Violence against health professionals and facilities in China: Evidence from criminal litigation records

Li, Niying; Wang, Zhan; Dear, Keith

doi:10.1016/j.jflm.2019.07.006

Cited by 15 publications

(26 citation statements)

References 17 publications

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“…According to the interim measures for hospital evaluation [35], the primary hospitals demonstrated the highest risk of serious WPV after adjusting for the number of hospital visits, which was followed by the secondary and tertiary hospitals. While this finding was consistent with previous research [22], it is inconsistent with the media reports that often covered serious WPV in the tertiary hospitals. Results derived from this study suggest that policymakers should make greater efforts to prevent serious WPV in the primary hospitals that were often neglected in the past.…”

Section: Discussionsupporting

confidence: 60%

“…Note: The overall number of primary, secondary, and tertiary hospitals in our study was set as the reference according to the relevant research (Li et al [22]). A 2 × 3 table was formed by combining the overall numbers with numbers in each line and the hypothesis testing was conducted a Pearson chi-square test b Fisher’s exact test…”

Section: Resultsmentioning

confidence: 99%

“…Recently, a national-level study identified 140 cases from 2010 to 2016 involving violence or disturbing public order because of medical malpractice. This study showed a significant relationship between violence and the death of a patient [22]. Events of fatal patient-initiated WPV were repeatedly and widely reported by the media [23].…”

Section: Introductionmentioning

confidence: 98%

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Violence against health care workers in China, 2013–2016: evidence from the national judgment documents

et al. 2019

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BackgroundIncidents of patient-initiated workplace violence against health care workers have been a subject of substantial public attention in China. Patient-initiated violence not only represents a risk of harm to health care providers but is also indicative of general tensions between doctors and patients which pose a challenge to improving health system access and quality. This study aims to provide a systematic, national-level characterization of serious workplace violence against health care workers in China.MethodsThis study extracted data from the China Judgment Online System, a comprehensive database of judgment documents. Three key phrases, “criminal case,” “health care institution,” and “health care worker” were used to search the China Judgment Online System for relevant cases between January 1, 2013, and December 31, 2016. Data extracted from identified cases was used to document the occurrence, the degree of risk, and the factors associated with serious workplace violence.ResultsIn total, 459 criminal cases involving patient-initiated workplace violence against health care workers in China were reported and processed. The analysis revealed geographic heterogeneity in the occurrence of serious workplace violence, with lower incidence in western provinces compared to central and eastern provinces. Primary hospitals experienced the highest rates of serious workplace violence and emergency departments and doctors were at higher risk compared with other departments and health workers. Perpetrators were primarily male farmers aged 18 to 44 with low levels of education. The most frequently reported reasons of serious patient-initiated workplace violence included perceived medical malpractice by the perpetrator after the death of a patient, death of a patient with no other reason given, failures of the compensation negotiations after the death of a patient, and dissatisfaction with the treatment outcomes.ConclusionsSerious workplace violence against providers varies across regions and types of health care institutions in China. Perception of low-quality care is the most reported reason for violence. Efforts should be made to improve quality of care in the low-level health institutions and strengthen the doctor-patient communication during the whole course of service.

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Section: Discussionsupporting

confidence: 60%

Section: Resultsmentioning

confidence: 99%

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Violence against health care workers in China, 2013–2016: evidence from the national judgment documents

et al. 2019

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“…A Chinese Hospital Association survey collecting data from 316 hospitals revealed that 96% of the hospitals surveyed experienced workplace violence in 2012 ( 6 ), and a study done by the Chinese Medical Doctor Association in 2014 showed that over 70% of physicians ever experienced verbal abuse or physical injuries at work ( 7 ). An examination of all legal cases on violence against health professionals and facilities from the criminal ligation records 2010–2016, released by the Supreme Court of China, found that beating, pushing, verbal abuse, threatening, blocking hospital gates, and doors, smashing hospital property were frequently reported types of violence ( 8 ). In India, violence against healthcare workers and damage to healthcare facilities has become a debated issue at various levels ( 9 ), and the government has made violence against HCWs an offense punishable by up to 7 years imprisonment, after various episodes of violence and harassment of HCWs involved in COVID-19 care or contact tracing ( 10 ).…”

Section: Discussionmentioning

confidence: 99%

Violence Against Healthcare Workers: A Worldwide Phenomenon With Serious Consequences

Vento

Cainelli

Vallone

2020

Front. Public Health

127

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“…Literature is organized into primary studies and meta-analytical reviews. In primary studies, data are collected in order to describe the phenomenon of violence in a specific context (e.g., emergency or psychiatric departments) [ 13 , 14 ], toward a target population (e.g., oral health-care workers) [ 15 ], in a particular geographical area (e.g., African or European Countries) [ 16 , 17 ] or in specific countries (such as China, Spain or Iran) [ 18 , 19 , 20 ]. Meta-analytical reviews e.g., [ 21 , 22 ], allowing a general perspective in the evaluation of the phenomenon, by merging and/or re-reading the data or the conclusions drawn from previous works.…”

Section: Introductionmentioning

confidence: 99%

Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review

Civilotti

Berlanda

Iozzino

2021

IJERPH

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The aim of this scoping review is to synthesize the available evidence on the prevalence rates of healthcare workers being victims of violence perpetrated by patients and visitors in Italy. PubMed, Scopus, Web of Science and CINAHL were systematically searched from their inception to April 2021. Two authors independently assessed 1182 studies. All the scientific papers written in English or in Italian reporting primary quantitative and/or qualitative data on the prevalence of aggression or sexual harassment perpetrated by patients or visitors toward healthcare workers in Italy were included. Thirty-two papers were included in the review. The data extracted were summarized in a narrative synthesis organized in the following six thematic domains: 1. Methodology and study design; 2. Description of violent behavior; 3. Characteristics of health care staff involved in workplace violence (WPV); 4. Prevalence and form of WPV; 5. Context of WPV; and 6. Characteristics of violent patients and their relatives and/or visitors. The proportion of studies on WPV differed greatly across Italian regions, wards and professional roles of the healthcare workers. In general, the prevalence of WPV against healthcare workers in Italy is high, especially in psychiatric and emergency departments and among nurses and physicians, but further studies are needed in order to gather systematic evidence of this phenomenon. In Italy, and worldwide, there is an urgent need for governments, policy-makers and health institutions to prevent, monitor and manage WPV towards healthcare professionals.

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Violence against health professionals and facilities in China: Evidence from criminal litigation records

Cited by 15 publications

References 17 publications

Violence against health care workers in China, 2013–2016: evidence from the national judgment documents

Violence against health care workers in China, 2013–2016: evidence from the national judgment documents

Violence Against Healthcare Workers: A Worldwide Phenomenon With Serious Consequences

Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review

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