Abstract
Background
The fact that violence against doctors is occurring in China is a hot topic worldwide today. Many doctors have been killed and injured. To gain a better understanding of this phenomenon in China, we collected evidence of serious violence against medical practitioners in China in order to appeal to the Chinese government and urge them to take action.
Methods
We collected cases of medical violence reported by local media and news websites and researched published works on hospital violence in English or Chinese from databases such as PubMed, Google Scholar, and NCBI from 2003 to 2013. Only cases involving serious medical violence resulting in death or injuries were selected.
Results
A total of 101 incidents of serious medical violence occurred in the past decade, in which 24 doctors or nurses died. Hospital violence happened frequently, and it occurred in nearly all divisions, with the emergency department being the main target area. Hospital disputes occurred more often in full-service tertiary hospitals, which accounted for 66 % of the cases of serious medical violence. In these hospitals, attending doctors or those ranked above them were more likely to be involved. The most common causes of violence were dissatisfaction with the treatment or diagnosis (51 %), services (24 %), and expensive fees (5 %).
Conclusion
Doctor-patient relationships are fragile in China, and medical staffs are at risk of harm at work, even today. To secure the safety of medical practitioners and ensure the welfare of Chinese doctors, measures must be taken by the Chinese government. Public hospital reform is an urgent necessity.
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References
Algwaiz WM, Alghanim SA (2012) Violence exposure among health care professionals in Saudi public hospitals. A preliminary investigation. Saudi Med J 33:76–82
Al-Sahlawi KS, Zahid MA, Shahid AA, Hatim M, Al-Bader M (1999) Violence against doctors: 1. A study of violence against doctors in accident and emergency departments. Eur J Emerg Med: Off J Eur Soc Emerg Med 6:301–304
Behnam M, Tillotson RD, Davis SM, Hobbs GR (2011) Violence in the emergency department: a national survey of emergency medicine residents and attending physicians. J Emerg Med 40:565–579
British Medical Association (2003) Violence at work: the experience of UK doctors. Health Policy and Economic Research Unit, British Medical Association
Carmi-Iluz T, Peleg R, Freud T, Shvartzman P (2005) Verbal and physical violence towards hospital-and community-based physicians in the Negev: an observational study. BMC Health Serv Res 5:54
Fang Y (2013) Violence against doctors on the rise: survey. Publishing Chinadaily. http://www.chinadaily.com.cn/china/2013-10/31/content_17070445.htm. Accessed 31 Oct 2013
Feng Z, Li T (2013) Guideline for preventing violence at hospitals in China (2011–2012). Am J Med Qual 28:169–171
Forrest LE, Herath PM, McRae IS, Parker RM (2011) A national survey of general practitioners’ experiences of patient-initiated aggression in Australia. Med J Aust 194:605–608
Hesketh T, Wu D, Mao L, Ma N (2012) Violence against doctors in China. BMJ 345:e5730. doi:10.1136/bmj.e5730
Jia X, Zhou H, Zhao Y, Zheng LL, Wei Q, Zheng XQ (2014) Investigation on hospital violence during 2003 to 2012 in China. Chin Hosp 18:1–3
Joa TS, Morken T (2012) Violence towards personnel in out-of-hours primary care: a cross-sectional study. Scand J Prim Health Care 30:55–60. doi:10.3109/02813432.2012.651570
Kitaneh M, Hamdan M (2012) Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study. BMC Health Serv Res 12:469. doi:10.1186/1472-6963-12-469
Koukia E, Mangoulia P, Papageorgiou DE, Gonis N, Katostaras T (2014) Violence against health care staff by peers and managers in a general hospital in Greece: a questionnaire-based study
Li QM (2013) Hospital is responsible in more than the half of medical disputes in Beijing. Publishing Jinhua Times. http://epaper.jinghua.cn/html/2013-10/15/content_32095.htm. Accessed 15 Oct 2013
Lu H (2013) Doctor-patient trust. Publishing China Daily. http://www.chinadaily.com.cn/opinion/2013-10/30/content_17067908.htm. Accessed 30 Oct 2013
Magnavita N, Heponiemi T (2012) Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study. BMC Health Serv Res 12:108. doi:10.1186/1472-6963-12-108
Mirza NM et al (2012) Violence and abuse faced by junior physicians in the emergency department from patients and their caretakers: a nationwide study from Pakistan. J Emerg Med 42:727–733
Qiang WX, Tong WX, Jiao ZJ (2012) How to end violence against doctors in China. Lancet 380:647–648
Shan J, Wang QY (2012) Police beefing up hospital security vigilance. Publishing China Daily. http://europe.chinadaily.com.cn/china/2012-05/02/content_15182817.htm. Accessed 2 May 2012
Vezyridis P, Samoutis A, Mavrikiou PM (2014) Workplace violence against clinicians in Cypriot emergency departments: a national questionnaire survey. J Clin Nurs. doi:10.1111/jocn.12660
Wada K, Suehiro Y (2014) Violence chain surrounding patient-to-staff violence in Japanese hospitals. Arch Environ Occup Health 69:121–124. doi:10.1080/19338244.2012.750587
Wang HG (2013a) Hospitals beef up security to cope with violence. Publishing China daily. http://www.chinadaily.com.cn/china/2013-10/24/content_17056758.htm. Accessed 24 Oct 2013
Wang QY (2013b) Policy doesn’t ensure safety: medical staff. Publishing China Daily. http://www.chinadaily.com.cn/china/2013-10/24/content_17054334.htm. Accessed 24 Oct 2013
Wu S, Zhu W, Li H, Lin S, Chai W, Wang X (2012) Workplace violence and influencing factors among medical professionals in China. Am J Ind Med 55:1000–1008
Xinhuanet (2013) China to punish crimes in doctor-patient flare-ups. http://news.xinhuanet.com/english/china/2014-04/24/c_133287654htm. Accessed 25 Apr 2014
Xu W (2014) Violence against doctors in China. Lancet 384:745. doi:10.1016/S0140-6736(14)61438-0
Yao S, Zeng Q, Peng M, Ren S, Chen G, Wang J (2014) Stop violence against medical workers in China. J Thoracic Dis 6:E141–E145. doi:10.3978/j.issn. 2072-1439.2014.06.10
Yip WC, Hsiao WC, Chen W, Hu S, Ma J, Maynard A (2012) Early appraisal of China’s huge and complex health-care reforms. Lancet 379:833–842. doi:10.1016/S0140-6736(11)61880-1
Zhao L, Zhang XY, Bai GY, Wang YG (2014) Violence against doctors in China. Lancet 384:744. doi:10.1016/S0140-6736(14)61436-7
Acknowledgments
This work was supported and funded by the Key Discipline Construction Project of the Pudong Health Bureau of Shanghai (PWZx2014-11), Outstanding Leaders Training Program of the Pudong Health Bureau of Shanghai (grant PWRl2012-05), and the Fudan University Advantages of Discipline Building program.
Conflicts of interest
We declare that all authors have no conflicts of interest. Yang XH and Pan Y contributed equally to this article.
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Pan, Y., Yang, X., He, J.P. et al. To be or not to be a doctor, that is the question: a review of serious incidents of violence against doctors in China from 2003–2013. J Public Health 23, 111–116 (2015). https://doi.org/10.1007/s10389-015-0658-7
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DOI: https://doi.org/10.1007/s10389-015-0658-7