Ruilie Cai|Jian Tang|Cheng Deng|Guofan Lv|Xiaohe Xu|Sean Sylvia|Jay Pan
Violence against health care workers in China, 2013–2016: evidence from the national judgment documents
Sichuan University|Sichuan University|Sichuan University|Civil Aviation Flight University of China|Sichuan University|University of North Carolina at Chapel Hill|Sichuan University
incidents patientinitiated workplace violence health care workers subject substantial public attention china patientinitiated violence represents risk harm health care providers also indicative general tensions doctors patients pose challenge improving health system access quality study aims provide systematic nationallevel characterization serious workplace violence health care workers chinathis study extracted data china judgment online system comprehensive database judgment documents three key phrases criminal case health care institution health care worker used search china judgment online system relevant cases january 1 2013 december 31 2016 data extracted identified cases used document occurrence degree risk factors associated serious workplace violencein total 459 criminal cases involving patientinitiated workplace violence health care workers china reported processed analysis revealed geographic heterogeneity occurrence serious workplace violence lower incidence western provinces compared central eastern provinces primary hospitals experienced highest rates serious workplace violence emergency departments doctors higher risk compared departments health workers perpetrators primarily male farmers aged 18 44 low levels education frequently reported reasons serious patientinitiated workplace violence included perceived medical malpractice perpetrator death patient death patient reason given failures compensation negotiations death patient dissatisfaction treatment outcomesserious workplace violence providers varies across regions types health care institutions china perception lowquality care reported reason violence efforts made improve quality care lowlevel health institutions strengthen doctorpatient communication whole course service