暴力伤医重点人群、时空及高风险因素识别——基于189篇暴力伤医裁判文书

Identification of key populations,time and space,and high-risk factors for violent medical injuries--Based on 189 violent medical judgment documents

通过对暴力伤医人群、地理时空进行统计分析并对风险因素进行评估,旨在为识别暴力伤医的重点人群、重点时空及高风险因素提供参考,精准干预暴力伤医行为的发生。以中国裁判文书网伤医等关键词的检索和统计分析,得出暴力伤医重点人群具有教育程度低、收入低、多为患者家属、聚众等特点;重点时间为夏季、7月、晚间;医疗卫生供给水平高的区域、省、市与医院风险程度高;重点科室包括急诊科、骨科等;高风险因素包括对治疗效果不满、醉酒、认为院方延误病情或医疗事故、精神障碍等结论。

Objective:To provide reference for identifying the key population,key time and space and high risk factors of workplace violence against medical workers,and to accurately intervene the occurrence of this violent,through statistical analysis of the population,time and space and assessment of risk factors.Methods:The cases of violent injuries to doctors were searched and analyzed statistically with the keywords of doctor wounding,doctor killing,doctor trouble,doctor beating and nurse beating on the Judgment Document Network.On the basis of classic risk matrix,psychological risk factors are included and risk assessment model is established to identify high risk factors.Conclusion:The key population of violent trauma medicine has the characteristics such as low education level,low income,mostly family members of patients,gathering crowds,etc.The key time is summer,July,evening;Regions,provinces,cities and hospitals with high medical and health supply level have high risk degree;Key departments include emergency department,orthopedics and so on;High risk factors include dissatisfaction with the effectiveness of treatment,drunkenness,perceived hospital delay or medical malpractice,and mental disorders.