Associations between Australian clinical medical practitioner exposure to workplace aggression and workforce participation intentions
Associations between Australian clinical medical practitioner exposure to workplace aggression and workforce participation intentions
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DOI：
10.1071/ah14246
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发表时间：
2016-01-01
影响因子：
1.8
通讯作者：
Hills, Danny J.
中科院分区：
文献类型：
--
作者：
Hills, Danny J.
目标。本研究的目的是确定临床医生在过去12个月内从任何来源暴露于工作场所攻击与工作参与意图之间的关系。2010年3月至2011年6月，在澳大利亚医学：平衡就业和生活（MABEL）研究的第三波中进行了横断面调查。受访者是94-49名澳大利亚全科医生（GP）和全科医生登记员（n = 3515）、专科医生（n = 3875）、医院非专科医生（n = 1171）和培训专科医生（n = 888）的代表性样本。使用逻辑回归模型确定攻击暴露与劳动力参与意图之间的关联。在调整后的模型中，攻击暴露与未来5年内打算减少临床工作量的可能性(优势比（OR) = 1.15, 95%置信区间（CI） 1.02-1.29）和打算在5年内离开病人护理的可能性（OR = 1.20, 95% CI 1.07-1.35）呈正相关。当考虑到健康因素时，攻击暴露与打算在5年内离开病人护理仍然呈正相关（OR = 1.13, 95% CI 1.00-1.27）。在工作场所遭受攻击，对保留临床执业医生构成风险，并对社区获得高质量医疗服务构成潜在风险。在预防和尽量减少临床医疗实践中的工作场所侵犯行为方面，需要作出更协调一致的努力。
Objective. The aim of the present study was to determine the association between clinician exposure to workplace aggression from any source in the previous 12 months and workforce participation intentions.Methods. A cross-sectional survey, in the third wave of the Medicine in Australia: Balancing Employment and Life (MABEL) study, was conducted between March 2010 and June 2011. Respondents were a representative sample of 94-49 Australian general practitioners (GPs) and GP registrars (n = 3515), specialists (n = 3875), hospital non-specialists (n = 1171) and specialists in training (n = 888). Associations between aggression exposure and workforce participation intentions were determined using logistic regression modelling.Results. In adjusted models, aggression exposure was positively associated with a greater likelihood of intending to reduce clinical workload in the next 5 years (odds ratio (OR) = 1.15, 95% confidence interval (CI) 1.02-1.29) and intending to leave patient care within 5 years (OR = 1.20, 95% CI 1.07-1.35). When also accounting for well being factors, aggression exposure remained positively associated with intending to leave patient care within 5 years (OR = 1.13, 95% CI 1.00-1.27).Conclusions. Exposure to workplace aggression presents a risk to the retention of medical practitioners in clinical practice and a potential risk to community access to quality medical care. More concerted efforts in preventing and minimising workplace aggression in clinical medical practice are required.