Effects of occupational violence on Australian general practitioners’ provision of home visits and after‐hours care: a cross‐sectional study

Abstract

This study's finding of GPs' self-reported restriction of practice and withdrawal from home visits and after-hours calls in response to risk of violence represents a significant primary health care issue. GPs' decision to provide after-hours calls and home visits is complex, and the finding of lack of significant association of experiences of violence with provision of home visits and after-hours calls is likely to be due to the cross-sectional nature of the study.

Evaluation of aggression in Australian after‐hours doctor home‐visit services

“…Comparisons to studies that looked at regular‐hour Australian general practices, however, indicate that this 47.1% rate from this work is relatively low, as exemplified by the 63.7% and 59.3% recorded in 2 different New South Wales (NSW) studies, as well as the 57% rate recorded in Victoria . Our finding is equally less than the estimated two‐thirds aggression‐rate suggested by the Royal Australian College of General Practitioners (RACGP) as the prevalent rate among Australian GPs, but is nearly identical to the 48% prevalence rate recorded among hospital‐based doctors in a 2004 survey of health care staff in northern NSW …”

“…To calculate the minimum number of responses required to reflect the desired statistic in this study, an estimation was done based on a previous study 21 that found a 63.7% aggression-rate among doctors. With a population size of 300 in this study, and allowing for an error margin of 5% with a 95% confidence interval (CI), the minimum required number of responses was found to be 163.…”

Study protocol: The registrar clinical encounters in training (ReCEnT) study

“…Occupational violence is a major issue in general practice in Australia and internationally, with effects both on the individual and their provision of services to patients [54,55]. There is some evidence that GP registrars, particularly rural registrars, are at particular risk of occupational violence and its effects [56].…”

For en bedre akuttmedisinsk tjeneste i Norge

“…Noen leger er bekymret for egen sikkerhet, spesielt i møte med pasienter som er så ruspåvirket eller psykisk syke at deres atferd oppleves uforutsigbar (Johansen, Carlsen & Hunskaar, 2011). Internasjonal forskning tyder på at bekymring for egen sikkerhet reduserer legenes villighet til å delta i vakt (Magin, Adams & Ireland, 2005;Magin, Adams & Sibbritt, 2008;Hobbs, 1994). Mange steder i Norge er legevaktpersonell alene hele eller deler av døgnet, uten at det nød-vendigvis er iverksatt adekvate sikkerhetstiltak (Morken & Johansen, 2013).…”