External workplace violence against doctors in hospital services in Lima Metropolitana, Peru 2014

Authors

  • Ximena Tuya-Figueroa Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Médico general
  • Edward Mezones-Holguin Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Intendencia de Investigación y Desarrollo, Superintendencia Nacional de Salud. Lima, Perú. médico epidemiólogo
  • Eduardo Monge Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Servicio de Gastroenterología, Hospital Nacional Daniel Alcides Carrión. Callao, Perú. médico gastroenterológo
  • Ricardo Arones Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Servicio de Cirugía, Hospital Nacional Dos de Mayo. Lima, Perú. médico cirujano
  • Milagros Mier Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Servicio de Medicina, Hospital Nacional Arzobispo Loayza. Lima médico internista
  • Mercedes Saravia Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Servicio de Pediatría, Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú. médico pediatra
  • Jose Torres Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Clínica Internacional, Lima, Perú. médico neumólogo
  • Percy Mayta-Tristán Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. médico salubrista

DOI:

https://doi.org/10.17843/rpmesp.2016.334.2550

Keywords:

Workplace Violence, Physician-patient relations, Health services, Peru

Abstract

Objectives.To calculate the frequency and factors associated with external workplace violence (EWV) against doctors in health inpatient services in the metropolitan area of Lima (Spanish: Lima Metropolitana), Peru. Materials and methods. A cross-sectional analytic study, which included doctors from the Ministry of Health (MINSA), Social Security (EsSalud), and the private subsector, was carried out. The frequency of EWV was measured throughout the entire professional practice during the previous 12 months and during the last month. Variables related to the doctor, assailant, and health service were measured. Raw and adjusted prevalence ratios (PR) were calculated by means of a Poisson-family generalized linear model with non-parametric bootstrapping. Results. A total of 406 doctors participated; 31.5% were victims of EWV at least once during their professional practice, with 19.9% over the past 12 months and 7.6% during the last month. The chances of being threatened in the last 12 months increased if the doctor was male (adjusted PR [aPR]: 1.7; 95% confidence interval [CI] = 1.1- 2.8), had graduated from a Peruvian university outside of the metropolitan area of Lima (aPR: 1.5; 95% CI = 1.1-2.4), worked at MINSA (aPR: 7.9; 95% CI = 2.24-50.73) or EsSalud (RR: 8.68; 95% CI = 2.26-56.17), and worked in the emergency (aPR: 1.9; 95% CI = 1.2-3.6) or operating room (aPR: 1.6; 95% CI = 1.1-2.3). Age, years of professional practice, or being a medical resident were not associated with EWV. Conclusion. In the hospitals studied, a large number of doctors have been victims of EWV. Working in public services increases the possibility of violence. Implementation of support, identification, and primary prevention strategies in hospitals is recommended.

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Published

2016-12-13

Issue

Section

Original Article

How to Cite

1.
Tuya-Figueroa X, Mezones-Holguin E, Monge E, Arones R, Mier M, Saravia M, et al. External workplace violence against doctors in hospital services in Lima Metropolitana, Peru 2014. Rev Peru Med Exp Salud Publica [Internet]. 2016 Dec. 13 [cited 2024 Apr. 17];33(4):670-9. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2550

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