Violence against doctors

Ghosh, Kanjaksha

doi:10.4103/ijmr.ijmr_1299_17

Cited by 68 publications

(56 citation statements)

References 22 publications

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“…An erosion of trust in the doctor-patient relationship has been noted in studies from India and other LMICs 43 44. Other studies have also shown that the perception of malpractice by the doctor for financial gain, or the impression that the doctor has neglected their duty towards patients and relatives are important contributors to aggression, leading to violence against doctors 45. In healthcare, the inter-relations of systems trust and personal trust are complex 44.…”

Section: Discussionmentioning

confidence: 99%

The impacts of corporatisation of healthcare on medical practice and professionals in Maharashtra, India

Marathe¹,

Hunter

Chakravarthi³

et al. 2020

BMJ Glob Health

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A heterogeneous private sector dominates healthcare provision in many middle-income countries. In India, the contemporary period has seen this sector undergo corporatisation processes characterised by emergence of large private hospitals and the takeover of medium-sized and charitable hospitals by corporate entities. Little is known about the operations of these private providers and the effects on healthcare professions as employment shifts from practitioner-owned small and medium hospitals to larger corporate settings. This article uses data from a mixed-methods study in two large cities in Maharashtra, India, to consider the implications of these contemporary changes for the medical profession. Data were collected from semistructured interviews with 43 respondents who have detailed knowledge of healthcare in Maharashtra and from a witness seminar on the topic of transformation in Maharashtra’s healthcare system. Transcripts from the interviews and witness seminar were analysed thematically through a combination of deductive and inductive approaches. Our findings point to a restructuring of medical practice in Maharashtra as training shifts towards private education and employment to those corporate hospitals. The latter is fuelled by substantial personal indebtedness, dwindling appeal of government employment, reduced opportunities to work in smaller private facilities and the perceived benefits of work in larger providers. We describe a ‘reprofessionalisation’ of medicine encompassing changes in employment relations, performance targets and constraints placed on professional autonomy within the private healthcare sector that is accompanied by trends in cost inflation, medical malpractice, and distrust in doctor-patient relationships. The accompanying ‘restratification’ within this part of the profession affords prestige and influence to ‘star doctors’ while eroding the status and opportunity for young and early career doctors. The research raises important questions about the role that government and medical professionals’ bodies can, and should, play in contemporary transformation of private healthcare and the implications of these trends for health systems more broadly.

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Section: Discussionmentioning

confidence: 99%

The impacts of corporatisation of healthcare on medical practice and professionals in Maharashtra, India

Marathe¹,

Hunter

Chakravarthi³

et al. 2020

BMJ Glob Health

View full text Add to dashboard Cite

show abstract

“…He mentioned poor quality emergency care, poor grievance redressal, poor communication skill, high work load as factors for violence against doctors. 2 Sen et al in 2019 told resident doctors usually work 36-48 hours without sleep and often without food. 5…”

Section: Discussionmentioning

confidence: 99%

“…Studies show majority of cases of harassment (60-70%) are verbal abuse or aggressive gesture. 2 The occupational safety and health administration considers physicians, nurses and other healthcare providers to be vulnerable and at a high risk of workplace violence. Such incidences of violence at workplaces not only puts the life and liberty of the healthcare workers at risk but also leads to decreased efficiency of workers, reduced risk taking attitude, greater unwarranted referrals, and subsequent higher healthcare costs.…”

Section: Introductionmentioning

confidence: 99%

Assessment of antecedents for violence against doctors: a cross sectional study on health worker component

Panigrahi

Satpathy

Majumdar

et al. 2020

Int J Community Med Public Health

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Background: The occupational safety and health administration considers physicians, nurses and other healthcare providers to be vulnerable and at a high risk of workplace violence. 75% of the doctors in India have been victims of violence at workplace.Methods: This was a hospital based cross sectional study among resident doctors in a tertiary care hospital of Maharashtra.Results: Among 137 residents interviewed, 81% of them faced verbal abuse in previous 1 year. In 57.6% of the cases the perpetrators of violence were the relatives of the patients. The most common place of harassment was the indoor patient wards followed by emergency/casualty department.Conclusions: Lifestyle factors such as quality of sleep pattern, addictions have associations with events of harassment among the resident doctors. There should be a comprehensive plan aimed at reducing the lifestyle risk factors of the physicians and allow them proper rest between duty hours.

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“…Due to the rising rates of violence, doctors are reluctant to take up serious cases, compromising health-care delivery. [ 28 ] Thus, there is an urgent need to make health-care facilities safe havens for doctors as only then can they work with complete dedication. This needs to be done at various levels by the government, media, and medical professionals alike.…”

Section: Prevention Of Violence Against Doctorsmentioning

confidence: 99%

“…More health budget spending would translate to better facilities and increased doctor–patient ratio, leading to a decrease in violence related to these factors. [ 28 ] Furthermore, there is an attempt by relatives to allege negligence in cases of sudden death of a patient; this leads to first investigation reports being lodged for murder, culpable homicide, and cheating many a time. This practice needs to be discouraged by making legal provisions deterring relatives from doing so unless evidence is present.…”

Section: Prevention Of Violence Against Doctorsmentioning

confidence: 99%