Strengthening health systems in crisis due to COVID-19 requires ending violence against female healthcare workers

Dey, Arnab; Hay, Katherine; Raj, Anita

doi:10.1016/j.eclinm.2022.101518

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…In this study, we discovered that more medical disputes were significantly associated with male gender, higher professional rank, longer duration of service, less understanding of hospital charters, and poorer construction status of hospital rule of law. Studies also revealed that male doctors were more vulnerable to exposure to medical disputes as compared to females ( 2 , 22 , 33 , 34 ), and the specialty grade of a doctor was proved to be relevant to medical disputes ( 22 , 35 ). Several studies showed that hospital administrators' management skills would be constrained by their ignorance of the hospital's charter ( 28 ), making it impossible for them to swiftly and appropriately settle medical disputes ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

“…According to previous studies, some steps could be taken to prevent medical disputes, such as updating dispute handling system, enhancing one's capacity to resolve disputes, and raising the standard of healthcare by strengthening one's professional abilities, service attitudes, and sense of responsibility among physicians ( 2 , 9 , 11 , 38 , 39 ). Our study also provided helpful additions to existing body of knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…Medical dispute is a prominent global problem and has become a significant public health challenge ( 1 , 2 ), particularly in China ( 3 ). Since 2016, the number of medical disputes in China has increased by almost 100,000 cases annually ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…2 , R square; C-index, Area under the curve index; CI, confident interval; H-L test, Hosmer and Lemeshow test.…”

mentioning

confidence: 99%

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Association between hospital legal constructions and medical disputes: A multi-center analysis of 130 tertiary hospitals in Hunan Province, China

Yang

Cao

Zhou

et al. 2022

Front. Public Health

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BackgroundMedical disputes are common in hospitals and a major challenge for the operations of medical institutions. However, few studies have looked into the association between medical disputes and hospital legal constructions. The purpose of the study was to investigate the relationship between hospital legal constructions and medical disputes, and it also aimed to develop a nomogram to estimate the likelihood of medical disputes.MethodsBetween July and September 2021, 2,716 administrators from 130 hospitals were enrolled for analysis. The study collected seventeen variables for examination. To establish a nomogram, administrators were randomly split into a training group (n = 1,358) and a validation group (n = 1,358) with a 50:50 ratio. The nomogram was developed using data from participants in the training group, and it was validated in the validation group. The nomogram contained significant variables that were linked to medical disputes and were identified by multivariate analysis. The nomogram's predictive performance was assessed utilizing discriminative and calibrating ability. A web calculator was developed to be conducive to model utility.ResultsMedical disputes were observed in 41.53% (1,128/2,716) of participants. Five characteristics, including male gender, higher professional ranks, longer length of service, worse understanding of the hospital charters, and worse construction status of hospital rule of law, were significantly associated with more medical disputes based on the multivariate analysis. As a result, these variables were included in the nomogram development. The AUROC was 0.67 [95% confident interval (CI): 0.64–0.70] in the training group and 0.68 (95% CI: 0.66–0.71) in the validation group. The corresponding calibration slopes were 1.00 and 1.05, respectively, and intercepts were 0.00 and −0.06, respectively. Three risk groups were created among the participants: Those in the high-risk group experienced medical disputes 2.83 times more frequently than those in the low-risk group (P < 0.001).ConclusionMedical dispute is prevailing among hospital administrators, and it can be reduced by the effective constructions of hospital rule of law. This study proposes a novel nomogram to estimate the likelihood of medical disputes specifically among administrators in tertiary hospitals, and a web calculator can be available at https://ymgarden.shinyapps.io/Predictionofmedicaldisputes/.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…2 , R square; C-index, Area under the curve index; CI, confident interval; H-L test, Hosmer and Lemeshow test.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Association between hospital legal constructions and medical disputes: A multi-center analysis of 130 tertiary hospitals in Hunan Province, China

Yang

Cao

Zhou

et al. 2022

Front. Public Health

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“…The result of this study showed that work-related absenteeism is more prevalent in the gynecology and obstetrics departments. A possible reason behind the findings of this study could be women may lack confidence when defending against violent incidents and fear working in the workplace [ 40 ]. In Bangladesh, women are more likely than men to specialise in specific fields due to gender norms, such as gynecology & obstetrics [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of workplace violence on health workers injuries and workplace absenteeism in Bangladesh

Shahjalal,

Parvez Mosharaf,

Mahumud

2023

glob health res policy

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Background Workplace violence (WPV) is an emerging problem for health workers (HWs) and a global concern in health systems. Scientific literatures infer that WPV against HWs is often attributed to workplace injuries and absenteeism, leading to a series of adverse consequences. Therefore, this study aimed to investigate the prevalence of workplace injuries and absenteeism due to WPV among Bangladeshi HWs and its association with factors related to health facilities, work environments, and rotating shift work. Methods This study used participants who had experienced WPV, including medical doctors, nurses, or any form of medical staff. A total of 468 victim HWs were added in the analytical exploration. Participants were generated from our previous cross-sectional study of 1081 Bangladeshi HWs. A logistic regression model was used to find the association between workplace injuries and absenteeism due to WPV among HWs and associated factors. Results The prevalence of workplace injuries and absenteeism due to WPV among HWs were 14.10% (95% CI 11.23–7.57) and 22.44% (95% CI 18.87–26.45), respectively. Injury incidence was higher among males (17.67%) and young HWs (20.83%). Workplace absenteeism was more common among male HWs (25%) and those working in public hospitals (23.46%). The magnitude of injuries and absenteeism varied significantly by hospital departments. Workplace injury was significantly higher among HWs who worked in the emergency (AOR = 21.53, 95% CI 2.55–181.71), intensive care (AOR = 22.94, 95% CI 2.24–234.88), surgery (AOR = 17.22, 95% CI 1.96–151.39), and gynecology & obstetrics departments (AOR = 22.42, 95% CI 2.25–223.07) compared with other departments. The burden of work-related absenteeism was significantly associated with HWs who worked in the emergency (AOR = 4.44, 95% CI 1.56–12.61), surgery (AOR = 4.11, 95% CI 1.42–11.90), and gynecology and obstetrics departments (AOR = 5.08, 95% CI 1.47–17.50). Conclusions This study observed a high prevalence of workplace injuries and absenteeism among HWs due to WPV across hospital departments, including emergency, surgery, intensive care and gynecology & obstetrics units. Policymakers should incorporate suitable strategies into Bangladesh’s national health policy to combat violence in healthcare settings.

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Gender and the COVID-19 pandemic: Multinational research indicates that we must support and compensate LMIC women's leadership in crises

Raj

2022

eClinicalMedicine

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Strengthening health systems in crisis due to COVID-19 requires ending violence against female healthcare workers

Cited by 3 publications

References 7 publications

Association between hospital legal constructions and medical disputes: A multi-center analysis of 130 tertiary hospitals in Hunan Province, China

Association between hospital legal constructions and medical disputes: A multi-center analysis of 130 tertiary hospitals in Hunan Province, China

Effect of workplace violence on health workers injuries and workplace absenteeism in Bangladesh

Gender and the COVID-19 pandemic: Multinational research indicates that we must support and compensate LMIC women's leadership in crises

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