袭医事件特征与诱因研究——基于网络新媒体中132起热点事件的分析

Research of characteristics and inducements of violent events to medical workers——based on 132 hot events in internet new media

目的对热点袭医事件的特征与诱因进行分析,为医院及卫生管理部门提出对策建议。方法以2011年1月至2015年11月网络新媒体中引发热议的132起袭医事件为研究对象,运用内容分析法和描述性统计方法进行分析。结果三甲医院成为袭医事件发生的重灾区;急诊科、住院部、耳鼻喉科、儿科成为袭医事件高发区;医护人员成为袭击的主要对象;袭医事件诱因复杂,包括诊疗效果、医患沟通、医疗费用、响应速度、隐私保护和患者自身问题,诊疗效果未达预期成主因。结论建立风险预警机制;加强医患双向沟通;规范网络媒体报道;引导患者依法就医;回归公立医院公益性。

Objective To analyze the characteristics and inducements of violent events to medical workers to provide the countermeasures and suggestions for hospitals and heath management departments. Methods One hundred and thirty-two hot e- vents of violence to medical workers triggering heated debate in network new media during 2011- 2015 served as the research ob- jects and analyzed by using the content analysis method and descriptive statistics method. Results The tertiary hospitals became a major disaster area of violence to medical workers;the emergency department, inpatient department, otolaryngology department and pediatric department became the high incidence areas of violence events to medical workers; the medical workers became the main objects of violent attaek;the inducements were complex,including the diagnosis and treatment effect, doctor-patient communication, medical expenses, response speed,privacy protection and the patient＇s own problems; the main cause was that the diagnosis and treatment effect did not meet the expectation. Conclusion It is suggested that the risk warning mechanism should be established; the doctor-patient two-way communication should be strengthened; the network media report should be standardized; the patients should see the doctor in accordance with the law;the public welfare of public hospital should be returned.