| Objective:The aim of this study is to explore the influencing factors of the victims of Violent Injury Medical Eventsand the corresponding legal countermeasures through the investigation of medical personnel and patients,To provide a basis for the relevant departments to develop strategies to reduce violence against the Violent Injury Medical Events.Methods:By reading the literature,to understand the development trend and causes of violence in China and the current situation of countermeasure;from a provincial and municipal three general hospitals,using a convenient sampling method,a total of 660 medical staff were selected,660 patients were interviewed,The The data processing,data entry with Excel,SPSS18.0 statistical analysis,mainly using statisticaldescriptive analysis and chi-square test.Results:(1)Suffered physical violence: The total survey of 602 people,245 people suffered physical violence,accounting for 40.7%.Among them,the number of women who suffered violence was 48.9% higher than that of men.The number of people aged 41-50 was more than 65.0%,which was higher than that of other age groups.The number of violent people was higher,Accounting for 45.9%,higher than other qualifications;junior titles crowd suffered more violence,accounting for 45.9%,higher than other titles.The relevant content to do chi-square testthat the distribution of different departments suffered from physical violence between the differences,statistically significant,surgery is more vulnerable than other departments(2)Practice of the situation: medical staff satisfaction with the general and dissatisfied with the proportion of 50.0% and 29.1%;medical staff in the course of the practice of the most worried about the body suffered an attack,followed by fear of "medical trouble",accounting for 96.3 % And 95.0% respectively.(3)The cognition of relative measures in hospitals:86% of the medical staff believe that the training of laws and regulations in the hospital is effective.95.8% of the medical staff believe that the training of riot control skills in hospitals is effective.The relevant content to do chi-square test,shows thatthe difference of cognition about the training of violence prevention skills among medical staff at different levels was statistically significant(P<0.05),the higher the hospital level,the greater the proportion of the effect of anti-riot training.(4)Situation of perceived responsibility:97.2%、95.5% of the medical staff that the health administrative departments of medical institutions,responsible for the occurrence of injuries;The relevant content to do chi-square test,shows that the difference between the administrative department of health responsibility cognition of medical staff in hospitals of different levels of statistical significance(P<0.05),the higher the hospital level,the higher the medical staff that the greater the proportion of health administrative departments.(5)Medical staff angle of injury reasons and measures of cognitive situation:medical staff that the main reason for injury is the laws and regulations are not perfect,the quality of medical treatment is not high,the medical system odds,accounting for 89.7%,80.1%,71.9%;The most urgent requirements of medical staff Laws and regulations,to strengthen law enforcement efforts,mandatory medical practice insurance accounted for 89.9%,85.7%,84.4%.(6)The patient’s perception of the traumatic nature of the trauma: 620 people,only 140 people think(part)for the body of violent damage is a crime,accounting for 22.6%,which contains 30.2% of men and 17.4% of women,Including 57.1% of patients ≤ 30 years of age and 33.3% of patients aged 31-40 years,including 36.4% of patients with monthly income of> 10,000 yuan and 25.0% of patients with monthly income ≤ 3000 yuan,including 66.7% of the institutions Personnel,including 46.4% of the qualifications are undergraduate patients and 37.9% of the qualifications for the master’s patients.312 people on the nature of the trauma of violence is a crime,that is not clear,accounting for up to 50.3%.The relevant content to do chi-square test,shows that the differences between the cognitive nature of violence between patients in hospitals of different levels,there was statistical significance(P<0.05).(7)Patient satisfaction with medical staff:Patients with medical service satisfaction expressed generally and dissatisfied more,accounting for 41.8% and 35% respectively.what patients value most is the language communication with medical staff and the service attitude of medical staff,accounting for 92.3% and 78.2% respectively.(8)The patient’s perspective on the causes and measures of injury: The patients believed that the main reason for the violence was medical expenses were too high,dissatisfied with the services of medical personnel,dissatisfied with the hospital,accounting for 87.1%,73.4%,67.1%;Patients feel that Drug prices,medical staff to improve service attitude,to strengthen communication between doctors and patients can reduce the violence of the accident,accounting for 95.5%,88.4%,68.4%.Conclusions:Through the questionnaire survey of medical staff,the results showed that 40.7% of the medical staff suffered physical violence,surgery than other departments suffered higher frequency of violence;medical staff perspective,improve the laws and regulations and strengthen the medical system reform and strengthen the hospital responsibility to help reduce The occurrence of Violent Injury Medical Events.Through the questionnaire survey of the patients,the results showed that patients with violence on the nature of the cognitive behavior of the correct rate is low;patient perspective to reduce the patient’s medical burden and hospitals to improve the quality of service and to strengthen communication between doctors and patients and help reduce the incidence of the Violent Injury Medical Events. |
