感知 / 亲历医疗暴力医生的内向和外向反应--基于浙江调研数据的分析

The Internal and External Responses of Doctors Involving in Healthcare Workplace Violence:An Analysis Based on Questionnaire Data of Zhejiang

自行设计量表并收集浙江省36家医院671名医生有效问卷,使用方差分析方法探讨感知/亲历医疗暴力的医生群体的内向和外向反应特征。研究发现,三级医院医生亲历医疗暴力比重显著高于基层医院。高医疗暴力发生率产生削弱医生工作积极性和子女学医支持度,并提升其高风险患者识别意愿的内向反应(P<0.05)。亲历医疗暴力医生感知的医疗暴力发生率高于未亲历暴力医生,且有更消极的内向反应和对于医疗暴力法律环境及医疗卫生改革政策更负面的外向反应(P<0.05)。接受反医疗暴力培训、了解暴力防控流程医生的内外向反应较为正面。

671 doctors from 36 hospitals in Zhejiang Province were investigated by using self-designed scale,then analysis of variance(ANOVA)was used to evaluate the internal and external responses of doctors involving in healthcare workplace violence.It is found that the incidence in tertiary hospitals is higher than that in primary hospitals.The higher violence incidence weakened doctors'enthusiasm for work,support for children's learning medicine and enhanced their intention to identify high-risk patients(P<0.05).Doctors with violence experience have higher perceived incidence and more negative internal response for legal environment and healthcare reform policies(P<0.05).More positive internal and external responses are observed on doctors who received anti-violence training and know about the violence prevention/control procedure.