而言，参与全科实践的成员较少的组织在教育、培训和出版物方面比参与全科实践的成员比例较高的组织总体上更加支持和主动。受访者认为，当前的社会政治氛围为组织做出更大的反应提供了机会，但由于缺乏证据基础，适当的反应存在不确定性。
Little is known about the incidence, prevalence, and impact of patient-initiated aggression against general practice staff in Australia or how medically related professional organisations respond to this. The few available Australian studies suggest that up to about two-thirds of Australian GPs experience patient-initiated aggression within a 12-month period. This paper reports on relevant professional stakeholder organisations' perceptions of and response to aggression perpetrated against their members working in Australian general practices. Thirteen organisations each nominated a representative to undertake a one-off semi-structured interview Respondents informed the study findings from organisational, practice level, and Divisions of General Practice perspectives. While all professional organisations were cognisant of the presence of violence and aggression in Australian general practice, very few offered proactive measures in the management of difficult It or aggressive patients, or practical support to their members. Organisations with fewer members involved in general practice were overall more supportive and proactive with regard to education, training, and publications than were organisations with a greater proportion of their membership involved in general practice settings Respondents believed the current socio-political climate provided opportunity for a greater organisational response, but there was uncertainty regarding the appropriate response in view of a lack of evidence base